Bringing clarity to the chaos — so the hospitals that care for our communities thrive, and stay their own.

Program leadership Turnaround & rescue EHR stay-or-switch & migration M&A integration

The problem — and who owns it

Most EHR implementations don't deliver: only 38% of organizations say their implementation fully met expectations. What separates the rest is governance, executive ownership, and training — not the software.

170+ EHR deployments across 14+ years — including the go-lives boards wanted to cancel. I've been the reset: re-audit the build, rebuild the trust, retest with real scenarios, and land it.

The EHR boom is 15+ years old and the bill is due: over 30% of IT assets at regional health systems are past end of life, and 96% of hospitals have run end-of-life software with known vulnerabilities. When did you last evaluate your stack, your workflows, and your users' knowledge against best practice?

14 years leading technical-debt remediation across corporate, hospital, and physician environments — 2,000+ implementations directed — doing the rationalization work CHIME members report is saving health systems millions.

Same software, opposite outcomes: across 121,000+ clinicians, EHR experience varies wildly between organizations running identical systems. Training, governance, and clinician voice decide it.

A six-gate operating method that ends in an earned Go / No-Go — the date answers to evidence, adoption is managed like scope, and stabilization is part of the job, not an afterthought.

Sources: KLAS Arch Collaborative, EHR Implementations 2025 · Oliver Wyman, 2025 (citing HHS) · CHIME Fall Forum, 2025 · KLAS Arch Collaborative, 2026

A go-live no one trusts. Adoption stalled. No leader in the seat, and a boardroom full of pressure. You don't need more bodies on the project — you need someone who owns the outcome.

The size of a town should never decide the quality of its care.

These are the hospitals that care for my own family — the ones near the farm, in the towns my people call home. They deserve the same technology, leadership, and care the biggest systems have. That's the work: clarity where there's chaos, so a community keeps its care — close to home, from people who know its name.

In their words

Jeff came in and stabilized the team, worked with high efficiency, brought critical knowledge that was essential for a successful implementation.

Pratip Nag, MD

Physician · Jeff's client · Mar 2025

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He operates with complete transparency and integrity, never shying away from the hard and crucial conversations necessary to protect his clients from decisions that may not be in their best interest.

Cooper Walker

Systems Director of IT, Western Missouri Medical Center · Worked with Jeff · Mar 2025

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He has a unique ability to bridge the gap between technical teams and clinical staff, ensuring seamless system adoption and minimal disruption to patient care.

Matt Marchesini

Principal Consultant, Oracle · Worked with Jeff · Mar 2025

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He's highly organized, on top of every aspect of the project, and delivered everything he promised.

Darin Calton, MSM

Customer Success & Program Management · Managed Jeff directly at Cerner · Mar 2025

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Jeff is a trusted leader, a strategic thinker, and someone who elevates any team he's part of. I would jump at the opportunity to work with him again.

Jeff Epner

SVP of Professional Services, Solarity · Worked with Jeff at Cerner · Mar 2025

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I have truly never worked with anyone more dedicated and 'mission driven' than Jeff.

Lauren Shriver

Senior Engagement Owner, Oracle Health · Worked with Jeff at Cerner · Mar 2025

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From Jeff's public LinkedIn recommendations, quoted verbatim. Scroll for more →

Jeff Paul

Why me

14+ years turning complex healthcare IT programs into finished, working systems — across Oracle Health, Cerner, and Epic, in rural, community, critical-access, and multi-site environments. HIPAA-experienced.

Known for the same three things every time:

Operations that execute

People who buy in

Technology that serves care

Gate-to-Go-Live

The method behind every rescue: six gates to an earned go-live.

  1. G0No-Surprises
  2. G1Charter
  3. G2Mapped
  4. G3Built
  5. G4Go / No-Go
  6. G5Landed

Case study

The one they wanted to cancel.

They told me on day one they wanted to cancel the contract. It went live, matured, and now runs at scale — because someone stayed, and cared, and did the work.

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Get in touch

Have a go-live, a merger, or a turnaround on the horizon? Let's spend 30 minutes on it.

jeff@jphealthcareadvisors.com · (816) 820-8849