Long-term impact in health-related missions from a short-term team must consider both long-term and short-term goals and objectives. Perhaps surprisingly, some or many of the long-term impact might not be directly related to healthcare! Understanding the potential long-term goals and objectives requires the short-term team to explore coordinated interaction between communities, local leaders, government, and technical experts. This workshop will identify several models for interacting where short-term healthcare workers can explore how to have a lasting long-term impact, as well as highlighting pitfalls to be avoided.