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Enterprise Architecture

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As health systems grow and evolve, technology decisions can often be made in silos, leading to duplicate systems, rising costs, and limited transparency.

Without clear architectural governance, IT becomes reactive rather than strategic. Chartis helps organizations establish enterprise architecture disciplines that align clinical, financial, and operational priorities with technology investments to support an organization’s long-term strategy. 

Navigating disparate technology and siloed IT

Many health systems struggle with a disconnected relationship between technology and clinical strategy. This often manifests as IT acting as a passive service provider, while clinicians and departments independently purchase disparate tools that lack interoperability. 

  • Financial waste from shadow IT: Without an enterprise architecture filter, redundant applications and unmanaged spend can occur across the organization.
  • M&A complexity: Large mergers often result in disparate technology stacks with no plan for consolidation. 
  • The EHR integration gap: Major EHR implementations, such as Epic, can reveal overlapping and redundant application functions.
  • Macro-level blindness: Solving problems at the micro level alone prevents IT from supporting the broader health system strategy. 

Aligning health system strategy with technology 

Our methodology grounds health systems in a clear roadmap that moves technology from a cost center to a strategic driver. By applying industry-recognized enterprise architecture frameworks, we help leaders across the organization align their technology with clinical, operational, patient acquisition and revenue growth goals. 

  • Assessment, maturity modeling, and enterprise architecture (EA) office implementation: We map your current program onto a maturity model to build a formal enterprise architecture office, including governance models, job descriptions, and interim leadership.
  • Streamlined technology landscapes: We identify redundancies and help clients create consistency in tools and operating models across care settings, service lines, and business functions.  
  • Portfolio consolidation: When two organizations come together, we review existing technology to determine if current tools can solve clinical or business needs before new capital is spent.
  • Change management partnership: We equip leaders to lead the cultural shift, moving from siloed decision-making to disciplined architectural principles, through enterprise change management. 
Austin Gresham headshot
Our perspective:

In many organizations, technology decisions are reactive and ad-hoc, rather than strategic. Enterprise architecture solves problems at a macro level, moving IT from being just an order taker to a strategic enabler that looks at the health system strategy and translates it into technology strategy. ”

— Austin Gresham, Enterprise Architecture Lead

Frequently Asked Questions

How does Enterprise Architecture impact the ROI of a large EHR implementation? 

Healthcare enterprise architecture services maximize ROI by using the EHR rollout as an opportunity to consolidate disparate applications, eliminate redundant licenses, and simplify the environment architecturally.

What is the role of an Enterprise Architect during a healthcare merger or acquisition?  

The Enterprise Architect provides strategic oversight to bring separate technology environments under a single enterprise plan. Through a focused assessment, they develop a roadmap during post-merger integration or portfolio consolidation to standardize systems and guide the combined organization toward a shared technology foundation.

How does an Enterprise Architecture program improve health system financial discipline? 

Through clear processes and governance, an EA program reduces duplicate and fragmented purchasing. This ensures investments are evaluated against enterprise priorities and support long-term revenue, operational, and patient care goals.

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