
Your Vendor Passed Its Test. Did the Mission Pass Yours?
A Supplier Update Can Change More Than One System The supplier marked its update complete. A dependent clinical workflow now takes a different path. Consider…

A Supplier Update Can Change More Than One System The supplier marked its update complete. A dependent clinical workflow now takes a different path. Consider…

A Central Dashboard Cannot Prove Site Readiness The program dashboard says the site is ready. Can its staff complete the work they will face on…

New Technology May Duplicate Existing Capabilities Health IT capability gap analysis helps organizations distinguish existing functionality from unmet mission needs before they purchase another tool.…

Downtime Exposes Hidden Dependencies Health IT downtime threatens operational continuity when programs do not understand the systems, data, workflows, and manual contingencies that support critical…

Rework Reveals Delivery Gaps Repeated rework signals more than a difficult development cycle. It reveals where requirements, development, testing, defect resolution, and release decisions stopped…

Modernization Can Carry Old Problems Forward Technical debt undermines health IT modernization when programs carry unresolved configurations, dependencies, duplicate capabilities, and workarounds into the new…

Go-Live Does Not Prove Success Health IT go-live confirms deployment, not mission success. Programs must also determine whether users can complete their work, releases perform…

Requirements Can Miss the Real Work Health IT requirements fail when teams document system functions without capturing real workflow steps, decision points, exceptions, dependencies, and…

Connected Systems Can Still Miss the Workflow Healthcare interoperability fails at the workflow level when systems exchange data but users cannot find, interpret, or apply…

Failure After Go-Live AI does not fail at deployment. It degrades after. Most programs monitor whether systems are running, not whether outputs remain accurate or…

Evidence Must Exist Before Oversight If your program cannot show traceability from requirement to test evidence to release decision, cATO becomes a paperwork treadmill. Build…

Frustration Hurts Adoption When systems frustrate users, they create workarounds. Workarounds create risk. You can prevent this with workflow-first requirements, usability validation, and quality gates…