Power point presentation from Expert Lecture, Session 363, November 3rd at AEA. This expert lecture explored several key issues with evaluation of institutionalization: 1) what is our desired result – how would institutionalization manifest itself at various levels of the system? 2) what evidence can we gather or how can we measure institutionalization? Based on an evaluation case of institutionalization of quality improvement approaches in the Niger Healthcare system, a framework for evaluating institutionalization will be discussed, as well as illustrative findings presented from the application of this framework. For full details of the case presented, you can download the case report at http://www.hciproject.org/node/1286 #DiversityandInclusion #2011Conference #InternationalandCross-CulturalEval