Margaret E. O’Kane, CEO, president and founder of the National Committee for Quality Assurance (NCQA), joins Joshua Israel, MD and Sean Cavanaugh to discuss how the organization has helped transform quality measurement in the American health care system. Over the past 35 years, O'Kane and the NCQA have developed quality measurement standards for clinicians while striving to minimize the administrative workload that comes with an expanding array of quality metrics. O’Kane advocates for a future where quality measures are better integrated into health care technology systems, emphasizing that systemic changes are crucial for improving quality, rather than solely focusing on individual physicians.