Virtua Health is a nonprofit community health system with five hospitals, seven urgent care centers and 280-plus locations across South New Jersey and Philadelphia. It employs 14,000 people, including more than 2,850 doctors, physician assistants and nurse practitioners, and has more than one million patient encounters per year. Virtua Health had an early start to digital technology that included the implementation of an integrated electronic health record across its inpatient and ambulatory campuses. "Fast forward to 2020, the health system experienced what can only be described as a convergence of factors driving deployment of fully remote virtual digital health practices achieved within days of the onset of the COVID-19 global pandemic," said Dr. Tarun Kapoor, the health system's chief digital transformation officer. In the summer of 2020, the Virtua Board of Trustees presented a strategic challenge to organize the rapid transformative learnings over the prior months into a structure that was sustainable and scalable.