SickKids is one of the busiest healthcare providers in North America, employing 10K+ staff, admitting 300K+ outpatients, and caring for 12K+ operating room cases a year.  With the large transformation program implementing EPIC, their legacy system that leverage manual user provisioning processes were no longer sustainable.  SickKids engaged KeyData to implement new processes and new IAM and PAM solutions that help SickKids reduce manual processes of on/off boarding.  The implementation required complex data management, data clean-up, consolidation of identity data from various repositories, and integration with several core systems, including EPIC and a Learning Management System. This session will describe the various challenges, lessons learned, and SickKids recommended recipe for success!