The Hospital Quality Institute (HQI) was established in April 2013 to realize statewide impact of improving patient safety and quality care for all Californians, to accelerate the rate of improvement, and to advance California as a national leader in quality performance. Vision California hospitals will lead the nation in patient safety and quality performance with high reliability and zero defect in care on behalf of the people and communities they serve. They will lead through respect for people and a culture of habitual excellence. Mission To advance and accelerate patient safety and quality improvement for coordinated statewide impact, with aims to achieve zero defects, optimize clinical effectiveness, and enhance patient and family experience in health care.