In the chaos of consolidation and capital budget management we focus on efficiencies in order to cut costs and save money. This works well until the human element enters the picture. Efficiency can quickly disappear when people’s emotions and feelings become involved. How would healthcare be different if the environment was designed by listening to the personal stories told by patients, families or staff? Stories recount passionate histories that enable better communication and collaboration leading to more effective design and implementation. This interactive storytelling workshop presents a simple project delivery system with a big-picture, long-term strategy that is patient and staff engagement driven.