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IT Strategy

IT Strategy

We help health systems make smarter technology decisions through assessments, system selection, governance, and application rationalization, aligning your IT portfolio with your organizational priorities.

Best in KLAS 2026, IT Planning & AssessmentBest in KLAS 2026IT Planning & Assessment
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What we do

Our IT Strategy capabilities

We partner with health systems to turn IT strategy into measurable organizational outcomes, supporting the full lifecycle from assessment and planning through governance, execution, and optimization.

Technology strategy & roadmap development

Translate strategic priorities into actionable, sequenced plans.

  • Assess current-state IT environments, applications, and dependencies across the enterprise
  • Define a future-state architecture aligned to organizational priorities and modernization goals
  • Develop multi-year, phased roadmaps sequenced by value, readiness, and organizational capacity
  • Align execution with integration strategy, vendor dependencies, and operational workflows

Vendor selection & evaluation

Enable confident, data-driven technology decisions.

  • Lead structured vendor evaluation including RFI, RFP, and demonstrations
  • Define requirements, scoring criteria, and decision frameworks
  • Facilitate stakeholder alignment through comparative analysis and recommendations
  • Support contract considerations, implementation planning, and vendor transition

Application rationalization & portfolio management

Simplify your technology landscape and reduce complexity at scale.

  • Conduct application inventories with usage, cost, and business-value analysis
  • Score applications for retention, replacement, consolidation, or retirement
  • Develop rationalization roadmaps aligned to enterprise priorities and modernization
  • Design governance and decision frameworks to sustain portfolio management

Governance & operating model design

Enable effective, aligned, and timely decision-making.

  • Design steering committees, advisory councils, and workgroups
  • Define roles, responsibilities, decision rights, and escalation pathways
  • Establish intake, prioritization, and decision-making frameworks
  • Align governance to strategy so decisions consistently support enterprise priorities

Program management & PMO enablement

Deliver structure, visibility, and execution discipline across initiatives.

  • Establish or enhance PMO functions, tools, and delivery frameworks
  • Define program governance, reporting structures, and performance tracking
  • Coordinate cross-functional initiatives spanning IT, clinical, and operational teams
  • Provide leadership oversight of scope, risks, dependencies, and timelines

Change management & organizational readiness

Prepare your organization to adopt and sustain change.

  • Develop change management strategies, communication plans, and engagement models
  • Align clinical, operational, and technical teams around a shared vision and roadmap
  • Conduct readiness assessments and define training, adoption, and reinforcement plans
  • Establish tools and processes to monitor adoption, mitigate risk, and sustain outcomes

Why Evergreen

Built by operators, not theorists

We combine deep healthcare operational experience with technology strategy expertise, connecting IT investments to the clinical and financial outcomes that matter.

Healthcare-focused

Evergreen is healthcare focused, not industry-agnostic. Our team brings deep healthcare and operational context to every IT strategy engagement.

Strategy through execution

We don't stop at the roadmap. We support governance design, program leadership, and change management so strategy translates into results.

Independent perspective

As a trusted, independent advisor, we bring objectivity to vendor evaluations, portfolio decisions, and governance design, without conflicting platform incentives.

Outcomes accountable

We help your team measure and sustain outcomes, through adoption, portfolio performance, and continued alignment to organizational priorities.

Case studies

Outcomes from the field

Enterprise Technology Governance Design

Large, Multi-State, Not-for-Profit Health System

Enterprise governance

EHR modernization across clinical, ops & IT

Designed and implemented an enterprise governance model to support a multi-year technology modernization initiative. Established a structured decision framework connecting executive steering committees, advisory councils, and operational workgroups, enabling consistent prioritization, escalation, and alignment across the technology portfolio.

Application Rationalization & Portfolio Strategy

Community-Based Health System

Application rationalization

Reduced enterprise portfolio complexity

Established an enterprise application rationalization capability. Conducted application inventory, developed cost and value scoring frameworks, and implemented governance structures for consistent portfolio decisions, delivering early insights while building sustainable processes, tools, and governance for long-term portfolio management.

Vendor Selection & System Evaluation Advisory

National Healthcare Provider Organization

EHR vendor selection

Aligned to long-term strategy and operations

Led an end-to-end system selection process including discovery, requirements gathering, RFI issuance, vendor coordination, and structured evaluation. Designed and facilitated vendor demonstrations and guided leadership through comparative analysis and final decision-making, ensuring alignment between platform selection and organizational strategy.

Epic Instance Consolidation

Large Academic Medical Center & Regional Health System

Phase 0 foundation

Governance · roadmap · path to go-live

Supported Phase 0 of an Epic-to-Epic instance consolidation between a large academic medical center and its regional health system partner. Designed governance structures, decision pathways, and workstream strategies to align clinical, technical, and revenue cycle standards across both entities, then developed a phased roadmap and prioritization process to guide early data conversion and technical planning.

Enterprise AI Governance & Program Strategy

Large Academic Health System

Enterprise AI & automation

Governed innovation at scale

Performed a comprehensive AI readiness and value assessment across active and planned initiatives. Developed readiness scoring, prioritization frameworks, and sequencing guidance to support informed investment decisions, enabling leadership to align innovation with organizational priorities while establishing governance and execution discipline for scaled adoption.

Let's Talk About IT Strategy

Bring us the opportunity. We'll bring a plan and the people to deliver it.