Although patient centeredness and equity are major quality-of-care goals, little is known about how these goals are affected by efforts to improve quality. Jodi Halpern, M.D., Ph.D., and her colleagues illustrate, using depression in primary care as an example, how four ethics goals—autonomy, distributive justice, beneficence, and avoiding harm—can be incorporated as outcomes in demonstrations of quality improvement. These authors identify intervention features, study measures, and hypotheses implemented in Partners in Care—a randomized trial that compared two quality improvement interventions with usual care—and summarize relevant published findings. They found that the interventions were associated with improvements in all four ethics domains. They conclude that it is feasible to explicitly address ethics outcomes in quality improvement programs for depression but that substantial additional resources may be required (see page 532).