“How do we implement things safely but quickly once we know how it ought to be done and how do we build systems to enable us humans to do it better all the time?”Dr. Norlin’s passion for the ever changing field of pediatrics keeps him engaged in searching for methods of improvement and ways to break barriers. We discuss what has changed since he began practicing in 1980, the “Medical Home” concept, his role in the Pediatric Quality Improvement Organization, and finally, why systems and checklists are important for maintaining balance.