Ontario has both a health system and a research system that are increasingly putting patients and rapid learning and improvement at their centre. For the health system, a recent notable example of such efforts was the Patients First Act 2016 which, among other things, mandated the creation of Patient and Family Advisory Councils at multiple levels in the health system,(4) the formalization of LHIN sub-regions as the focal point for local improvements to the patient experience, and the preparation of annual Quality Improvement Plans by many health organizations. For the research system, a notable example is the efforts by the Ministry of Health and Long-Term Care (MoHLTC) and the Ontario SPOR SUPPORT Unit (OSSU) to support the conduct and use of patient-oriented research.