 The PIM selected for this study will focus on asthma. As PIMs seek to improve the quality of care within a practice, the unit of randomization in this study will be clinics i.e., practices within the Henry Ford Health System. We will enroll practicing, board-certified internists within the Henry Ford Medical Group 40 internists or 20 per arm. Clinics 16 or 8 per arm will then be randomized to either complete the PIM or not complete the PIM. Participating internists at a site randomized to complete the PIM will be encouraged to work together to complete the asthma PIM. Participating internists at control sites will continue usual care and will not be asked to complete an asthma PIM. 