“Patients First” is the guiding principle of Cleveland Clinic and is defined as safe, high-quality care, in the context of patient satisfaction and value. As home to over 50,000 employees and 6.6 million annual patient visits – our ability to deliver innovative, efficient, and collaborative design and care is essential. This can only be accomplished through partnership with patients and caregivers; co-designing programs, processes and facilities that support clinical care. This session will share how we co-designed partnership with patients, support persons and employees to support a vision of “Patients First” and providing relationship-centered care. It will outline how we moved beyond the boardroom to design healthcare together as a community. We will detail specific steps taken to co-design partnership that puts patients and caregivers at the center, strategies utilized to capture core values, features of the co-designed program, unexpected elements and future directions.