April 15, 2025| Written by Bronwen Huron
If you’re trying to lead, launch, or align in Healthcare IT, you already know:
It’s not just about the technology.
It’s about the players. The history. The grudges. The alliances.
And if you don’t understand that history —
you’re walking into a room where half the conversations are happening under the table.
A Quick History Lesson (You Can Actually Use)
Healthcare IT isn’t new.
The EHR wars of the early 2000s divided hospital systems, vendors, and policymakers.
“Interoperability” became the rallying cry — but also the battleground — between proprietary models and open standards.
Some vendors built closed systems and fought regulation at every turn.
Others positioned themselves as open—but still made sure integration was just hard enough to keep competitors at bay.
Meanwhile:
Government agencies rolled out Meaningful Use, TEFCA, and data sharing mandates — pushing collaboration on paper, but not always in spirit.
Alliances formed (think CommonWell, Carequality) — sometimes out of shared vision, sometimes out of political necessity.
Consultants, standards bodies, and advocacy groups layered on more acronyms, more frameworks, more complexity.
Today, the "ecosystem" looks like progress.
But if you scratch the surface, the old loyalties, rivalries, and wounds still shape the moves being made.
So How Do You Get Involved Without Drowning?
You need more than technical knowledge.
You need market intelligence — and relationship clarity.
At Bronwen Consulting, we help teams:
Understand the historical context behind current partnerships, standards, and stakeholder priorities
Navigate the unspoken dynamics that influence adoption, endorsement, and resistance
Translate regulatory shifts into real-world strategies — not just compliance checklists
Build alliances that are sustainable — not just tactical fire drills
We don’t just know the acronyms.
We know why they were invented, who fought over them, and how they actually landed in the market.
And we help you move through that complexity without getting spun into old drama, slow-walked by quiet resistance, or accidentally triggering dormant tensions you didn't even know existed.
Here’s the Reality:
You can have the best product, the best pilot, the best compliance story.
But if you don’t know the room you’re walking into —
you’ll wonder why deals stall, pilots fizzle, or partnerships quietly drift.
It’s not about effort.
It’s about alignment. Timing. Translation. Clarity.
And that's the work we do — behind the scenes, with you, so your front-stage story actually has a chance to land.
If you’re tired of fighting battles you didn’t even realize you were stepping into, let’s talk.
Because surviving Healthcare IT isn’t about knowing the buzzwords.
It’s about knowing the backstory — and building something stronger anyway.