As part of its 2007 Innovation Series, the Institute for Healthcare Improvement released a white paper, Engaging Physicians in a Shared Quality Agenda, in which it described the importance of medical staff leadership and the participation of these leaders in achieving a patient safety and quality culture. Following the release of its strategic plan to 2012, in which it highlighted patient safety and quality as key directions, St. Joseph's Healthcare Hamilton recognized the importance of engaging its medical staff to achieve these goals. To facilitate engagement, a medical quality scorecard was developed in collaboration with medical leaders with a view to enabling physicians to easily identify their program goals, measure their progress and transfer knowledge across the organization.