Evidence from the medical literature that contributes to adopting a new practice into clinical care is integral for surgical quality improvement. Part II of a comprehensive review of five key principles of the American College of Surgeons (ACS) Quality Verification Program demonstrates the role of data surveillance and standardized processes and systems to identify problems and improve the quality and safety of surgical patient care. The peer-reviewed article is published on the Journal of the American College of Surgeons (JACS) website in advance of print.