This document discusses co-production and examples of how healthcare centers have incorporated patients and families as partners in quality improvement efforts. It defines co-production as patients, families, clinicians, and researchers collaborating as equal partners to improve healthcare and health outcomes. Examples are provided of how different centers have engaged parents in leadership roles to help guide improvements. The presentation emphasizes that co-production is not just another intervention but a way of working that allows moving further and faster by incorporating meaningful input from families. It acknowledges potential concerns about co-production taking more time but argues that it can help streamline projects when integrated into standard practices. The document provides suggestions for small initial tests healthcare centers can do to start engaging parents as co