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The Smartest People In The Room®

Transformation office & PMO for a regional health system

Transformation office & PMO for a regional health system

Established an enterprise Transformation Office to govern 20+ strategic initiatives, improving milestone delivery by 35% and achieving $68M in verified benefit realization within the first year. Proved that strategic transformation governance isn’t just administrative; it’s the operating backbone for achieving system-wide value. The PMO became a trusted control tower for prioritization, transparency, and measurable outcomes.

2
min.
read

Issue/opportunity

A multi-hospital health system was running several overlapping transformation initiatives (clinical optimization, IT modernization, cost reduction) without centralized visibility or governance. Leadership struggled to track outcomes, quantify ROI, or hold accountable owners for benefit delivery. Timelines slipped, value leakage went undetected, and reporting was manual and inconsistent.

Approach & outcomes

  • Transformation Office Design: Built an enterprise-level PMO structure with clear roles, decision rights, and escalation protocols for all initiatives.
  • Value-Tracking Framework: Defined measurable KPIs and standardized templates for benefit realization across financial, operational, and clinical metrics.
  • Digital Dashboard Development: Implemented a Power BI–based dashboard integrating data from finance, HR, and operational systems to track progress, dependencies, and risk.
  • Governance Cadence: Created a consistent review rhythm with the executive team, including milestone-based readouts, variance reports, and issue escalation procedures.
  • Capability Uplift: Trained internal leaders on project ownership, risk management, and reporting discipline to ensure sustainability post-engagement.

Results

  • Improved on-time milestone delivery by 35%.
  • Achieved $68M in verified annualized savings and revenue improvements tied to initiative benefits.
  • Reduced reporting time from three weeks to two days through automated dashboards.
  • Increased leadership visibility and accountability across all transformation programs.

Meet the Author

Global Scale.
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We are in the markets that matter, but we show up like we’re part of your team. Hands-on, high-touch, and built around your goals.

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