Is your public or private organization striving to excel (perhaps just achieve) in a world of escalating imperatives to improve healthcare processes and outcomes? I've driven creation of industry-leading approaches to re-engineer care delivery for improvement imperatives (e.g., related to acute and chronic disease management and preventive care) in ways that transform care for the benefit of patients, care teams, provider organizations and other key stakeholders. I've led development of national roadmaps for transforming care delivery and outcomes (see http://bit.ly/cdsroadmap and https://digital.ahrq.gov/acts). The AHRQ evidence-based Care Transformation Support Initiative (ACTS) engaged hundreds of stakeholders from 2018-21 to define a shared vision - and Roadmap to broadly achieve this vision - for broadly enabling learning health systems and achieving the quintuple aim. I'm currently leading the LHS Collaborative a stakeholder-driven follow-on effort to execute this Roadmap through learning communities focused improving care and outcomes for clinical conditions such as hypertension, chronic kidney disease, pain/opioid use, and sickle cell disease (https://drive.google.com/file/d/13dG3nt7Yge7wjvynR9Dn9UyeS_wHecIq/view?usp=share_link).Guidance I've developed to support care transformation at the care delivery organization level includes creating the CMS-recommended "Clinical Decision Support Five Rights framework," (bit.ly/cds5rights), the HIMSS guidebook series for improving outcomes with CDS, and the online "Guide to Improving Care Processes and Outcomes" (bit.ly/qiguide) provided by the federal agency that supports nearly 1400 health centers in providing care for 25 million people. I've helped dozens of care delivery organizations apply quality improvement (QI) strategies and tools to successfully transform how they deliver care for selected targets and beyond. (See: bit.ly/CDSPICollab) If you work in a care delivery organization, government agency, EHR/HIT vendor, or other contributor to high quality care, I can help you apply these proven QI strategies and tools to measurably improve care delivery and outcomes, along with other key organizational results. TMIT Consulting's name and approach are based on a quote from Zen teacher Shunryu Suzuki: "The most important thing is to find out what is the most important thing."