TY - CHAP AB - Purpose Interest has grown among U.S. academic medical centers in developing international benchmarks for excellence in process and outcomes. Drivers behind this trend, as well as barriers to the development of useful benchmarks, are explored in this invited commentary.Design/methodology/approach The commentary is based on the authors’ conversations with members of the U.S. Cooperative for International Patient Programs as well as the University Healthsystem Consortium (UHC).Findings Six key themes are summarized in this commentary, including four key drivers and two barriers.Originality/value The practice-based perspectives this commentary summarizes provide a useful starting point for researchers and practitioners interested in establishing international comparison with the United States. VL - 17 SN - 978-1-78441-278-4, 978-1-78441-279-1/1474-8231 DO - 10.1108/S1474-823120140000017002 UR - https://doi.org/10.1108/S1474-823120140000017002 AU - Garman Andrew N. AU - Johnson Tricia J. PY - 2015 Y1 - 2015/01/01 TI - Defining World-Class Care in Academic Medicine: Enablers and Challenges T2 - International Best Practices in Health Care Management T3 - Advances in Health Care Management PB - Emerald Group Publishing Limited SP - 23 EP - 29 Y2 - 2024/04/25 ER -