The Change Foundation joined forces with the Health Strategy Innovation Cell in this project, "Using Online Patient Dialogue to Drive Healthcare Improvement". The project developed and tested emerging best practice guidelines for healthcare organizations on the use of open-access profiles and public pages on Social Media such as Twitter, Facebook and blogs to improve patient care, enhance quality improvement (QI) and patient-centred care. We produced this e-toolkit to share lessons learned about the potential and limitations of social media to improve healthcare quality.