Insights and Impact


This page is updated regularly, so please check back frequently for new information and materials.

Achieving Sustainable Value from ERP

Achieving and sustaining value from a new cloud-based ERP solution requires careful and deliberate attention to governance, program management, business transformation, and change management. This white paper identifies common benefit themes and approaches by functional area and discusses how to capture, maintain and further improve on those benefits.

New Alignment for IT in an Era of Rapid Change

The Scottsdale Institute convened 25 chief information officers for a CIO Virtual Summit to discuss how a new social pact between health systems and the public is emerging as a result of the COVID-19 pandemic, the economic downturn and the incoming administration in Washington, D.C. The CIOs also addressed how the need for speed is shaping IT’s role in the health system as well as how the CIO’s role has developed quickly into a key operational business executive. Attendees represented leading academic medical centers, multi-regional health systems, rural hospitals and clinics from across the nation. The summit was supported by Impact Advisors and moderated by Lydon Neumann.

Information Blocking Delay Bulletin

The final “applicability date” for when providers will be subject to federal Information Blocking requirements has been extended to April 5, 2021. This bulletin summarizes the changes to the timeline and offers key takeaways as well as helpful information and links to get you up to speed quickly on this important topic.

EHR Hosting Strategies and Options

Today’s technology advancements and disruptive business models provide organizations with multiple infrastructure hosting options that should be considered before an EHR implementation or upgrade. This paper provides insights on the various options and key considerations to enable an informed decision.

ERP Becoming Strategic Priority for Healthcare

Impact Advisors discusses why provider organizations must give ERP the attention it deserves.

The Future of EHR Implementation Post-COVID

This mini-white paper discusses some of the creative ways healthcare organizations with EHR implementations underway have pivoted amid the COVID-19 crisis and how these tactics might impact future implementations in positive ways.

Impact of COVID Telehealth Policy Changes

This document outlines recent telehealth policy / reimbursement changes in response to the COVID-19 pandemic and Impact Advisors' point of view on the impact of these changes to healthcare providers.

Keeping Your EHR Implementation on Track Amid COVID-19

A list of strategies you can utilize to prevent your Epic implementation from falling behind schedule during the COVID-19 pandemic.

Enabling the Future: Self-Service, SaaS, Mobility, Cloud

CIOs and other IT executives gathered last fall in San Antonio for the SI 2019 CIO Summit. The executives met to share strategies, concerns and insights on the theme of “Enabling the Future: Self-Service, SaaS, Mobility, Cloud.” Attendees represented leading academic medical centers, multi-regional health systems, rural hospitals and clinics from across the nation. The Summit, supported by Impact Advisors, was moderated by Vice President Lydon Neumann.

Care Standardization: Why and How to Make this Work

CNIOs and CMIOs from leading healthcare organizations gathered last fall in Chicago as part of the annual Scottsdale Institute CNIO/CMIO Summit to explore care standardization and what critical success factors and resources are needed to make it successful. Moderated by Angela R. Tiberio, M.D, Physician Executive and Clinical Performance Solutions Leader at Impact Advisors, this collaborative and thought-provoking event focused on reducing the cognitive burden of the EMR, standardizing care, data quality, documentation, managing CDS content and improving clinician satisfaction.

Approaches to Digital Health in a Rapidly Evolving Market: A Survey of CIOs

The ability to digitally transform the patient experience is quickly becoming a critical competitive differentiator for hospitals and health systems. To gain insight about the challenges CIOs are seeing and the approaches they are adopting, Impact Advisors conducted a survey of CHIME members with 52 CIOs participating. The survey results and key findings are highlighted in this report.

Program Assurance in EHR Implementations: A Revenue Cycle Focus

Many organizations are realizing, an EHR is just a technology, a tool that is only as valuable as the benefits it delivers. If not planned and implemented properly, the EHR isn’t likely to deliver on its promise. Program Assurance can make the difference between success and failure and this white paper discusses how and why.

Digital Health Data Strategy: Scottsdale Institute 2018 Analytics Summit Report

Analytics executives from 13 leading healthcare organizations gathered last fall in Chicago as part of the annual Scottsdale Institute Analytics Summit to share strategies, insights and challenges regarding a digital health strategy and consumer engagement. Moderated by Liam Bouchier, Principal at Impact Advisors and Tim Zoph, Client Executive and Strategist at Impact Advisors, this collaborative event focused on understanding what types of analytics initiatives can influence consumer and patient behaviors. In addition, participants discussed how digital health is enhancing health systems’ abilities to leverage analytics insight to improve health outcomes.

Innovation in Action: Scottsdale Institute 2018 CIO Summit Report

The Scottsdale Institute convened eight information technology executives in Chicago for the 2018 SI CIO Summit on June 6-7, 2018. Moderated by Lydon Neumann, VP at Impact Advisors, leaders gathered to share strategies, concerns and insights as we examined the Summit theme of “Innovation in Action,” with specific focus on technical innovations in healthcare, including Artificial Intelligence (AI) and Machine Learning (ML). Attendees represented large academic medical centers, multi-regional health systems, rural hospitals and clinics from across the nation.

CEO and CIO Priorities for Tech-Enabled Healthcare

A group of CIOs from leading health-delivery organizations gathered to discuss their CEOs’ top IT-related priorities. Although a wide range of issues were featured, five key themes emerged, as outlined in this informative report.

EHR Change Management

As organizations transition to an Electronic Health Record (EHR), changes to clinical and operational workflows can be challenging. When defining the scope of an EHR implementation, an organization must consider clinical and patient safety benefits, regulatory requirements and impact on the revenue cycle, among other things. This white paper examines some of the more significant changes, the challenges they present, and strategies to socialize these changes prior to implementation.

Optimizing the General Ledger

Typically, the General Ledger is treated like the “ugly stepchild” of Revenue Cycle optimization, often neglected until the last minute. Impact Advisors describes a new, proven approach, involving a different timeline and a different team.

Culture Recommendations to Modernize Healthcare Information Services

Positioning an Information Services department to best serve the healthcare organization is essential to timely delivery of technology and applications and critical for fostering innovation. This requires a cultural shift within the IS department - an evolution of service delivery toward knowing and anticipating the rapidly changing needs of their business partners (both the business and patient care sides) at a workflow level. This white paper highlights several recommendations (taken from Impact Advisors' EtholutionTM service offering) for driving this shift in thinking and operating.

IT Innovation in Healthcare 2017: A Survey of CIOs

Informative white paper, which summarizes the results of an online survey of CHIME members regarding the realities of IT innovation in healthcare.

New World of Healthcare IT

Impact Advisors and the Scottsdale Institute convened eight information-technology executives in Chicago for the 2017 SI CIO Fall Summit on Oct. 19-20, 2017. Leaders gathered to share strategies, concerns and insights as we move toward the “New World of Healthcare IT,” with specific focus on the exponential growth of digital healthcare, and its requirements for a new breed of CIO. Attendees represented large academic medical centers, multi-regional health systems, rural hospitals and clinics from across the nation.

Constructing an Analytics Strategy

This white paper, a collaboration of Impact Advisors and the Scottsdale Institute, summarizes the strategies, concerns, insights and lessons learned of several healthcare information technology leaders on their respective journeys toward "analytics utopia."

EHR Value Realization – Rx for Success

CIOs from thirteen leading healthcare organizations convened in April 2017 for the annual Scottsdale Institute Spring Conference CIO Summit. This session, a follow up to the full conference session, “Prove that EHRs Add Value,” examined how EHRs are providing value to healthcare organizations, some of the primary challenges and barriers for realizing value, and the key organization relationships to
ensure success.

Ensuring Effective Physician Engagement

Physician involvement and preparedness are among the strongest factors influencing the overall success or failure of an Electronic Health Record (EHR) implementation. Without robust physician engagement and adoption, hospital leadership cannot fully realize the value of their substantial investment in the new enterprise clinical system. This white paper highlights the actions needed to successfully involve physician leadership from the early planning stages of the EHR implementation through post-go live optimization.

Choosing High Value Optimization Projects

EHR optimization has moved to the top of the CIO priority list for capital investment over the next 3 years. What's behind the shift and how will organizations succeed in achieving the "Quadruple Aim" (improve quality, patient and provider experience, while decreasing costs)? This paper outlines how to identify high value optimization projects using the IMPACT model.

Cybersecurity as a ‘Team Sport’: Governance, Organization, Strategy and Tactics

Thirteen Chief Information Officers (CIOs) and Chief Information Security Officers (CISOs) of leading health systems gathered in Chicago to share best practices and lessons learned regarding information-security programs. These healthcare executives also explored lessons from other industries on innovative cybersecurity strategies. This report captures their discussion and shared insights.

Population Health: Organizational and Data Governance, and Analytics Strategy

The Scottsdale Institute convened 13 data, analytics, and information executives in Chicago for the 2016 SI Chief Data and Analytics Officers Summit on Oct. 6, 2016. They gathered to share issues, insights and lessons learned on the journey to population health, with specific focus on the governance and management of data and analytics. Attendees represented large academic medical centers, multi-regional health systems, rural hospitals and clinics, and physician networks from across the nation.

Achieving Value-Based Payment Success: Implications for IT and the CIO

Nine CIO thought leaders from leading healthcare organizations across the country convened on October 14, 2016 for the annual Scottsdale Institute Fall CIO Summit. What resulted was a lively discussion about the challenges today’s healthcare CIOs are facing as the scales tip ever closer to value-based payment as well as a display of steadfast resolve to meet those challenges head on with innovative strategies and cutting-edge tactics. This report highlights the key focus areas of the discussion, and suggests some key strategies for success.

The 2016 Election: What Could the Results Mean for Provider Organizations?

On November 8, 2016 Donald Trump was elected President of the United States, with the Republican Party retaining control of both the House and Senate. The result of the election – which shocked both political parties – has left healthcare organizations speculating on the potential fallout. This whitepaper details the known, unknown, potential implications for providers and how it may affect Federal Payment Reform Initiatives and HIT Regulations

The MACRA Final Rule: Key Takeaways on MIPS and Advanced APMs

On October 14, 2016, CMS published a highly anticipated Final Rule that makes significant changes to the way ambulatory clinicians will be reimbursed by Medicare. The Final Rule implements two major provisions that were established by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), the Merit-Based Incentive Payment System, or MIPS and Alternative Payment Models (APMs). This primer shares a summary of and the key takeaways on those provisions.

Realizing Clinical Benefits from EHR Investments

While most health systems have now implemented an electronic health record (EHR), a large percentage of organizations have failed to realize the expected benefits from EHR implementation. This primer explores what benefits are available to organizations and what a successful clinical benefits management program entails.

Creating Clinically Integrated Networks: Challenges, Successes, Lessons Learned

Driven by the accelerating trend toward alternative payment models that reward quality rather than volume, CIOs from some the nation’s leading health systems gathered at the recent Scottsdale Institute (SI) Annual Conference and CIO Summit to share experiences in the IT challenges of building clinically integrated networks, a key underpinning of value-based, accountable care. Insights and lessons learned from the discussion held in April, which was supported by Impact Advisors, are outlined in this report.

Cutover Plan: The Missing Link to a Successful Go­‐Live

Healthcare organizations today are spending months if not years planning for software projects. The project plan will always include build timelines, training, command center and staff support, as well as steps for optimization. This primer outlines how a well designed, reviewed, and constantly adapted Cutover Plan will lead to a successful go-live and end-user satisfaction.

Transforming Clinical Care: Why Optimization of Clinical Systems Can’t Wait

In January 2015, the Department of Health and Human Services (HHS) announced new goals for value-based payment. By the end of 2018 they expect 50% of Medicare payments to be tied to alternative payment models, and 90% of Medicare fee-for-service payments to be tied to quality. The announcement of these new goals signaled HHS’s desire to rapidly accelerate value-based payment, and they encouraged private payers to follow suit by meeting or exceeding HHS goals. This white paper explores what preparations organizations need to begin now in order to succeed in the new paradigm.

The New World of the Health System CIO: Consumers, Consolidation and Crooks

This past September, eight CIOs from some of the nation’s leading healthcare organizations convened at the annual Scottsdale Institute Fall CIO Summit to discuss the most important IT related challenges their health systems are facing and the strategies to position their organizations for success over the next year. The Summit was hosted by the Scottsdale Institute, a not-for-profit membership organization of health systems advanced in IT, and sponsored by Impact Advisors. The conversations and key findings from the Summit are outlined in this report.

Summary and Analysis of the MU Final Rule: Modifications in 2015-17 and Stage 3 Requirements

On October 6, 2015, CMS finally published the highly anticipated Final Rule on meaningful use requirements. The Final Rule actually covers changes from two different proposed rules: the April 2015 proposed rule on modifications to meaningful use in 2015-17 and the March 2015 proposed rule on Stage 3 requirements. This white paper summarizes our initial impressions and takeaways from the Final Rule.

Realizing Value from an Enterprise EHR Investment

Impact Advisors conducted a survey to get a better understanding of how healthcare organizations are attempting to realize more value from their EHR. This primer outlines the survey results collected from more than 40 CHIME members.

Optimizing Healthcare IT: Challenges and Strategies for Success

This past April, thirteen leading healthcare CIOs convened at the annual Scottsdale Institute CIO Summit, supported by Impact Advisors, to discuss the optimization challenges their health systems are facing and the strategies needed to maximize the success of optimization projects. The report from the CIO Summit suggests seven key takeaways that CIOs need to consider and execute in order to maintain a successful optimization strategy within their health system.

Overview and Analysis of Proposed Changes to Meaningful Use in 2015­‐16

On April 10, 2015, CMS published a proposed rule that would make numerous changes to meaningful use requirements in 2015 and 2016. This white paper provides an overview and analysis of the changes being proposed – which would impact the current MU reporting period.

Selecting a Population Health Management Vendor: Taming the Wave

As more organizations embrace population health management as a strategy to succeed in the emerging new paradigm of value-based payment, many are facing the next big question, "What tools do I need to support population health?" This white paper discusses the crucial elements that go into selecting a population health management vendor.

ONC Nationwide Interoperability Roadmap: “Driver’s Handbook”

On Friday, January 30, 2015, the Office of the National Coordinator (ONC) released the 166 page draft version of its 2015 "Interoperability Roadmap." This coincided with the 2015 ONC National Meeting held on Monday, February 2 and Tuesday, February 3, 2015 which also focused almost exclusively on interoperability. This white paper is your "Driver's Handbook" to both and discusses some of the more significant potential impacts of the ONC's vision for interoperability.

Optimization: The Next Frontier

No matter where your health system is on the EHR implementation continuum, to get the most value out of your EHR, both for clinical and revenue cycle processes, it is critical to have workflows and build that eliminate waste, improve efficiency, improve user and customer satisfaction and improve the operational bottom line. In short, every organization should be continually looking for ways to “optimize” their systems.

Information Requirements for the Competitive Healthcare Marketplace

A panel of eight healthcare Chief Information Officers (CIOs) convened for the annual Scottsdale Institute CIO Summit in Chicago in the fall of 2014 and developed a report that shares strategies, tactics and insights for the emerging informatics requirements in the healthcare industry and insights around the skill sets needed by CIOs to help navigate their health systems through the change occurring in healthcare.

Population Health Management Primer

A primer on strategies for effective Population Health Management and the elements required for success.

Healthcare Trends 2014: Pressure Rises and Delivery Organizations Respond

This market point-of-view document highlights not only the key trends we see impacting healthcare today but more importantly the IT implications delivery organizations need address to ensure they stay relevant and successful.

Overcoming a False Sense of Security in Healthcare

A primer that looks at how some health delivery organizations currently approach data breaches, and how a false sense of security can be overcome.

Managing Costs and Maximizing Value: Strategies from a CIO Summit

CIOs of seven leading healthcare organizations participated in a CIO Summit in late 2013 and shared strategies, tactics and insights for managing IT costs, fostering innovation and capturing and demonstrating the value IT brings to their constituents.

Revenue Cycle: Tactical Patient Access Considerations for Physician Practices

Patient Access in the revenue cycle begins with the initial contact between the patient and the physician’s office and continues through the point when the provider receives payment.