In October 2022, IHI facilitated a strategy workshop for ThinkWell’s Strategic Purchasing for Primary Health Care (SP4PHC) project. During phase 2 in 2023, the IHI team crafted a strategic learning and adaptation process, including internal document review, Project Leadership Team (PLT)  interviews, and identifying implementation opportunities and barriers. We organized insights around Galbraith’s “Star Model”—focusing on strategy, structure, processes, people, and rewards.