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A “Bright Spot” is a patient and family whose uncommon behaviors and strategies permit them to find better solutions to problems than their peers, despite having access to the same resources and facing comparable challenges. Identifying the factors that deem complex patients as high risk for poor outcomes allows for the discovery of patients and families that live with high disease severity and identified high risk factors, but have somehow found ways to overcome these obstacles to become healthy and sustain that health. Patient outcomes can be improved through partnering with bright spot patients and families and studying and sharing the patterns of their contextually specific behaviors. Epsom Family Medicine Clinic partnered with bright spot patients and families, to identify care gaps, to help redesign primary care delivery and to share their health strategies with their high risk peers through learning experiences designed and implemented by them.