Exercise is Medicine? on Campus (EIM-OC) was launched by the American College of Sports Medicine (ACSM) in 2009 and serves as a platform for universities and colleges to foster dialogue and collaboration across campus. Its primary aim is to promote physical activity and its health benefits within the campus community. However, despite the large number of institutions being recognized for implementing EIM-OC programs (>200), existing literature indicates gaps in program content, outcome measures, and collaborations across these initiatives. This article addresses these gaps and proposes constructive suggestions to improve EIM-OC programs. First, we recommend including mental health professionals as referral partners to create a more holistic approach to wellness. Additionally, we suggest using evidence-based strategies in program development to ensure the efficacy and adherence to best practices, including defining clear outcomes, implementing appropriate fitness assessments, program evaluations, and documenting successes. Furthermore, we suggest the need for EIM-OC collaborative efforts across programs to enhance program impacts. In conclusion, this article provides actionable steps to create impact, refine program outcomes, and strengthen collaboration within individual EIM-OC programs and across the broader community.