Background: ORI is working with various clinical units to develop routine monitoring of clinical outcomes, via periodic surveys. The first area to implement this approach was the Allergy Division, regarding asthma care.(This work was presented as a poster at APA in '97, and the asthma survey was shared then.) Asthma Quality of Care Surveys were administered before and after the introduction of care restructuring in summer, '97,Hypothesis: After restructuring, care outcomes would improve. Methods: Survey patient samples were drawn by strata from the inpatient, clinic, and emergency department during the spring (n=102) and fall(n=100) of '97. Surveys were administered to parents and took ≤30 minutes. They collect data in 10 domains that cover health (functional status, health care utilization, medical risk, adherence, parent knowledge, environment), caretaker satisfaction and experiences, critical processes of care, and demography. Questions were drawn from reliable surveys when possible; new questions were evaluated for test-retest reliability. Responses for the 2 samples were compared by question via χ2. Significance was set at p≤.01. Results: New questions had acceptable reliability. The samples were similar in medical and social characteristics except for% Male (46% vs 70%),% HMO (75% vs 30%), and% that took meds as prescribed (99% vs 86%), all p<.001.Care processes did not change as much as planned. Most outcomes were comparable except that education in several areas improved and workdays lost by parents increased (p<.01). Changes were most marked and consistent for the clinic subsample. Length of stay (LOS) between surveys declined from 3.9 to 2.7 days. Conclusions: 1) Such surveys are feasible. 2) Not all process or outcome domains showed changes. 3) Education outcomes improved in some areas. 4) LOS declined and caretaker time away from work increased, probably reflecting a shift of care from hospital to home. Implications: It is possible and necessary to track processesand outcomes. Results can guide ongoing changes in care and economic and policy analyses of these changes.