At the State Department, Slaughter was chief architect of the Quadrennial Diplomacy and Development Review whose first iteration was released in December 2010. The QDDR provided a blueprint for elevating development as a pillar of American foreign policy and leading through civilian power. Commenting upon the skepticism that often greets such reports, and reiterating Secretary Clinton's strong desire that the QDDR become an essential part of the State Department policy process, Slaughter said: "I'm pretty sure you're thinking, 'I've heard this before,' big plan to change the way a government agency works But this is different." Slaughter received the Secretary's Distinguished Service Award for exceptional leadership and professional competence, the highest honor conferred by the State Department. She also received a Meritorious Honor Award from the U.S. Agency for International Development for her outstanding contribution to development policy.