Dr. Nelson and his guest, Enderson Miranda, the CEO of OnSomble, discuss the critical components of role clarity and competency. Incomplete and inaccurate assumptions about aspects of roles frequently govern the provision of care, significantly increasing risks to patients and clinicians. Improving outcomes in health care requires intentional conversation about the role of each professional involved in the spectrum of patient care, and the different aspects of that role to ensure that each person is behaving legally, safely, and efficiently. Health care spends hundreds of millions of dollars on programs intended to improve professional role clarity and competency. The tools used to measure the results of these programs are usually insufficient, and leaders do not see the results they expected. John and Enderson discuss the processes and science necessary to accurately measure role clarity and competence, while minimizing concerns such as survey fatigue. The critical importance of role clarity in providing quality care is irrefutable. With the right processes and tools, healthcare leaders can truly understand role clarity in the context of their organizations, paving the way for improved outcomes.