IBHI was launched in 2005 after the founders read “The Bell Curve” by Atul Gawande. The author points out the importance of being able to compare the results across systems of care using the experience of patients with cystic fibrosis. The difference in results between the “best” and the “average” or middle of the bell curve distribution for cystic fibrosis patients was a dramatic improvement in longevity! The article shares the journey of discovery, transparency, learning and action necessary to become the best, and to re-shape the performance curve. “The Bell Curve,” is a visionary message for behavioral healthcare and led to the founding of IBHI.