Several federal grants prioritized the role of community colleges in education and training in recent years, and one of the most substantial investments was the Trade Adjustment Act Community College and Career Training (TAACCCT) program of the United States Department of Labor (DOL). Beginning October 2011, these $2 billion capacity-building grants funded community colleges and their workforce and employer partners to prepare individuals for family living-wage employment that would in turn, provide skilled workers for industry sectors needed to recover and grow the economy. This brief is one in a series of briefs that tell the story of how scaling and sustainability have happened under TAACCCT. The Health Professions Pathways Consortium (H2P) is one of 23 Round One consortia, and H2P is highlighted because the colleges within the Consortium have demonstrated success in scaling and sustaining change. In this brief, the story is told of what mattered most in the Consortium's efforts to sustain and scale transformative change. H2P was a consortium of nine community colleges across seven states that focused on educating health professionals. H2P was designed to effect change through a national reform movement of health professions education built on a participatory and cross-disciplinary collaboration of health professions educators and a network of multi-level partnerships. Central to H2P efforts to galvanize a national movement to reform health professions education was the Consortium's ability to develop an integrated network that included: (1) national industry, workforce agencies, and community-based organizations; (2) national healthcare associations; (3) state-wide healthcare education initiatives; (4) local and regional employers, workforce agencies, and community-based organizations; (5) regional healthcare associations and collaboratives; and (6) partner colleges.