Cloud Strategy & Hosting

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Successful cloud migrations can reduce infrastructure costs by approximately 15%, making them a top health system priority. Yet nearly 30% of cloud spend is wasted due to over-provisioning and poor governance. 

Chartis acts as a trusted advisor to assess cloud viability, validate vendor claims, and align roadmaps with clinical realities to drive patient care and financial performance. 

Physician examining a little girl

The current state of healthcare cloud transformation 

Public cloud platforms promise scalability, flexibility, and lower total cost of ownership (TCO). However, a gap often exists between projected savings and operational reality.  

Common challenges facing health systems include: 

  • Financial mythology: “Pay only for what you use” sounds compelling but without disciplined governance, consumption models often drive unpredictable spend and budget volatility.
  • Performance gaps: Failing to meet savings or performance expectations often triggers a costly trend of repatriating workloads back on-premises.
  • Clinical complexity: Migrating EHR and ERP environments requires precise resiliency design to prevent latency from interrupting critical clinical workflows 

Strategic solutions for sustainable cloud transformation

Chartis acts as an unbiased advisor with deep expertise across healthcare’s financial, regulatory, and clinical landscape—guiding organizations from strategy through execution to ensure cloud decisions are justified and sustainable.  

  • Mitigating cloud waste: We provide realistic Total Cost of Ownership TCO models and migration roadmaps to capture the 30% of spend typically lost to over-provisioning.
  • AI-ready strategy: We help our clients determine the right cloud strategy to support their AI initiatives—ensuring models run in the appropriate environment with the security, scalability, and governance required.
  • A healthcare-first lens: Unlike general cloud integrators, our advisors understand HIPAA, clinical operations, revenue cycle, and digital health ecosystems—ensuring infrastructure decisions support care delivery.
  • Implementation oversight: We act as strategic advisors to ensure vendors execute against an aligned roadmap, timeline, and financial model.
  • Best in KLAS Leadership: For five consecutive years, Chartis has been named the Best Overall Healthcare Management Consulting Firm and the Best Overall IT Services Firm for the second time.  
Austin Gresham Headshot
Our perspective:

A successful cloud strategy isn't just about moving servers—it's about clinical resiliency. When we align technical architecture with regulatory and clinical requirements, the margin follows. ”

— Austin Gresham, Cloud Strategy Lead

Frequently Asked Questions

What is the ROI of a cloud migration? 

Our clinical technology engagements have helped organizations achieve significant outcomes, including a $113 million projected cost reduction through EHR optimization.  

Can I build resiliency with our EHR by putting it in the cloud? 

Yes. When architected properly, cloud environments can strengthen disaster recovery, geographic redundancy, and uptime. However, performance testing, latency modeling, and financial governance are essential to ensure clinical workflows remain uninterrupted. 

What are the financial benefits of moving to the cloud? 
  • Reduced data center capital expense
  • Improved scalability for growth and M&A
  • Predictable operating models with disciplined governance 
How does cloud strategy impact patient care access? 

A cohesive digital ecosystem allows providers to expand care access and ensure health equity by integrating clinical pathways across the enterprise. This foundation supports "digitally forward" care journeys that use digital modalities to extend care beyond physical facilities.  

How do we avoid the "Incentive Trap" of major cloud vendors?

Chartis provides independent oversight of vendor agreements to ensure spending commitments align with realistic migration timelines. Our advisors help clients build TCO models that prevent them from paying for both cloud commitments and existing data centers simultaneously. 

Doctors and consultants discussing detailed command center planning

EHR meets ERP: A regional health system integrates platforms and data via a conjoined integration

These enterprise implementations required considerable design decisions, interdependency planning, and operational change. They went live on time, and clinical and financial data now flows seamlessly.

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