quality improvement research: an infusion of new dollars, diversification of funding sources, creation of institutional homes for quality improvement research, recognition of the need for diverse strategies for different audiences, exposure to future researchers at multiple and early points in academic development, and enhancement of data about what strategies are most effective in engaging investigators and developing substantial programs. While these strategies are all important, a prioritization was not offered. Indeed, as Titler noted, because of the complexity of the health care system and the often conflicting needs of various stakeholders, it is extremely difficult to prioritize among strategies to develop quality improvement and quality improvement research.