Explore the journey of establishing an Open-Source Program Office at Blue Cross NC in this 31-minute conference talk presented by Paul McLaughlin at Open Source 101 2023 in Charlotte. Gain insights into the challenges and solutions encountered during the early stages of expanding an open-source environment. Learn how to navigate the complexities of shared responsibilities, seize opportunities, and mitigate risks associated with open-source software adoption. Discover the grassroots approach used to lay the foundation, secure sponsorship, and realign multiple functional areas to leverage open-source software safely. Benefit from the speaker's experiences, including modest successes and valuable lessons learned. Access accompanying slides for a comprehensive understanding of the bootstrapping process and its impact on Blue Cross NC's open-source initiatives.