Although Boulder Community Health offered a wide variety of CV services and saw high demand for those services, providers, administrative staff, and patients experienced several challenges. Most noticeably, their wait times for new patients were long due to inefficient patient triaging and lack of workflow efficiency. Additionally, after analyzing productivity benchmarks and cardiac registry data, CV service line leaders realized there was room to improve their productivity, quality of care, and patient outcomes. These challenges were partly the result of an incomplete integration of two independent, privately owned practices in 2011. Although the CV service line had evolved and grown throughout the years since the acquisition, unresolved cultural issues needed to be addressed to solve quality and efficiency concerns. Because of this, hospital leaders, along with a physician champion, worked together to prioritize unity among CV staff, improve culture, and establish standardized processes to help mitigate these challenges.