This brief provides an overview of the CHCF Health Care Leadership Program and a summary of results from an assessment of the process and impact of a key component of the program, the California Health Improvement Project (CHIP). CHIPs are leadership projects undertaken by program participants at their home organization. Areas of impact resulting from the CHIPs, dissemination activities, and factors that contributed to the successful implementation of the CHIPs from the perspective of program alumni are described. Ongoing enhancements to the CHIP component of the program are also discussed.