William Deming's approach to quality improvement (QI), which contributed significantly to Japan's recovery after the Second World War and then to the automotive industry in the United States, was later taken up by pioneers of QI in health care. In Canada, QI awareness began with the publication of several provincial and national reports on safety and quality. In the field of cardiology, the Canadian Cardiovascular Outcomes Research Team undertook an initial project to improve the quality of cardiac care, and the Canadian Heart Health Strategy and Action Plan published a seminal strategy document recommending, among other things, the creation of a national cardiovascular database. The first-ever Canadian National Transcatheter Aoratic Valve Implantation quality report was shared among provincial and national stakeholders in 2016. In BC, Providence Health Care formed a partnership with the Shared Care Committee and collaborated with Vancouver Coastal Health in a project to redesign interaction between specialists and FPs to improve population health outcomes through two initiatives: RACE and a streamlined cardiology referral process. Both national and local projects have contributed to QI knowledge in health care. [ABSTRACT FROM AUTHOR]