Abstract The Canadian government officially recognizes the value of staff engagement in providing better healthcare. Evidence demonstrates that engagement is connected to improved financial outcomes as well as better patient safety and clinical outcomes. There is a need for health leaders to create organizational cultures that simultaneously result in higher rates of employee and physician engagement, better clinical care, and lower costs. This article highlights the research and experience gained on the benefits of engagement, explores Studer Group’s approach to improving both engagement and quality, and shares results achieved by the firmʼs Canadian partners. In addition, it describes some of the “building blocks” that, together, create the necessary cultures of engagement inside organizations.