This series has endeavored to direct the thinking and mind-set of radiologists to embrace the ACR’s Imaging 3.0 strategic initiative through the concept of the imaging value chain. This vision was in response to the complex and uncertain changes afoot in health care policy, delivery, and reimbursement. A fundamental tenet of health care reform is the move from a transactional fee-for-service model to one that is value driven and focused on patient outcomes—the “volumeto-value” paradigm. In response, the health care profession has yet to fully understand, grasp, and reengineer its workflow, but Imaging 3.0 serves as a roadmap for radiologists to gear their businesses toward delivering better value. Addressing each link of the value chain, this series has offered radiologists practical ideas and solutions to reengineer their workflow toward the emerging value-based delivery systems. In this final article, we discuss metrics and data necessary to monitor performance in the new outcomeand value-driven domain and outline how such business intelligence can inform strategy, design, and implementation of Imaging 3.0. IT is fundamental to driving this agenda, and the advent of big data and future trends are explored. In the current fee-for-service environment, performance metrics focus mainly on processes and inputs, which are financial (eg, revenue, expenses, days in accounts receivable), productivity-based (eg, examination