Dr Paresh Dawda shares his experience and learnings on the importance of leadership in primary care. One of the first four foundational building blocks to higher performing primary care, engaged leadership sets the tone and improvement stakes for all future change endeavors. We discuss some great examples of how to achieve small, incremental improvements in engaged leadership to empower teams to embrace and get involved in digital health transformation projects. Engaged leadership is constantly finding ways to inspire people to believe they can benefit from the improvements the team is trying to achieve, by focusing on the why.