Telehealth is now essential for any healthcare organization as a patient satisfier for convenient access to care. A new service within healthcare is often created without direct patient input, with success measured by use metrics and patient satisfaction surveys after the fact. An alternate method is to co-create the service with patient partners, a model used by The Cambridge Health Alliance. Co-creation allows for real time identification of problems, smooth feedback loops for work accomplished and equity considerations. This session will outline the process used and suggest methods for adaptation in your system to begin to use this efficient and patient centered process.