Insights

Case studies and field notes from the work.

How the go-lives, turnarounds, and integrations actually got done — written by the person who was in the room.

Case study · Go-live rescue

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.

Read July 2026

Article · Leadership transitions

The most expensive thing a new hospital CEO inherits is the exception list.

CEO turnover ran 32 percent higher in Q1 2026. If you are in your first 90 days, three audits — dates, exceptions, decision rights — decide whether the drift you inherited compounds governed or ungoverned.

Read July 2026

Article · EHR governance

Every new hospital leader inherits an EHR. Almost none inherit its governance.

Hospitals are moving in every direction — Epic, consolidation, modernizing in place. Underneath the movement, the data says the outcome tracks governance and training, not the logo.

Read July 2026