The last rollout failed because staff never trusted a tool chosen for them. Framed publicly as budget caution, the unspoken read is sharper: leadership knows the last system died because it was imposed top-down and clinicians quietly refused it. No one says that in the room — yet it is the real risk to repeat.

They want to outpace peer systems and become the regional reference for coordinated care. A competitive, market-facing motive: standing among regional health systems is the prize leadership cares about beyond the build. It does not change Phase 1 scope, but it is why this has executive attention.