Tectonic shifts in healthcare delivery demand a broad collective skillset measured out among cardiologists, nurses, cardiology service line directors and practice administrators. Priorities need to focus on training and outreach from clinical, operational and financial perspectives as well as strengthening the heart team. Prairie Heart and Vascular Institute in Springfield, Ill., is part of one health system that is leading the way. Working from a mission and vision combining patient care with provider education—similar to the model in place at large academic medical centers—the practice is a judicious yet eager adopter of leading-edge technologies such as Abiomed’s Impella 2.5 heart pump, the smallest and least invasive percutaneous ventricular support blood pump. Care and caregiver collaboration is a constant. In short, Prairie daily demonstrates best practices that many other heart teams would do well to emulate.