Ralph Brindis, MD, MPH is a Clinical Professor of Medicine at the Phillip Lee Institute for Health Policy Studies at UCSF following a thirty-year career at Northern California Kaiser Permanente retiring as their Senior Advisor for Cardiovascular Disease. Dr. Brindis is a national innovator responsible for the promotion of cardiovascular quality having served as President of the American College of Cardiology (ACC) from 2010-2011. In his role as previous Chair and present Chief Medical Officer of the ACC’s National Cardiovascular Data Registry (NCDR) he helped launch and expand the NCDR to a portfolio of 10 CV registries now used by 2500 US hospitals with a repository of well over 70 million patient records. The NCDR is used as a key component for the nation’s infrastructure for assessing CV quality, Post-Market Device Surveillance, CV Comparative Effectiveness Research and Post Approval Studies with well over 400 published manuscripts. He presently serves on the FDA CV Device Panel, the steering committee of MDEpiNet, the California Technology Assessment Forum Panel, and is Chair of the California OSHPD Cardiac Advisory Panel for CABG public reporting.