A communication and resolution program (CRP) is a principled, systematic, and comprehensive approach to preventing and responding to patient harm that seeks to meet the needs of patients, families, and clinicians. UW Medicine has implemented a standardized CRP process for our health system that is being pilot tested with high harm events. A CRP response to patient harm includes timely event reporting, robust event investigation, engagement with the patient and family, support for the involved clinicians, and proactive financial and non-financial resolution. A key step in implementation is to define what types of harm events should flow through the CRP process. From there, the organization can map out how a CRP event moves through the process, including the elements listed above, to identify areas where education or process improvements are needed. Because many organizations already have event reporting and investigation processes in place, key areas of focus include a process for ongoing communication with patients and families, emotional support and communication coaching for clinicians, and improved coordination around the transition to claims. To support effective communication with patients and families, clinicians are trained on empathic communication, and communication coaches are identified and trained to provide just-in-time communication coaching. Additional support is given to clinicians through a peer support program that offers emotional first aid from trained colleagues. As the CRP process unfolds, improved coordination between risk management, patient safety and quality, and claims management is crucial, particularly because of its impact on the patient and family’s experience.