In Reply: Burns has made three general points in his letter about our article on performance measures for schizophrenia services. First, he has endorsed the use of the Delphi process for engaging multiple stakeholder groups. Second, he has made pertinent observations about the process of using the Delphi based on his considerable experience working with multiple groups, including consumers. More specifically, he has pointed out the potential problem that occurs when groups rate many items as essential, and he has made several practical suggestions about how to encourage the group to be more focused and selective. We recognize the value of his suggestions and, in retrospect, we could have improved our Delphi process.