Healthcare IT News December 11, 2025
Bill Siwicki

Intentional governance, process redesign, change management and data strategy all must be addressed to achieve optimal electronic records, says Barry Mathis, managing principal of IT advisory consulting at PYA.

Over 30 years, the electronic health records landscape has transformed repeatedly, shifting from locally hosted systems to enterprise platforms, and now toward cloud-based ecosystems infused with artificial intelligence, analytics and real-time interoperability.

Throughout this evolution, the fundamentals of EHR success have become clearer, said Barry Mathis, managing principal of IT advisory consulting at PYA, a healthcare management consulting firm.

Mathis said these fundamentals are that governance must be intentional, process redesign drives the value, change management is non-negotiable and data strategy now dictates organizational agility.

We spoke with Mathis to get...

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