Inova Health System found a change strategy that supported redesign of our patient care delivery to improve the patient experience while changing the culture of the organizations, ensuring system integration and reducing costs. Using the large group intervention of the Conference Model we involved staff and physicians from the entire system to create a model of care to meet the needs of the future. This methodology allowed us the opportunity to tap the intellectual capital of the organization's and build capacity among a wide range of our staff. The adventure is outlined in our On the Scene.