The College of Physicians and Surgeons of Ontario (CPSO) and Cancer Care Ontario (CCO) have formed a partnership to support ongoing training, education and quality improvement across the province. This partnership will develop provincial quality-management programs for the service areas of colonoscopy, mammography and pathology, and aims to improve patient safety and increase the quality of care, the consistency with which quality of care is provided across facilities and public confidence, by enhancing accountability and transparency. The proposed qualitymanagement program model will include clinical leads supporting change at the provincial, regional and facility level.