The document summarizes key points from a health 2.0 provider symposium discussing managing patient care across transitions, challenges with procedure cancellations, and the need for changes to care coordination and patient engagement due to payment reform pressures. It then provides details on a pilot program using a clinical coordination platform to activate patients, engage families, identify high-risk patients, coordinate providers, and measure costs and quality. The pilot saw improvements in efficiency and outcomes. Lessons learned focused on starting small, demonstrating value to key stakeholders, ensuring business model alignment, and persevering through challenges in the healthcare industry.