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Healthcare in America is experiencing its own form of climate change. The arrival of the “silver tsunami” poses a challenge to how we will care for senior adults. Medicare instituted the Annual Wellness Visit (AWV) to improve healthy aging among all seniors. Despite its promise for increasing preventive health services, uptake of AWVs has been low for a variety of reasons. This QI project showed that AWV completion rates increased with a variety of interventions based on outreach, education, EMR implementation, and team-based care. These results have significance on several different levels, mainly infrastructure, personal accountability, and economics.