Light Ten has worked with Bon Secours Health System (BSHSI) since 2012 meeting and defining success in a changing, flexible and challenging environment. We were responsible and successful in the development of several training initiatives both online and classroom-based. From the creation of 30-second help videos for the hospital network’s most public external website “MyChart” (with over 30 thousand users) to developing a strong curriculum for their ambulatory and practice management team. These initiatives included instructor-led training, needs assessment, content development, and pilot testing. Our expert use of Adobe Captivate, Articulate Storyline, SnagIt and Camtasia allowed for seamless design and development.