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Case USA7: Why a Hospital Network Mistook Clinical Dashboards for Enterprise Architecture Maturity

Updated: Oct 3

In healthcare, a recurring pattern in our diagnostics is confusing operational visibility with enterprise architecture maturity.


Hospital networks rolled out advanced clinical dashboards showing ICU occupancy, patient flow, and critical alerts. These were celebrated as EA breakthroughs. Yet, the dashboards sat on top of fragmented workflows and uncoordinated systems, masking deep structural gaps.


P1–P6 Insight Preview:  Dashboards improved operational monitoring (P6) and surfaced key data components (P4), but lacked alignment to enterprise-wide process flows (P2) and governance models (P1). Business ops (P6) could see issues faster, but tech ops (P6) couldn’t resolve them at enterprise scale.


Role Disconnects:

  1. CEO: “We see the hospital in real time” — but visibility isn’t integration.

  2. CIO: “We can monitor everything” — yet we can’t coordinate fixes across systems.

  3. Sales Head: “Our network is technologically advanced” — but patient experience still varies wildly.

  4. Chief Enterprise Architect: “We have the data, but no structural coordination” — no modeled anatomy.





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