When more than 40 chief executives gathered in Colorado Springs, CO, for the 2014 HealthLeaders Media CEO Exchange, one of their main topics of discussion was healthcare quality. While the skills for improvement in quality may be present in healthcare organizations, there is a lack of consensus on what success looks like. Healthcare executives are forced to sort through multiple priorities around quality brought on by regulations and changing reimbursements. In roundtable sessions, these leaders discussed how they keep clinical quality and patient safety at the center of their organizational efforts.