Ronin Refuel Assessment
Validate drift in a mature Epic environment and build an evidence-backed 12–18 month optimization roadmap.
Explore the Refuel AssessmentHospitals
Focused support for hospital work under delivery pressure.
Epic, EHR, readiness, optimization, governance, and clinical technology work need clear ownership while the organization is still moving.
Experience that maps to the work hospitals are carrying.
15+
years in healthcare IT delivery
20
integrated workstreams governed
40+
analysts, leads, and managers aligned
Experience across healthcare delivery.
Examples include Epic recovery, Refuel, Honor Roll, readiness, governance, and cross-functional delivery.
- Supported recovery planning across at-risk Epic workstreams, translating delivery risks into critical-path actions and leadership decisions.
- Established governance and escalation practices for a complex health system program, with a focus on workstream dependencies and readiness decisions.
- Supported quarterly Epic maintenance planning, operational governance, and optimization priorities aligned with available delivery capacity.
- Supported cross-functional teams in a prior health system Refuel engagement through backlog prioritization, governance, decision ownership, and a recurring delivery cadence.
For leaders managing complex delivery.
- CIOs, CMIOs, CNIOs, and executive sponsors
- PMO and transformation leaders
- Clinical and operational leaders carrying major change
- Application, informatics, and program leaders who need clearer structure
- Teams managing Epic, EHR, or cross-functional operational delivery under real constraints
Where Ronin helps
Program recovery
Recovery plans for work that is drifting or overloaded.
Epic / EHR optimization
Backlog, Refuel, upgrade, and improvement work with clearer ownership.
Operational readiness
Milestone, testing, cutover, go-live, and stabilization discipline.
Governance clarity
Decision forums that resolve, not just report.
Clinical technology implementation
Workflow, device, vendor, IT, and frontline alignment.
Operational Readiness
Readiness is easier to trust when governance is close to the work.
Ronin helps connect executive decisions, IT delivery, and clinical operations so risk is visible before it becomes a late surprise.
Where the work gets stuck
The program is moving, but not cleanly
Teams are busy, dependencies are multiplying, and risk is hard to see.
Readiness is hard to trust
Milestones are close, but confidence is uneven.
Optimization is too broad
There is no shortage of ideas. The problem is deciding what moves.
Governance is not moving decisions
Issues sit in the middle. Decisions wait. Teams need resolution paths.
Clinical, operational, and IT alignment is thin
The work crosses boundaries. Ownership and adoption risk have to cross them too.
Leadership needs a focused operator
Someone has to organize ambiguity and turn it into decisions.
Governance Model
Executives, IT, and clinical operations need one operating picture.
Ronin helps connect decisions to delivery realities so governance becomes useful instead of ceremonial.
Executives
Set tradeoffs, sponsor decisions, remove blockers.
IT
Own system delivery, dependencies, and technical risk.
Clinical Operations
Anchor workflow reality, readiness, and adoption.
Ronin connects the forum, the decision, the owner, and the operational consequence.
Clinical / IT Alignment
Technology change has to work in daily care.
Clinical technology, workflow, vendors, devices, and EHR dependencies need an operating model that keeps adoption risk visible.
Epic and EHR delivery experience
- Epic implementations, Refuel, upgrades, testing, and go-live readiness.
- Recovery planning across at-risk Epic workstreams.
- Governance for 20 integrated workstreams.
- Refuel turnaround with 40+ analysts, leads, and managers.
Healthcare experience in practice
Examples from Jordan Smith’s healthcare delivery experience, including prior professional engagements. These engagements are distinct from Ronin’s current service offerings.
Epic readiness recovery for a large health system
Enterprise Epic program nearing integrated testing, go-live readiness, and executive review milestones.
Challenge: Several workstreams were at risk, blockers were hard to compare, and leaders needed a usable recovery view.
Approach: Built recovery plans across at-risk Epic workstreams and translated delivery risks into critical-path actions and leadership decisions.
Outcome: Sponsors and delivery teams had a clearer view of readiness risk, blocker ownership, and the decisions needed to keep the program moving.
The work shifted from scattered status to an operating picture leaders could use before readiness risk became a late surprise.
Refuel delivery experience
Historical health system Refuel delivery work, separate from the current Ronin Refuel Assessment offering.
Challenge: An optimization backlog needed clearer priorities, decision ownership, and a delivery rhythm aligned with available capacity.
Approach: Supported backlog prioritization, governance, decision ownership, and a recurring delivery cadence.
Upgrade, Gold Stars, Honor Roll, and optimization operating model
Community health system balancing Epic upgrades, Gold Stars, Honor Roll, Refuel, and optimization priorities.
Challenge: Competing priorities were drawing from the same teams, and capacity tradeoffs were not visible enough for leaders.
Approach: Reworked cadence, governance, communication, and priority framing so upgrade, recognition, and optimization work could be judged together.
Outcome: Executives and team leads had clearer tradeoffs across upgrade, Gold Stars, Honor Roll, and optimization work.
Leaders could make decisions against real delivery capacity instead of treating each initiative as if it stood alone.
How Ronin thinks about health-system work
The useful work is making risk, ownership, readiness, and decisions clearer while the organization is still moving.
Readiness is not just a checklist.
Optimization is not just a backlog.
Governance is only useful when it helps leaders make better decisions.
Need support around recovery, readiness, or optimization?
Book a short conversation to talk through the work, the risks, and what kind of support would actually help.