Tamra E. Merryman, RN, MSN, FACHE, Vice President, Center for Quality Improvement and Innovation, UPMC Health System, has been with the system and its predecessor Shadyside Hospital for 15 years. Prior to her current position, she was Vice President of Patient Care Services. More than nine years ago, Ms. Merryman created the Clinical Design Initiative at Shadyside Hospital to provide clinicians more time with their patients, create excellent systems, and enhance patient satisfaction. Her participative but decisive style of leadership has resulted in millions of dollars being reinvested back into patient care. Ms. Merryman is also part of the hospital team participating in the IHI and RWJF project, Transforming Care at the Bedside.