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Insights from Pivot Point Consulting

Industry updates, client success stories, and expert perspectives from the team at Pivot Point Consulting.

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Perspective·8 min read

Governance Theater: Why Your Committee Isn’t Governing Anything

Every health system has a governance committee. Almost none of them can point to a single time it made someone do something they didn’t want to do — and with AI already deployed at scale, that gap is no longer just about idle operating-room time.

Christopher Rogowski
Partner, Strategic Solutions, David Miller, CHCIO, CDH-E, CPHIMS, FHIMSS, MHSA
Sep 2026
Success Story

How a Large Academic Medical Center Aligned KPIs Across a Growing Health System

A large academic medical center acquiring community hospitals, clinics and surgery centers needed more than a replicated reporting system — it needed KPIs and data definitions aligned across a growing health system.

Success Story

Launching a New Inpatient Facility with Seamless Epic Integration

A major academic health center needed expert ambulatory Epic support and a rapid, seamless Epic implementation for a new 144-bed inpatient hospital — running both tracks at once.

Success Story

Legacy Health Reduces Support Burden with Scalable Tier 1 Services

Legacy Health needed a managed service partner for Tier 1 IT support across MyChart, the Epic clinical service desk and general helpdesk — reducing cost while improving the end user experience.

Success Story

How MetroHealth Reclaimed Time for Strategic IT Priorities

MetroHealth needed to maintain its Epic enterprise system while launching several large strategic initiatives — without its Epic team having to choose between the two.

Success Story

How an Application Rationalization Strategy and Playbook Helped MUSC Prioritize 100+ Applications to be Decommissioned

Through mergers, acquisitions and system replacements MUSC built up a sizable catalogue of redundant applications — and needed to assess, prioritise and decommission 100+ of them without disrupting operations.

Success Story

How a North California University Hospital System Operationalized Care Management Redesign and Improved Patient Access

A high-capacity academic medical center needed to improve throughput, reduce avoidable length of stay and give care teams better real-time tools — without adding strain to a lean internal IT team.

Success Story

Pacific Northwest Health Organization Fast-Tracks ERP Selection with Strategic Support

Facing a compressed four-month timeline, a Pacific Northwest health organization needed a disciplined methodology to define an ERP vision and roadmap, and select a system aligned with future growth.

Success Story

Turning Epic Ticket Backlogs Into Strategic Wins

By adopting Agile principles and streamlining support, a Midwest regional health system cut Epic ticket volume by 25%.

Perspective·5 min read

Your Vendor Risk Program Isn't Protecting You. It's Performative.

Most health systems have third-party risk paperwork, not a program. With 72% of healthcare breaches now originating from a vendor, onboarding-only vetting has become a liability shield with an expiration date. Here's what a program that actually manages risk looks like.

Christopher Rogowski
Partner, Strategic Solutions
Jul 2026
Is the Time Right for Application Rationalization? 5 Ways to Know
Guide·4 min read

Is the Time Right for Application Rationalization? 5 Ways to Know

Learn how to discern whether your healthcare organization should pursue application rationalization before moving forward with new technology initiatives.

Christopher Rogowski
Partner, Strategic Solutions
Sep 2025
More Than Cleanup: Application Rationalization Jumpstarts Your Strategic Priorities
Perspective·3 min read

More Than Cleanup: Application Rationalization Jumpstarts Your Strategic Priorities

Application rationalization as a strategic initiative—not just a cleanup—provides valuable insights that can jump-start larger organizational efforts.

Pivot Point Consulting
Pivot Point Consulting
Sep 2025
7 Critical Guidelines for Selecting an RCM Bot Vendor
Guide·4 min read

7 Critical Guidelines for Selecting an RCM Bot Vendor

Bot use in revenue cycle management is growing fast. For healthcare organizations, bots are streamlining revenue capture, expediting or avoiding adjudication, and reducing labor costs. Innovative offers suggestions for selecting an optimal bot vendor.

Zach Provost
Manager of Technology Solutions
Aug 2025
Hospitals Take Steps to Prepare for “Next-Gen” AI
Perspective·6 min read

Hospitals Take Steps to Prepare for “Next-Gen” AI

Healthcare organizations should develop a strategic infrastructure that selects AI applications aligned with the hospital’s brand, technology stance, and care strategies. Innovative offers a “look before you leap” approach that focuses on AI readiness before rushing into solutions.

David Dyell
Managing Partner
Jul 2025
5 Things Keeping Healthcare CIOs Up at Night in 2025
Perspective·4 min read

5 Things Keeping Healthcare CIOs Up at Night in 2025

What’s keeping healthcare CIOs up at night? Our Client Advisory Board weighs in with their top five headaches for 2025. Read the blog.

Christopher Rogowski
Partner, Strategic Solutions
Jul 2025
Keeping Patients Close: How Referral Management and EMR Transitions Shape Success
Perspective·5 min read

Keeping Patients Close: How Referral Management and EMR Transitions Shape Success

In today’s healthcare landscape, the greatest asset isn’t just our infrastructure, workforce, or technology—it’s our patients. Yet every day, health systems see patients slip through the cracks due to ineffective referral processes or poorly managed electronic medical record (EMR) transitions. The result? Massive losses in revenue, fragmented care, and weakened patient loyalty.

Christopher Rogowski
Partner, Strategic Solutions, Daniel Edelman, DO, Chief Innovation Officer, Broward Health
Jul 2025
Managing the Flood of Hospital AI Requests
Perspective·3 min read

Managing the Flood of Hospital AI Requests

The floodgates have opened when it comes to AI and hospitals. Vendors and internal advocates alike are knocking on the doors of CIOs, asking for funding.

Christopher Rogowski
Partner, Strategic Solutions, Tom Pacek, CIO, Central Maine Health
Jan 2025
Guide·11 min read

The Managed Services Readiness Checklist: 47 questions before you outsource IT operations

Before you sign an MSA, answer these 47 questions about your current-state maturity, SLA tolerance, and governance model. Most health systems are surprised by what they find.

Pivot Point Consulting
Pivot Point Consulting
Nov 2024
Kulwant Gill in Healthcare Business News on Revenue Cycle Management Must-dos
Perspective·1 min read

Kulwant Gill in Healthcare Business News on Revenue Cycle Management Must-dos

Pivot Point Senior Vice President of Healthcare Management Consulting, Kulwant Gill, was recently featured in Healthcare Business News on his thoughts around revenue cycle management. He noted that "in today’s rapidly evolving health care landscape, the economics of care delivery are under constant pressure.

Pivot Point Consulting
Pivot Point Consulting
Oct 2024
Cleaning Up IT Issues Can Add Much-Needed Cash to Hospital Coffers
Perspective·3 min read

Cleaning Up IT Issues Can Add Much-Needed Cash to Hospital Coffers

Median days cash on hand dipped to a 10-year low for U.S. hospitals and health systems. To shore up their balance sheets, hospitals are looking for cash savings from their IT areas, among others, using a process called application rationalization.

David Dyell
Managing Partner
Oct 2024
Tech Sprawl Is Bloating Hospital IT – Costs and Inefficiency Are Up
Perspective·3 min read

Tech Sprawl Is Bloating Hospital IT – Costs and Inefficiency Are Up

Forty percent of hospitals are losing money, in part due to bloated IT costs. Hospital CEOs are addressing the problem by thoroughly reviewing the applications and by turning to outsourcing.

Pivot Point Consulting
Pivot Point Consulting
Oct 2024
Cyber Attacks in Healthcare Are Increasing: Here’s Why
Perspective·3 min read

Cyber Attacks in Healthcare Are Increasing: Here’s Why

October is Cybersecurity Month, so what better time to point out that in the first half of 2024, the number of cyber attacks in healthcare grew exponentially. That’s concerning for a variety of reasons, including the fact that the average cost per breach is $9.77 million.

Christopher Rogowski
Partner, Strategic Solutions
Oct 2024
Hospitals: Create an Integrated Data Ecosystem to Best Facilitate Responsible, Effective AI
Guide·4 min read

Hospitals: Create an Integrated Data Ecosystem to Best Facilitate Responsible, Effective AI

Establishing a hospital’s integrated data ecosystem while implementing AI will help avoid data privacy issues. Five key components of data ecosystem integration success.

Christopher Rogowski
Partner, Strategic Solutions
Sep 2024
5 Best Practices for Nurse EHR Training
Guide·3 min read

5 Best Practices for Nurse EHR Training

Nearly half of all nurses are unhappy with their EHR usage experience and cite insufficient training as one reason why. Here are five best practices for nurse EHR training.

Pivot Point Consulting
Pivot Point Consulting
Sep 2024
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Healthcare IT Insights & Resources | Pivot Point Consulting