There is considerable professional activity already underway with efforts that will fit the needs of a successful single payer system. These include defending against overuse by the "Choosing Care Wisely" and "Avoiding Avoidable Care" initiatives, plus the National Surgical Quality Improvement Program and the nationally successful program to abolish central line infections spearheaded by Johns Hopkins Hospital's Dr. Peter Pronovost, which are all examples of doctors and hospitals working together to share data and improve care. Placing the patient first through use of medical homes and Affordable Care Organizations is often led by doctors. In an attempt to rule out Wall Street domination, doctors and hospitals are establishing insurance plans for their patients on their own. These patient-centered programs will be more successful in a single payer context. For coordination of all of these care advisories, the American College of Physicians has recommended a national doctors board to determine core benefits.