Guessing is not a strategy: How to build decision velocity with AI and real-time data
June 10, 2026 | Live Webinar
Tough Medicine
Aaron is the former editor of ProjectsAtWork.com
There are many roads to portfolio management. Some aren't marked; others seem forever winding. But a fast-growing IT healthcare organization is finding that it starts with a new mindset — backed by tools, processes and standards — that insists business needs will drive project decisions.
As Oklahoma's largest state-owned healthcare organization, Integris Health spends about $16 million a year on information technology projects. But the nonprofit corporation's IT division was receiving project requests valued at about $50 million — or more than three times the average annual spend. That's a dilemma bound to create some "situations" as stakeholders are spurned and project teams are overburdened.
"The organization had grown so quickly that within IT, quality and customer service issues were being neglected," says Avery Cloud, CIO of Integris Health's IT division. "We needed more controls, more processes and procedures — more bureaucracy in the best sense of the term."
Cloud embarked on a significant restructuring of IT, including implementing new software, creating a coordinating project office and, most important of all, instilling a new mindset that insisted business needs would drive IT actions.
The IT organization evaluated a number of tools before settling on a solution from Changepoint, which has since been…
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