Over the past 10 years, the majority of healthcare providers have had large-scale capital implementations of either an Electronic Health Record (EHR) or Enterprise Resource Planning (ERP) solution. Implementations of this magnitude require scope management and extreme focus. As it occurs in most large-scale, multi-year implementations, organizations quickly move from go-live to a phase of performing required updates and system optimizations. For operational departments “low on the priority list”, this leaves them operating on niche systems and IT supporting duplicate or non-standard applications. There are other options.