Assessment & Current-State Review
Review existing systems, workflows, data exchange needs, reporting gaps, governance structures, stakeholder pain points, and modernization priorities.
Healthcare IT, HIE & Interoperability
Healthcare technology advisory for connected systems, data, and care delivery.
ESI helps public agencies, healthcare programs, and provider networks plan, procure, govern, and oversee healthcare technology initiatives involving HIT, HIE, EHR/EMR integration, interoperability, telehealth platforms, reporting infrastructure, and data exchange.
Our work focuses on practical modernization: clarifying requirements, aligning stakeholders, reducing implementation risk, strengthening data exchange, and helping healthcare technology investments support better program decisions and patient access.
What We Support
What We Support
Practical support across the healthcare technology lifecycle.
Healthcare technology projects often involve more than software selection. They require shared requirements, stakeholder alignment, data governance, workflow understanding, vendor coordination, implementation oversight, and reporting discipline.
Requirements & Roadmaps
Translate program goals, provider needs, compliance requirements, and technical dependencies into actionable requirements, sequencing, and implementation roadmaps.
Procurement & Vendor Selection
Support RFP development, evaluation criteria, vendor demonstrations, scoring, clarification questions, negotiation support, and procurement documentation.
HIE & Data Exchange Readiness
Help organizations evaluate exchange needs, integration barriers, data quality, interface planning, consent considerations, and alignment with program reporting.
Implementation Oversight
Provide independent oversight of vendors, schedules, risks, issues, decisions, testing readiness, adoption barriers, and operational transition planning.
Reporting, Metrics & Governance
Support quality reporting, grant metrics, executive dashboards, compliance tracking, performance measures, decision logs, and ongoing governance routines.
Where HIT/HIE Work Usually Breaks Down
Common Challenges
Healthcare technology initiatives often fail in the spaces between systems.
The difficult work is rarely limited to one application. It is usually found in the handoffs: between policy and technology, agency and provider, vendor and user, reporting requirement and available data, or system design and real-world workflow.
Requirements are too narrow or too technical.
Program goals, provider workflows, reporting obligations, privacy considerations, and operational needs may not be fully translated into usable system requirements.
Data exchange is treated as a connection instead of a workflow.
Interfaces alone do not solve problems when data quality, consent, workflow timing, user adoption, and governance responsibilities are not clearly defined.
Vendors move faster than governance.
Implementation activity can outpace decision-making, issue resolution, testing readiness, stakeholder communication, and executive visibility.
Reporting needs are discovered too late.
Quality measures, grant reporting, CMS expectations, program metrics, and dashboard requirements need to be considered before configuration and integration decisions are finalized.
ESI helps bring structure to these handoffs.
We support the planning, procurement, governance, oversight, and stakeholder coordination needed to keep healthcare technology initiatives aligned with program objectives, reporting needs, implementation realities, and long-term sustainability.
Our Role in HIT/HIE Initiatives
Our Role
Independent advisory between strategy, technology, vendors, and implementation.
ESI is not a software vendor or implementation shop. We help organizations define what is needed, select and manage the right solution path, reduce implementation risk, and keep healthcare technology initiatives aligned with program outcomes.
We help owners make better technology decisions before, during, and after implementation.
Our role is to bring structure, neutrality, and execution discipline to projects that involve multiple stakeholders, vendors, systems, reporting obligations, and operational dependencies.
ESI supports the owner’s interests through planning, requirements, procurement support,
governance, oversight, risk management, and implementation readiness.
Clarify the need.
We help define goals, current-state constraints, stakeholder needs, data exchange requirements, workflow impacts, reporting obligations, and realistic implementation priorities.
Support defensible decisions.
We support RFP development, evaluation criteria, vendor demonstrations, scoring structure, clarification questions, and documentation that connects selection decisions to program needs.
Oversee execution.
We provide independent oversight of vendor progress, risks, issues, dependencies, testing readiness, user adoption concerns, governance routines, and executive reporting.
Support stabilization.
We help monitor stabilization, unresolved risks, reporting gaps, adoption barriers, operational transition, performance measures, and opportunities for continuous improvement.
Systems & Data We Help Align
Systems & Data Alignment
Connecting the technology landscape to the healthcare mission.
HIT and HIE initiatives require coordination across clinical systems, exchange infrastructure, reporting requirements, compliance needs, and operational workflows. ESI helps organizations make those connections visible, manageable, and actionable.
Care Delivery Systems
EHR / EMR platforms
Clinical documentation, provider workflows, patient records, and operational use.
Telehealth platforms
Virtual care, specialty access, rural coverage models, and provider adoption.
Remote monitoring
RPM workflows, patient engagement, device data, and care coordination needs.
Care coordination tools
Referrals, transitions of care, closed-loop workflows, and community-based support.
Exchange & Integration Needs
HIE connectivity
Readiness, participation, use cases, exchange priorities, and stakeholder alignment.
Interoperability planning
Data movement, interface planning, system dependencies, and exchange workflows.
Data quality & governance
Ownership, validation, consistency, definitions, access, and decision rights.
Privacy & compliance considerations
HIPAA, consent, PHI handling, security expectations, and policy alignment.
Program & Reporting Uses
Quality reporting
Measures, data sources, reporting workflows, performance tracking, and gaps.
Grant metrics
Outcome measures, milestones, CMS or funder reporting, and sustainability evidence.
Executive dashboards
Program visibility, risk reporting, adoption tracking, and governance support.
Population health insight
Access trends, utilization patterns, equity considerations, and care gaps.
Governance & Oversight Model.
Governance & Oversight
Helping healthcare technology projects stay aligned, visible, and accountable.
HIT and HIE initiatives can involve agencies, providers, vendors, compliance teams, program leadership, technical teams, and funding partners. ESI helps create the structure needed to manage decisions, risks, dependencies, and outcomes across the full effort.
Independent structure for complex implementation environments.
ESI supports governance models that connect executive decision-making with day-to-day implementation realities. We help clarify roles, organize decisions, surface risks early, and keep technology work tied to operational and program objectives.
Typical governance tools
RAID logs, decision logs, issue escalation paths, implementation dashboards, milestone reviews, readiness checkpoints, stakeholder communications, and executive reporting.
Align
Define the decision structure.
Establish clear roles, governance routines, approval paths, escalation channels, stakeholder expectations, and decision rights.
Track
Make risks and dependencies visible.
Monitor implementation risks, vendor dependencies, data exchange barriers, readiness gaps, policy constraints, and operational impacts.
Resolve
Support issue management and escalation.
Help teams move issues from discussion to resolution through clear ownership, action tracking, executive visibility, and structured follow-through.
Report
Connect progress to program outcomes.
Translate technical progress into meaningful status reporting for leadership, funders, program teams, providers, and other stakeholders.
Start The Conversation
Start the Conversation
Planning a healthcare technology, HIE, interoperability, or reporting initiative?
ESI can help clarify requirements, assess readiness, support procurement, strengthen governance, oversee implementation, and align healthcare technology investments with program goals, reporting needs, provider workflows, and long-term operational value.