Interoperability isn’t just a technical integration problem — it’s a systemic challenge that requires strategy, cross-team coordination, and real operational support to unlock value beyond initial implementation. Without sustained operational oversight, governance and expert guidance, even well-designed platforms can drift over time. Performance can degrade especially as volumes and standards evolve, and internal teams are left managing complexity that slows progress. Digital modernization succeeds not just when systems are deployed, but when they are continuously operated, optimized, and aligned across the enterprise. While technology exists to solve capability gaps, the human element of coordination, enterprise-mobilization, and alignment with both internal department and external systems is often missed.

Evolving ONC and CMS mandates, increased public pressure to provide high-value care and limited IT budgets require a comprehensive and truly collaborative interoperability strategy that deploys people and technology today, and builds towards tomorrow.