Started in in 1996, VCSQI is a voluntary consortium that has grown to include 18 hospitals, 14 cardiac surgical practices, and in 2016 expanded to include the cardiology specialty with the goal of coordinating care and forming a statewide “Heart Team” approach to cardiac care. VCSQI members represent over 99% of all open-heart and 50% of interventional procedures in the Commonwealth of Virginia. VCSQI’s goal is to improve quality of care and contain costs in heart procedure programs of all sizes across the state.