The collection of papers in this e-book come from the "first" annual Canadian Quality Congress presentations held last August 2009. Under the theme, Quality, Innovation and Social Responsibility, approximately 200 delegates were in attendance from 23 countries from around the world. Healthcare dominated the agenda. There were many excellent papers and keynote speeches on a wide variety of healthcare topics. Many questions were raised and the papers that have been selected are attempts to answer a few of these questions.