Prioritizing recipient needs within the Inner Setting is important (Godbee et al. 2020; Dy et al. 2015). While the original CFIR (Laura J. Damschroder et al. 2009) highlighted patient centered care, the updated CFIR (Laura J. Damschroder, Reardon, Widerquist, et al. 2022) expands on the patient role to include any recipient who benefits from products or services generated by the Inner Setting. The original CFIR (Laura J. Damschroder et al. 2009) highlighted the key role of improving the health and well-being of patients as the foundational mission of all healthcare entities; many calls have gone out for settings to be more patient centered (Kochevar and Yano 2006; Institute of Medicine 2001; Trumbo et al. 2019; Varsi et al. 2015). Patient-centered settings are more likely to implement change effectively (Shortell et al. 2004; J. M. Oswald et al. 2019). PRISM delineates six elements that can help guide evaluation of the extent to which patients are at the center of organizational processes and decisions: patient choices are provided, patient barriers are addressed, transition between program elements is seamless, complexity and costs are minimized, and patients have high satisfaction with service and access, and receive feedback (Feldstein and Glasgow 2008). Patient-centeredness is also at the heart of patient safety culture (Nieva and Sorra 2003).