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This presentation will address the fundamental elements to create and sustain an International consortium that has grown over 400% in the last 3 years in order to carry out collective work to create the best places to give and receive care. There will be a review of the shared purpose that deeply connects diverse clinical settings across the boundaries of providences and states of two countries. Each of the components of the CPM Professional Practice Framework that guides the collective work will be correlated to the structure and process necessary to implement evidence-based practice as well as the ability to sustain the desired clinical outcomes. This will be inclusive of the assurance of the origin and maintenance of evidence-based content, the role of technology, clarity on scope of practice, the impact of interdisciplinary integration where the hands of those who give and receive care meet and the metrics that show sustainability across the consortium.