This ebook contains selected papers presented at the 5th Canadian Quality Congress that was held at the University of Calgary in Calgary, Alberta, Canada. The theme of the congress was: The Energy Driving Change. This ebook includes a variety of interesting and challenging topics on the theme of the congress: the development of a culture-based design of business excellence system, a rigorous research study aimed at determining sustainability, a study of the resilience and robustness of enterprise systems, the search for a connectivity of financial indicators to improve healthcare organizations, a case study of special governance research network benefitting the society at-large, and an application of the use of modern information technology in TQM systems, all on the three main themes of the conference: leadership, financial implications of TQM, and IT advantage. Leadership in quality has been and will always remain a topic at the top of agenda while discussing and bringing about the change. It ranked number one at this conference as well. Why aren't the leaders then doing something about it That question was answered by a second group of theme speakers and the conclusion was that there is still a lack of knowledge transfer when it comes to quality professionals convincing top management about the financial benefits and a win-win game plan in using TQM plus the added emerging advantages on how IT can further give an edge on the overall performance excellence.