Scalable Data Strategy: Sanford Health’s Blueprint

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Healthcare Data Strategies: From Chaos to Clarity for Modern Systems

The challenges facing modern healthcare systems are immense. Managing patient data across sprawling networks – like Sanford Health’s 56 hospitals, 288 clinics, and a patient base of two million spread over 320,000 square miles – often feels like an impossible task. For many organizations, a patchwork of 90 different electronic health records (EHRs) and overburdened systems create a data management nightmare. But a new approach, focused on strategic alignment rather than technological quick fixes, is offering a path forward.

Hospital leaders recognize the urgent need for modernization, but the question isn’t simply *if* to modernize, but *how* to do so without disrupting patient care or exceeding budgetary constraints. A recent webinar hosted by Healthcare IT Leaders, featuring Dane Hudelson, Senior Director of Enterprise Data & Analytics at Sanford Health, and Conor Donnelly, Director of Data, Cloud & AI, revealed a practical roadmap for building a robust and scalable healthcare data strategy.

Defining a Scalable Healthcare Data Strategy

A scalable data strategy isn’t merely a technical upgrade; it’s a comprehensive blueprint that connects data objectives to overarching enterprise priorities. It facilitates secure data sharing and prepares organizations to adapt to the ever-evolving landscape of healthcare technology. At its core, a well-defined strategy encompasses:

  • Robust Data Governance: Establishing clear protocols for data access, privacy, and quality control.
  • Modernized Data Architecture: Implementing a system that supports advanced analytics and the integration of artificial intelligence.
  • Stakeholder Alignment: Fostering collaboration across IT, clinical operations, and executive leadership.
  • Phased Implementation: Executing the strategy in stages, with measurable outcomes at each step.

Think of a healthcare data strategy as a carefully crafted game plan. It’s about transforming fragmented data into actionable insights, not simply migrating to the cloud or chasing the latest AI trends. It’s about building a resilient system that grows with your organization, safeguards sensitive information, and streamlines workflows for everyone, from administrators to frontline clinicians.

Sanford Health’s Data Transformation Journey

Sanford Health’s approach wasn’t driven by the allure of new tools. Instead, they began with a fundamental question: “How can we build a data foundation that supports our clinical and operational future?”

“There has to be a further evaluation of not just the tools,” Hudelson emphasized. “But as you get to the strategic considerations, what do we have for people and skill sets to implement those tools?”

Their modernization strategy unfolded through a pragmatic process:

  • Strategic Alignment: Prioritizing data initiatives that directly supported enterprise goals, rather than focusing on vendor features.
  • Broad Stakeholder Engagement: Actively involving leaders from IT, clinical departments, and business units to gather input and ensure clear communication.
  • Governance as a Foundation: Establishing data stewardship frameworks *before* any data migration to ensure data integrity, access control, and regulatory compliance.
  • Real-World Use Cases: Focusing initial efforts on replacing legacy systems and consolidating platforms with demonstrable return on investment, rather than speculative AI applications.

The result is a scalable data foundation poised to power AI-driven insights, advanced analytics, and comprehensive operational reporting, all while maintaining the integrity of clinical workflows.

Four Pillars of a Successful Healthcare Data Strategy

Building a data strategy that scales effectively requires more than good intentions. Sanford Health’s experience highlights four critical principles:

1. Scalable Governance for Growing Complexity

Effective data governance is the bedrock of any successful strategy. As data volumes and user bases expand, governance must evolve to maintain clarity, security, and accountability. Start by designating data stewards, standardizing data definitions, and establishing consistent policies across all departments.

2. Architecture That Empowers, Not Constrains

Your data architecture should serve your strategic goals, not limit your options. A modern, flexible architecture – often cloud-based – can enable real-time analytics, break down data silos, and prepare your organization for the adoption of AI. Prioritize interoperability and avoid vendor lock-in.

3. Unified Teams with Shared Objectives

Even the most brilliant strategies falter without buy-in. Successful healthcare organizations bring together IT, clinical operations, finance, and executive leadership from the outset. This collaborative approach ensures alignment and minimizes the risk of missteps during implementation.

4. Iterative Execution with Measurable Results

Data strategies are not overnight transformations. Embrace an iterative approach, breaking the plan into manageable phases. Begin with quick wins that demonstrate value and build confidence. Sanford Health’s phased execution provides a model for demonstrating ROI while minimizing disruption.

Avoiding Common Data Strategy Pitfalls

Even well-intentioned data strategies can stumble when confronted with the realities of daily hospital operations. Based on Sanford Health’s experience and insights from numerous healthcare systems, here are four common missteps to avoid:

  • Chasing Technology Trends: It’s tempting to be captivated by the latest dashboards or AI pilots, but without a clear roadmap tied to strategic goals, even the best tools can become underutilized.
  • Neglecting Governance: Delaying governance until data chaos sets in leads to inconsistent definitions, unclear data ownership, and potential privacy violations. Governance must be integrated from the start.
  • Excluding Clinicians: Frontline staff are often the primary users – and beneficiaries – of hospital data. Their exclusion from the strategy process can lead to poor adoption and missed opportunities.
  • Underestimating Cultural Change: Data transformation is as much about people as it is about technology. Without executive sponsorship and department-level alignment, even well-funded strategies can stall.

A disciplined, outcome-driven approach is essential. Before implementing any changes, clearly define success, identify the stakeholders, and plan for effective change management.

Pro Tip: Don’t underestimate the importance of data literacy training for all staff. Empowering users to understand and interpret data is crucial for driving adoption and maximizing the value of your data strategy.

What are the biggest data challenges your organization currently faces? And how are you prioritizing data initiatives to align with your overall strategic objectives?

To learn more about Sanford Health’s journey, explore resources from HIMSS and AHIP for additional insights into healthcare data management best practices.

Frequently Asked Questions About Healthcare Data Strategy

  • Q: What’s the first step if we don’t have a formal data strategy?
    A: Begin with a comprehensive assessment of your current state – technology, governance, and personnel. Then, align stakeholders around future goals. A data maturity model or roadmap exercise can be a valuable starting point.
  • Q: How long does it typically take to implement a healthcare data strategy?
    A: Timelines vary, but many organizations adopt a phased approach over 12-24 months, beginning with governance and small-scale pilot projects.
  • Q: Is a specific cloud vendor required to begin developing a data strategy?
    A: No. The strategy should dictate the technology choices, not the other way around. Select tools that align with your goals and promote interoperability.
  • Q: Who should be responsible for owning the data strategy within our organization?
    A: Ownership is typically shared across a cross-functional team. Executive sponsorship (CIO/CDO level) is critical, but strong collaboration with clinical, operational, and data governance leaders is essential.
  • Q: Can smaller or rural hospitals successfully implement this type of data strategy?
    A: Absolutely. While the scope and pace may differ, the foundational principles – governance, alignment, and phased execution – apply to healthcare systems of all sizes.
  • Q: What budgetary considerations should we keep in mind when planning a data strategy?
    A: Budgeting should align with the phases of your strategy. Early costs often focus on planning, governance, and initial use cases, followed by larger investments in platforms and integration.
  • Q: How does a robust data strategy support the implementation of AI and advanced analytics?
    A: Effective AI relies on high-quality, well-governed data. A solid data strategy provides the foundation by ensuring the right architecture, definitions, access controls, and data availability.

Share this article with your colleagues and join the conversation in the comments below. Let’s work together to build a smarter, more data-driven future for healthcare.

Disclaimer: This article provides general information and should not be considered professional advice. Consult with qualified experts for specific guidance related to your organization’s data strategy.




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