HEALTHQUAL, working with national QM programs in Haiti, Zimbabwe and Namibia, has developed QI Coaching Certification Standards. These standards define specific QI Coaching knowledge and skill criteria that acknowledge a higher level of coaching expertise and set an expectation to conduct consistent coaching processes on behalf of the national quality program. The national program is responsible to implement the certification program including a regular skills assessment and re-certification after a defined period to ensure the coaching role is sustained. Staff who meet the criteria for QI knowledge and coaching skills become Certified QI Coaches by the national program.