Using NIATx Process Improvement with Iowa providers, Prairielands Addiction Technology Transfer Center (PATTC) and the Iowa Department of Public Health (IDPH) worked with the Bets-Off Helpline and nine gambling treatment providers to increase admissions and reduce barriers to problem gamblers accessing treatment. Many changes were relatively small, yet conclusive data has shown a significant positive impact. Shortly after the NIATx project was launched it was determined that many clients “fell through the cracks” when being transferred from the Helpline to treatment agencies and as a result we invited the Helpline to join the NIATx process. By working with the Helpline, PATTC and IDPH have been able to positively impact services all over the state. This session will cover steps taken by PATTC and IDPH NIATx coaches to work with the Helpline and programs to identify barriers and follow-up using rapid change cycles (Plan-Do-Study-Act or PDSA) to implement changes that reduce barriers and increase gambling treatment admissions. We will share how we collected data to ascertain whether change cycles had a positive impact on behalf of clients, and how much of an impact. We will also share some of the most effective change cycles implemented in Iowa, and data that showed the positive impact these change cycles had on increasing admissions as well as increasing both continuation and success rates for problem gambling treatment clients.