I'll take a crack at that.
In my role in Nova Scotia, one of the jobs I held was vice-president of research and academic affairs at the Capital District Health Authority. It included the quality portfolio, so I'm familiar with, at a hospital and a health authority level, the commitment to quality that pervades the system. All staff are involved in the accreditation process that Accreditation Canada sponsors and administers. It's comprehensive and it draws all staff into regular reviews and continuous quality improvement initiatives.
In addition, at the hospital level, we participated in programs under the auspices of the Canadian Patient Safety Institute, and many of those, while they may have a safety focus, in fact are about quality. Built into leadership in the hospitals, both medical and nursing, is a commitment to these processes. Many projects, many prizes, and many programs pull out some of the best innovation that's brought to bear, and it's shared through various conferences that take place in Canada on a regular basis.