Large capital building projects benefit from an operational readiness strategy prior to new facility occupancy. St. Joseph's Healthcare used a structured approach for their readiness planning that included individual work plan meetings, tools for ensuring integration across programs and services and process improvement support to ensure a smooth transition. Over 1100 staff were oriented using a Train-the-Trainer model. Significant effort was required to co-ordinate the customized training, which involved "staffing up" to ensure sufficient resources for backfill. Operational readiness planning places additional demands on managers, requiring support and assistance from dedicated resources both prior to occupancy and several months post-move.