 The Clinical and Translational Science Awards, CTSA, Consortium, comprised of approximately 60 National Institutes of Health, ME, funded CTSA hubs at academic healthcare institutions nationwide, has been tasked with improving the Clinical and Translational Research Enterprise. In collaboration with the NIH's National Centre for Advancing Translational Sciences, NCATS, the Consortium implemented common metrics and a shared performance improvement framework. Initial implementation across hubs was assessed using both quantitative and qualitative methods over a 19-month period. The primary outcome was implementation of three common metrics and the performance improvement framework. Challenges and facilitators were also elicited. Among 59 hubs with data, all began implementing common metrics, but only about one-third had completed all activities for three metrics within the study period. The vast majority of hubs competed metric results and undertook activities to understand performance. Differences in completion appeared in developing and carrying out performance improvement plans. Seven key factors affected progress, hub size and resources, hub prior experience with performance management, alignment of local context with needs of the common metrics implementation, hub. This article was authored by Lisa C. Welsh and Roda Timoia Coticell, Farsat Nuburi and others. We are article.tv, links in the description below.