Vanessa Guzman, AVP, Quality Improvement, Montefiore Health System, and Shara L. Cohen, JD, VP, Customer Experience for Clinical Effectiveness, Wolters Kluwer Health. Vanessa and Shara describe the strategy used by Montefiore Health System to implement value-based care model activities, understanding that patients’ health extends well-beyond healthcare settings. The model promotes accountability for performance through contractual arrangements with healthcare partners and prioritizing and implementing of technology to scale community and patient engagement. Details include Montefiore’s key method of engaging patients in care and enabling care coordination/management, as well as how technology solutions can be leveraged to address resource scalability, and impact quality and efficiency standards. More importantly, the change management and workflow considerations that are required to make such solutions successful will be discussed, with real-world examples and strategies for prioritizing patient engagement and care coordination, using a patient-centered approach towards population health management.