As those who have done it know, implementing an EHR is a lot like going to war: The strategy must be devised, the forces mobilized and the tactics deployed. CIO-of-the-Year Sue Schade has done this twice and shares lessons learned in those campaigns in this issue of Partner Voice. The tactics and business cases governing the deployment of new technologies are changing, in response to the remodeling of our healthcare system. We hear from Carlos Carrasco, COO at the 808-bed Orlando Regional Medical Center, on a new formula for building a business case that factors in accountability to both patients and the referring network.