Founded in 1991, the Cambridge, Mass.-based organization aims to improve the lives of patients through quality healthcare. With a staff of about 100, the IHI has partnerships and faculty around the world. The organization identifies its focus on the “No needless List,” which includes no needless deaths, pain or suffering, no helplessness in those served or serving, no unwanted waiting, no waste and no one left out. Prior to being appointed by President Barack Obama to head CMS, Dr. Donald Berwick served as head of the IHI. The Triple Aim initiative, developed by the IHI under Berwick, is a vision to reform the healthcare system through the pursuit of three aims: improving the cost of healthcare, improving the health of populations and reducing per capita costs of healthcare.