Surgical Health Outcomes & Research Enterprise (SHORE) The URMC Surgical Health Outcomes & Research Enterprise (SHORE) was established in 2011 under the umbrella of the Clinical and Translational Science Institute (UR-CTSI), as a multidisciplinary center designed to develop new and enhance existing research efforts through one integrated, cross-disciplinary program. As a part of URMC, SHORE helps achieve Medicine of the Highest Order through the integration of existing institutional and intellectual resources to create surgical outcomes research continuum and sustainability as it translates to innovative research, excellence in training and high quality clinical care within both the Department of Surgery and across all disciplines of the University of Rochester Medical Center. This Enterprise aims to identify the most effective ways to organize, manage, finance, and deliver high quality care, while reducing medical errors, controlling costs, and improving patient safety and experience, all of that achieved through institutional, regional and national collaborations among clinical and translational researchers, public health and policy organizations, community partners, payers, patient advocacy groups and other stakeholders. SHORE faculty and staff work closely with the Department of Surgery and URMC Offices of Grants Management, Research Administration and Subject Review Boards to assure compliance, budget tracking, accounting, and all other aspects of research project administration. Aside from partnering with internal organizations, SHORE also has regional (American Cancer Society Lakes Region, Monroe County Medical Society, Finger Lakes Health Systems Agency, Gastroenterologists of Rochester, Patient Centered Medical Home, Upstate NY Surgical Quality Initiative)), national (OSTRiCh Affiliates, American College of Surgeons (ACS), ACS Commission on Cancer, National Consortium of the Clinical and Translational Research Awards, American Society of Colon and Rectal Surgeons), and international collaborators (Imperial College London , St. Michael’s Hospital Keenan Research Centre).