With the current funding challenges in Ontario’s health care system, it has never been more important to develop new approaches to care delivery that are more efficient and more effective to meet growing patient needs. This includes working beyond our Hospital walls with system partners to improve patient access and the transitions between care providers in the region. LHSC has played a pivotal role in helping lead development and implementation of new care solutions that improve patient outcomes and experiences, while also building improved health services within London and across the region. Recent examples include a vastly improved regional stroke initiative and a major regional electronic health record system. In both cases, patients across the region now benefit from significantly improved care, not just at LHSC, but in care centres closer to home.