This white paper presents ideas from a broader spectrum of healthcare systems than those with which insiders are most familiar. The authors conducted numerous focus groups across the country, including colleagues from small hospitals, multi-specialty clinics, and home care. They also talked to colleagues at medium-sized systems with two to three hospitals that are typically unaffiliated, and at large hospitals that are part of major health systems or academic medical centers, and they listened to their executive suite peers’ input. Additionally, they conducted focus groups with patients.