The challenge embodied in the administrative component of the review was to advance a “new way of doing business” and thereby improve the performance of the health care enterprise. [...] The Patient First Review has examined the patient experience and the administration of the health system with attention to both strengths and concerns. [...] And to adopt and practice I call upon health system leaders and health care providers to adopt and practice the values that support a truly patient- and family-centred health the values that support system. [...] The review comprised two distinct streams of research: an examination of the patient experience across the full continuum of health care services; and the administration of health care in regional health authorities (health regions), the Saskatchewan Cancer Agency and the Saskatchewan Association of Health Organizations (SAHO). [...] Profound structural The diversity of Saskatchewan’s population was reflected in the patient change to the health consultations, which included seniors and young people, and rural, northern, urban, First Nations, and Métis people, the prosperous and system at this time the disenfranchised.