Composer, John Cage said, “Wherever we are, what we hear is mostly noise. When we ignore it, it disturbs us. When we listen to it, we find it fascinating.” As a change agent in healthcare I find myself filtering the noise. Noise can be a cacophony of voices or motion without much meat. I’m annoyed with the din and peeved at the duplication of efforts. In my jazz combo I listen to the noise. We’re student amateurs after all. I hear us struggling with technique on our instruments, anxious to keep our place in the roadmap of the tune, vulnerable and overwhelmed with lack of confidence. Buried in the noise are some inspiring licks. Fascinating – what might listening to the noise in healthcare do for us?