A big key to improving quality and patient care is engaging physicians and nurses. As many healthcare systems begin to implement improvement initiatives, they must ensure their clinicians are supportive and engaged in order to achieve success. Senior-level executives need to understand the challenges their clinical staff are facing in feeling overwhelmed, having too little time, as well as not really understanding new risk-based payment models. Knowing what motivates physicians and nurses to engage (and what doesn’t) ensures process improvements become tangible, sustainable, while at the same time building trust between clinicians and the healthcare organization.