Developing a strong board culture of quality and safety is a heavy but necessary lift for any health system. In this conversation, University of Utah Health's Kencee Graves, M.D., hospitalist and palliative medicine physician, and David Colling, vice chair, Community Board of Directors, discuss how a “Quality 101” approach helped bridge knowledge gaps between clinicians and board members, and why making this transformation interactive leads to stronger strategic alignment and better patient outcomes.