Traditionally most health care organizations have been consumers of innovative technologies in the market, not producers. However, as the role of health systems change, many are building the capabilities to develop and potentially commercialize their own unique solutions. The process of assessing and selecting externally developed innovations at scale is challenging, time consuming, and often haphazard for healthcare organizations; these struggles in creating a successful external innovation process provide little incentive for organizations to take the additional step in producing innovations of their own. Michael Schmidt , managing director, strategic innovations will share Orlando Health's progress on this journey to create an internal innovation competency and culture, with their Foundry program, as a case example.