A communication plan to inform the Durham community about the three-year transformation of the Duke University’s campus included wall plaques, translucent window clings, illuminated kiosks holding printed monthly, bi-lingual updates, and safety barrier fence wraps. Duke Medicine’s three strategic building projects under way represented historic changes that will not only transform the face of the medical campus, but also advance teaching, research and clinical care missions. In addition, the transformation efforts reinforce the health system’s values, especially the core value of “Caring for our patients, their loved ones, and each other.”