Novant Health launched a Getting Rid of Stupid Stuff (GROSS) program in 2019 to address provider and team member burnout by identifying system processes and policies that increase work burden, produce redundancies, affect patient-safety, reduce satisfaction, or could be more efficient that impact the joy of patient care. Learn how this program was launched, including scope and communication, and how this program has evolved since inception. Changes to the program have improved response and request management. Now in its 4th year, the program is evolving based on the experience and will improving the focus on system efficiency.