IAQ Think Tanks (TT) are active working research groups created for the analysis of issues focused on specific quality areas and dedicated to consideration and advocacy of alternative approaches for the future development of their focus areas. TTs allow participants an opportunity to reflect on significant issues without the need to deal with daily issues of operations and decision-making. Think Tanks are most effective when they challenge policy orthodoxy and provide innovative direction to shape emerging problems to help determine future directions. TTs need to define the role of quality in each of these areas with a focus on bringing knowledge and creating useful outputs.