Dr. Kurt Devine has been a full spectrum family medicine physician for more than 26 years. As a practicing physician in rural Minnesota, he has faced many unique challenges caring for patients in the primary care setting amid evolving care delivery models demanded forward thinking and creative strategies for change. As opioid use and its attributing issues became increasingly apparent, he became more engaged and involved with the local community task force assembled to address concerns of opioid use and dependency within the county. He quickly discovered the importance of guiding change with a strong provider championship and building impactful community partnerships. His leadership has enabled grant funding to be put to practical use and demonstrate positive outcomes from both the financial and patient care perspectives. Over the last year he has provided medication assisted treatment. It is his exemplary leadership, Devine created a culture shift within his own practice and other practices throughout the state. The program model he created has shown significant impact on opioid prescribing, as well as treatment of patients and will be reproduced in other communities with the help of recent legislative funding.