The Problem
Three structural failures repeat across every system we've spoken to.
Decisions get made on demos, not operational evidence.
Layers of review, but no consistent framework.
No one audits what's already owned before approving the next purchase.
Voices from the field
Verbatim from CIOs, CNOs, supply-chain directors, and retired CFOs.
Sales are two years ahead of the operations team. They're always selling something they're not ready for — and they come with a lot of fake data.
We have different formats for adopting technology. Small-scale goes through working groups, committees, a whole lot of process. Enterprise-grade — like Epic — has its own format entirely.
I don't want to be the first to adopt a technology. Try it with others, solve the challenges, then come back next quarter and we can consider it.
Sales people will go a long way to convince physicians — including taking them to dinner. We actually want an objective layer.
It's hard to know what will happen in six months, so it's hard to have a roadmap.
We use 20–30% of what we buy. IT path, consumer data path — it's a governance problem. You need a rigorous process to buy a new technology.
New tech is adopted to save money, increase revenue, or avoid future cost — but the last one rarely wins, because the future cost isn't concrete.
How It Works
A repeatable process — from problem statement to preserved rationale.
Structured statements before a vendor is mentioned.
Map existing tools, surface gaps, align stakeholders.
Confidence scoring, readiness gates, preserved rationale.
Why Anchor Governance
Six measurable shifts your governance team will feel within the first quarter.
Stop paying twice for capabilities you never activated.
Operational failure or true capability gap — answered.
Expose disagreement before it locks into multi-year deals.
Gates ensure you're ready before resources are committed.
Signal-based evaluation a board can review.
Searchable institutional memory for every decision.
$2.3T
Lost yearly to failed transformations
70%
Of hospital IT pilots fail
5
Steps to a defensible decision
Pricing
Every health system is different. We scope pricing to your facility count, user seats, and integration needs — then issue a formal quote for procurement.