Patsy Riley has devoted four decades of visionary service to the improvement of health care nationwide. In 2017, she retired Blue Cross and Blue Shield of Minnesota as chief government officer. She has contributed especially to the ongoing effort to measure the quality of care and make it better—notably as president of Stratis Health, Minnesota’s pioneering quality improvement organization. When Patsy thinks back on her long career, she admires the unique excellence of Minnesota’s health policy experts: “incredibly thoughtful people who came to think creatively about how to solve really big problems for the betterment of Minnesotans.” She wants to encourage more big thinking in the next generation of health care leaders.