Black Group: Building a quality improvement infrastructure Challenges and Opportunities– Find incentives to create change Convene right people to get action; develop action plans Reward evidence based practice vs rewarding evidence based outcomes Tolerate imperfection in service of quality improvement Which organizations can convene stakeholder groups? How to excite the public to participate in quality improvement Translation of research to practice How does public know it was a good program – driven by science Need to make business case for the public Work of funders of IOM is not over yet; need to get their money’s worth by development of action plans Complexity of defining outcomes