The Integrated Communities Care Management Learning Collaborative is a Health Service Area level rapid cycle quality improvement initiative. It is based on the Plan-Do-Study-Act (PDSA) quality improvement model, and features in-person learning sessions, webinars, and implementation support. The Collaborative has focused on improved cross-organization care coordination for at-risk populations; however, the ultimate goal is to develop this approach population-wide. These efforts mirror the Triple Aim and Vermont’s Health Care Reform goals.