Despite some bumps, The Eczema Center at Rady Children’s Hospital in San Diego is making headway toward showing that dedicated services can improve care.

The good thing about being the first to attempt a new concept that finds success is the recognition that eventually ensues. The downside is that treading unfamiliar turf inevitably involves mis-steps, tough learning lessons, and in the context of a large organization, dealing with politics and unreasonable expectations.