Rounds in an ICU setting is a crucial moment of communication. Yet, it is also a point of confusion, challenge, and error. These challenges partly arise from the fact that the participants come from varied backgrounds with different goals. For example, physicians are trained to impart certain information with the goal of directing care and avoiding complications. Nurses are the responsible parties tasked with implementing the delivery of that care. Finally, families are grasping for information on outcomes and well being of loved ones. What if we could harness advances in technology, educational principles, psychology, team dynamics, and environmental design to develop a new paradigm for the transfer of medical information in this challenging setting? How might we re-design (CV ICU) “rounds” to become an opportunity rather than a challenge?