Problems with patient access and flow can harm patients, burden providers and increase pressure on health systems. “Command centre” technology uses real-time data to prioritize and expedite care, enhancing coordination and system planning. However, evidence is confined to individual sites or small groups of facilities, so the feasibility of the approach at a jurisdictional scale remains unclear. This paper documents Nova Scotia's implementation of the province-wide Care Coordination Centre to describe key activities and challenges from inception to sustainment. We offer insights and considerations for policy makers and decision-makers interested in establishing jurisdiction-wide command centre models.

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