This document summarizes a presentation given by Dr. Wayne Pan of the Santa Clara County IPA (SCCIPA) on 5 "dangerous ideas" for improving healthcare quality. The ideas are: 1) Ask how health plans can help providers rather than what providers can do for plans, 2) Require providers to use a common EHR platform for communication, 3) Use the EHR platform to provide performance feedback, 4) Implement physician bonus programs tied to quality targets, and 5) Focus on coordinating care for the whole patient through reminders, checklists and follow-ups. The document provides examples of how SCCIPA has implemented these ideas, such as engaging office staff, using data to drive feedback, and linking