RFI Conversion and EHR Project Management for Two Hospitals and Ambulatory Practices

Case Study.


Project Overview

Market: Ambulatory Care
Primary Service: EHR Consulting / Project Management

John Lynch & Associates partnered with a healthcare system operating two hospitals and several ambulatory practices to manage the replacement of their Electronic Health Record (EHR), financial management, and supply chain systems. The initiative required a comprehensive approach—from operational assessment and vendor evaluation to project management and system implementation—ensuring seamless integration across all care settings.

Objectives

  • Assess current EHR, financial, and supply chain systems.
  • Develop and manage a structured RFI process for system replacement.
  • Provide leadership throughout the EHR selection and implementation lifecycle.
  • Improve interoperability between hospitals and ambulatory practices.
  • Enhance operational workflows and reduce system complexity.

Challenges

  • Existing systems did not meet evolving clinical, financial, and operational needs.
  • Lack of visibility and collaboration between hospitals and ambulatory practices.
  • Complex project scope involving two hospitals with different care specialties and ownership models.
  • Need for comprehensive stakeholder alignment and change management.

Solutions Implemented

To overcome these challenges, the following solutions were implemented:

Phase I: Operational Assessment & IT Infrastructure Review

  • Conducted organizational assessments across hospitals and ambulatory locations, including IT systems, staffing, workflows, and infrastructure.
  • Interviewed leadership, clinicians, and support staff to identify gaps and define future-state goals.
  • Delivered a comprehensive assessment report outlining current challenges and opportunities for improvement.

Phase II: Request for Information (RFI) & EHR Selection Process

  • Developed and managed a detailed RFI process aligned with organizational requirements and regulatory standards.
  • Key activities included:
    • Identifying and screening qualified EHR vendors
    • Defining functional and technical requirements
    • Organizing vendor demos, reference reviews, and scoring matrices
    • Facilitating decision-making and final vendor selection
  • Used a structured evaluation methodology to ensure alignment with clinical workflows, financial operations, and strategic goals.

    Phase III: EHR Project Management, Conversion & Implementation

    • Provided full project leadership in coordination with the selected vendor’s implementation methodology.
    • Developed project plans, validated timelines and resource commitments, and ensured contractual alignment.
    • Oversaw change management efforts, staff training, and communication planning.
    • Facilitated cultural adoption of new systems and workflows through executive alignment and front-line engagement.

    Final Steps & Deliverables:

    John Lynch & Associates led the organization through the following key implementation elements:

    • Readiness Assessments
    • Strategic & Communication Planning
    • Project Management & Risk Mitigation
    • Data Migration Oversight
    • Contract Compliance Monitoring
    • Training Facilitation
    • Regulatory Alignment (including attestation readiness)
    • ROI Analysis & Performance Monitoring

    Results

    • Streamlined operations across hospitals and ambulatory sites.
    • Reduced system complexity and improved provider efficiency.
    • Enhanced interoperability and data flow across care settings.
    • Increased revenue cycle performance through improved collections and cost reduction.
    • Positioned the organization for long-term success with a modern, scalable EHR and operational infrastructure.

    Conclusion

    Through expert project management and strategic consulting, John Lynch & Associates guided this healthcare system through a major systems transformation. The result was a modern, integrated solution that supported clinical excellence, operational efficiency, and long-term sustainability across both inpatient and outpatient care settings.

    Client Feedback

    “John Lynch & Associates brought structure, insight, and a results-driven approach to a highly complex project. Their leadership throughout the assessment, selection, and implementation phases allowed us to move forward with confidence and clarity, resulting in stronger workflows and better patient care.”

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