1. National Indian Health Board Donald M. Berwick, MD Administrator Centers for Medicare and Medicaid Services 1

2. Vision CMS is a major force and a trustworthy partner for the continual improvement of health and health care for all Americans. 2

3. Better Health for the Population Better Care for Individuals Lower Cost Through Improvement The “Three-Part Aim” 3 3

4. The Changing Environment Paying for Value not Volume Better Quality Metrics Increased Transparency Stronger Fraud and Abuse Measures Shared Learning and Spreading Excellence Greater Consumer Engagement Renewed Focus on Waste 4

5. The Good News… Strong Professional Commitment Abundant Models of Effective Improvement Alignment across Public and Private Sector Authentic Partnership 5