Members of ACAHO are the leaders of innovative and transformational organizations who have overall responsibility for: (1) provision of timely access to a range of specialized and some primary health care services; (2) training the next generation of health providers; and (3) are leaders in research discovery and the early adoption of innovation in the health system. [...] Approach The discussion among the attendees of the clinical trial summit began with general agreement on the following “givens” as a baseline for the conversation: • Clinical trials are of value to Canada for human, social, and economic reasons. [...] Since this requires some interpretation on the part of the Steering Committee, the paper contains a request to the reader to provide comment on any of the proposed actionables. [...] We begin the paper with an overview of the day, an outline of the logic that links what we discussed to our end goals, and describe our progress in the development of a clinical trials action plan based on the feedback we received. [...] At the end of the document, the Steering Committee provides a holistic view of the proceedings, the complete list of actionables proposed, and an invitation to delegates to provide further feedback regarding the nature of the action and any existing potential to achieve them within current resources or with seed funding.