Contemporary healthcare delivery systems entered the new millennium fraught with challenges to the provision of safe environments for those entrusted to their care (IOM, 1999; IOM, 2001; IOM, 2003). Over the last two decades, healthcare’s quality-safety-performance-improvement infrastructure has burgeoned, but providing quality and safe care for patients and families remains challenging. Quality and safety-improvement activities no longer occur at the place where care is actually delivered. Often the offices and desks of quality and safety-improvement staff are located in back hallways, administrative areas, or even in separate buildings (Porter-O’Grady, Clark, & Wiggins, 2010). This results in a disconnect between care providers and the valuable safety and quality data that can be used to guide efforts and achieve sustainable results.