Listen in as hosts Jim Knickman and Brian Elbel discuss what it means to achieve quality excellence and how to be considered a highly reliable health care organization with Dr. Carolyn Clancy (assistant under secretary for health) and Kristi Groves (executive director, Office of Quality Management) for the Veterans Health Administration (VHA). During their conversation they discuss the history of the VA integrated health system, define quality and quality management, explain how we measure improvement in quality management, explore careers, and much more.