Expanding our programming team (remotely) provided invaluable feedback and ideas for solving complex programming tasks. In addition to programming expertise, we gained a biostatistician who provided guidance on refining our data export module (i.e., enabling REDCap to export data into common statistical packages). Implementing the software at three sites allowed for needs-based assessment and abstraction of user authentication methods, which despite implementation challenges led to a more flexible resource. Installations and collaborators at multiple institutions provided all participating investigators (including Vanderbilt research teams) with confidence of REDCap’s future longevity, a critical consideration given multi-year grant commitments and need for stability in research projects.