Nurses' involvement in quality activities is likely to increase in coming years. Beginning with a growing focus on quality by The Joint Commission over the past 50 years; the Institute of Medicine IOM added to the importance of quality with two publications in 2001 and 2003. This presentation will outline these key developments related to quality and identify measures nurses can take to participate in improving health care and patient outcomes. Quality improvement definitions and models will be described. Advances in education to develop health care providers with the skills needed to improve quality will also be discussed. Some of these skills outlined by the IOM and the Quality and Safety Education for Nursing QSEN group include knowledge and competency with multidisciplinary teamwork and collaboration; evidence-based practice; quality; safety; informatics; and patient-centered care.