Kristine Lombardozzi, MD, FCCM, discusses her article published in the August Critical Connections titled, “Understanding the Evolution of Our National Healthcare Quality Improvement Process,” which outlines the origins and history of healthcare quality that brought us to where we are today. Lombardozzi is a surgical intensivist serving as director of the surgical and medical intensive care units at Spartanburg Regional Medical Center in Spartanburg, South Carolina, USA. She also is a member of the SCCM Advocacy Committee and has participated in quality and safety programs at her community-based teaching hospital.