My colleague and I shared our work using Most Significant Change to evaluate a provincial healthcare initiative. Our challenge has been to evaluate across multiple organizations, regions and strategy types. We’ve been using Most Significant Change as a generative approach, where diverse stakeholders bring forward stories that are significant to them within key domains identified at the provincial level. This participatory method is helping us tell the story of innovation in a complex and ever-changing environment. It’s allowing us to gather rich data directly from the field, from those impacted-by and influencing the changes. The power of story is also that in the process, we are building relationships and increasing our collective capacity to articulate the work, the outcomes, and their significance at a local and provincial level.