The genesis of Novari Health was a recognition by a group of forward-thinking healthcare providers and healthcare administrators that modern software technology could be used to improve patient access to care. They were working in the public healthcare system, which delivers quality care, but often with long wait times. They developed a software system, known today as Novari ATC providing surgeons, their staff and the hospital with a real-time colour coded dashboard of all patients on their wait list. Wait list management by those actually selecting and scheduling patients is often the missing ingredient to improve access to care for patients and to help ensure that patients receive treatment according to mandated timelines. The benefits of this new electronic request for admission (eRFA) system were immediately evident to the surgeons, hospitals and patients. The early hospital adopters benefitted by being able to see what is in their surgical pipeline even before the surgical rooms had submitted scheduling requests for admissions.