Susan Hartman, MD, MS-HQSM, FAAFP, Medical Director of Quality, Central Indiana Division, and Kathryn Vanni, MBA, MHA, Director of Quality and Performance Improvement for Franciscan Physician Network. Franciscan Physician Network (FPN) is the ambulatory division of Franciscan Alliance, a faith-based healthcare organization owned and operated by the Sisters of St. Francis which includes 14 hospitals and 10 medical groups from central Indiana to south suburban Chicago. Franciscan Alliance was one of the 33 Pioneer Accountable Care Organizations (ACO) in the country and now participates in seven different commercial and governmental ACO products. FPN shares lessons learned on their journey to improve population health by extending the reach and effectiveness of care teams and creating greater consistency in educating and engaging patients throughout the continuum of care.