In 2008, having found success with our ten-site model, we initiated a wider call for participation by targeting similar academic institutions at national meetings and other venues. The CTSA community was growing and presented a pool of potential new partners as many institutions were grappling with “last mile” clinical research informatics support at the enterprise level. Organizations that adopted REDCap during this Phase were typically U.S.-based academic medical centers, though we also began working with a few highly motivated international partners from Japan, Singapore, and Canada. The REDCap application grew to include more features for end users and administrators and development of an online case report form editor and data dictionary upload mechanism, further simplifying creation of projects.