Dr. Enrique Ruelas’ work has focused on healthcare quality improvement in Mexico since the early 1980’s. During his time with the Mexican government as Vice Minister of Health between 2000 and 2006, he was instrumental in the design and conduction of the National Strategy for Quality in Health Care. He started moving more into the international arena at the end of the ‘80s, and became President of the International Society for Quality in Health Care (ISQua) in the mid ‘90s.