Dr. Gillett’s presentation explores new technologies designed to improve healthcare performance through innovative, intuitive, and high impact solutions from within our community. He shares how effective and sustainable healthcare interventions must be developed in a genuine partnership with those who will ultimately utilize the systems. For simulation to succeed it has to first be managed and supported in an effective way, and this presentation shows us how through creative approaches and innovative solutions. Dr. Gillet demonstrates lessons for the successful development, growth, and support of staff who operate simulation programs from his numerous administrative roles. Finally, Dr. Gillett shares key ways members of the SimGHOSTS community can increase the support of their professional development from administrators and clinical faculties from a “grassroots” perspective.