Despite significant differences in their health care systems, the United States and England face similar imperatives: reduce the cost of delivering care to aging populations and address deficiencies in quality and safety. A new article in the Lancet by Jennifer Dixon, MBchB, of the Nuffield Trust in London and Harvard Medical School's David Blumenthal, M.D., chief health information and innovation officer at Partners Healthcare System in Boston, identifies major areas of reform where the two countries have common aims and may be able to learn from each other. Since 1999, the Commonwealth Fund and Nuffield Trust have sponsored an annual meeting bringing together government officials, health researchers, and practitioners from the U.S. and U.K. for an exchange of ideas on quality improvement policies and strategies.