Bruce Agins, MD, MPH, is the Medical Director of the New York State Department of Health AIDS Institute, where he   oversees a staff of 40 individuals involved in guidelines development, quality management and education programs. He is the principal architect of New York’s HIV Quality of Care Program and has 20 years of HIV-specific QI experience.  He is principal investigator of the HIVQUAL-US and National Quality Center programs funded by HRSA, has participated as faculty in several national HIV quality improvement collaboratives, and chaired the faculty of the national HIV QI Collaborative for state HIV agencies.  Since 2002, Dr. Agins has applied his experience in the field of HIV QI to the international setting, directing HEALTHQUAL, which is supported by UNICEF and PEPFAR. Following a successful launch in Thailand that resulted in scale-up to a national program, the model has been implemented in Uganda, Mozambique, Namibia, Nigeria, Haiti, Swaziland, Botswana and Guyana.  Dr. Agins has consulted in the field of international QI in Russia, Brazil and Ethiopia, having also participated in consultations with WHO devoted to development of guidelines and models of quality management in resource-limited settings.  Dr. Agins is an infectious diseases specialist with extensive experience in the oversight of government-sponsored programs.  He is a graduate of Haverford College (1975) and Case Western Reserve School of Medicine (1980), and received his MPH from the Mailman School of Public Health at Columbia University in 1994.