Over the past year and a half, the healthcare workforce has transformed the care delivery system design and functionality. At the conception of COVID-19, ambulatory care services across the nation were essentially shut down as we learned how to work with a new set of safety measures, staffing allocations, and complexities of a pandemic. We continue to move toward stabilizing and rebuilding our ambulatory care delivery process and realize that many things have changed. We are faced with a staffing crisis, fear, anxiety, variants, vaccines, and an undefined "new normal." This poster will describe the operational variations in standard work created to address the pandemic response, including safety measures and clinical staffing allocations and how they are different as we build back up the care delivered in the ambulatory care setting. We will discuss the successes and struggles faced at different points in the process and the difficulties with staffing and safety we are facing as leaders in today’s transforming ambulatory care setting.