We are transforming processes, rebuilding infrastructure, creating a better experience to patients through integration and taking better care of physicians (research and teaching incentives, anti-burnout programs). A strategic planning was developed in 2015 and included 100 people among them 54 medical leaders from all specialties. All 400+ projects in 12 Programs are linked to that strategic planning written by the leaders of the institution but some think that administration is playing against doctors/patients. Physicians don’t feel they are part of the change and they complain that they don’t know a lot about the projects. We have leadership monthly meetings, reports sent on emails and intranet webpage but none of that reach all 750 physicians and we still have people that no nothing about it. Very Frequently we need to send people a relevant message but emails and website does not work well. How can we effectively communicate with doctors in the hospital? How can we make the specialty leaders communicate better with their teams? How can we effectively engage physicians to lead the change?