Mary Anne Hilliard currently serves as Executive Vice President, Chief Legal Officer at Children’s National Medical Center in Washington DC. Committed to the concept that the best way to manage risk is to prevent it, she has led local and national grant funded initiatives to share risk data and advance “high reliability principles” in order to reduce serious adverse events and associated malpractice harm. Rahul Shah is Chief Counsel and Vice President for Medical Affairs at Children’s National Hospital, Washington DC. He is recognized as a leader in patient safety and quality improvement and has chaired and serves on myriad national committees related to patient safety and quality improvement. Under his leadership, Children’s National has received numerous safety and quality distinctions.