As Kaiser measured the impact of this change over time, it learned that the mean interval between a nurse’s arrival and first interaction with a patient had been more than halved, adding a huge amount of nursing time across the four hospi- tals. Perhaps just as important was the effect on the quality of the nurses’ work experience. One nurse commented, “I’m an hour ahead, and I’ve only been here 45 minutes.” Another said, “[This is the] first time I’ve ever made it out of here at the end of my shift.” Thus did a group of nurses significantly improve their pa- tients’ experience while also improving their own job satis- faction and productivity. By applying a human-centered design methodology, they were able to create a rela- tively small process innovation that produced an outsize impact. The new shift changes are being rolled out across the Kaiser system, and the ca- pacity to reliably record critical patient infor- mation is being integrated into an electronic medical records initiative at the company. What might happen at Kaiser if every nurse, doctor, and administrator in every hospital felt empowered to tackle problems the way this group did? To find out, Kaiser has created the Garfield Innovation Center, which is run by Kaiser’s original core team and acts as a consultancy to the entire or- ganization. The center’s mission is to pur- sue innovation that enhances the patient experience and, more broadly, to envision Kaiser’s “hospital of the future.” It is intro- ducing tools for design thinking across the Kaiser system.