Through her EXTRA intervention project—and supported by Vickie Kaminski, CEO of the Eastern Health regional Health authority in Newfoundland and Labrador—Warren spearheaded her organization’s efforts to redesign the referral process from primary to specialized care so that patients’ access to specialized care would improve. Eastern Health also used this EXTRA intervention to seamlessly integrate into the redesigned process proven methods to manage wait times. Key elements of the project’s evidence-based approach were: orthopedic care best practices in the Bone and Joint Canada Toolkit; IHI Physician Engagement Framework; Kotter’s Change Model; and Pomey’s framework for implementing wait-time management strategies.