Interoperability and real-time data exchange are transforming the quality ecosystem, laying the groundwork for a connected, efficient and insight-driven health care system. This keynote explores how standards like HL7 and FHIR—along with shared performance data and longitudinal patient records—are enabling timely, actionable insights that support care delivery. We’ll look ahead to how an evolving infrastructure creates a launchpad for AI-powered tools and other innovations that promise to drive greater efficiency and value across the care continuum.