During this one hour session of the Leading and Sustaining Systemic Change Collaborative, participants will learn how to charter, lead, and develop self-directed, high-functioning teams to drive and sustain systemic improvements using Quality Assurance and Performance Improvement (QAPI) methodology. Examples of successful teams and systemic improvements are provided by Roger Mynatt, Administrator, Jefferson County Nursing Home in Dandridge, TN and Teresa Jarvis, DON, West Meade Place, Nashville, TN.