This document summarizes a presentation on achieving high reliability in healthcare organizations using TeamSTEPPS. The presentation highlighted Hunterdon Medical Center's 10-year experience transforming their processes and communication safety using TeamSTEPPS tools. They showcased how different departments customized TeamSTEPPS to co-create daily goals and improve outcomes in patient safety, safety culture, and unit performance. The presentation aimed to provide strategies for deeply embedding TeamSTEPPS behaviors to consistently achieve outstanding results and a highly reliable state of performance.