Bruce Agins, MD, MPH, is the medical director of the New York State Department of Health AIDS Institute, where he oversees a staff of 40 individuals involved in guidelines development, quality management and education programs. He is the principal architect of New York's HIV Quality of Care Program and has over 20 years of HIV-specific QI experience. He is principal investigator of the National Quality Center and the NYLINKS programs funded by HRSA. Since 2002, Dr. Agins has applied his experience in the field of HIV QI to the international setting, directing HEALTHQUAL International, which is supported through PEPFAR. HEALTHQUAL partners with Ministries of Health in countries throughout Africa, Asia, the Caribbean and in Papua New Guinea to provide technical support and coaching to build capacity for quality management as part of sustainable health systems. Dr. Agins has participated in consultations with WHO and participated as faculty in the Salzburg Seminar devoted to development of guidelines and models of quality management in resource-limited settings. Dr. Agins is an infectious diseases specialist with extensive experience in the oversight of government-sponsored programs. Dr. Agins holds academic appointments as Full Clinical Professor in the Division of Epidemiology and Biostatistics in Global Health Sciences (Volunteer), School of Medicine at University of San Francisco and as Adjunct Professor in the Division of Infectious Diseases and Immunology at New York University School of Medicine. He is a graduate of Haverford College (1975) and Case Western Reserve School of Medicine (1980), and received his MPH from the Mailman School of Public Health at Columbia University in 1994.