The implementation of Electronic Health Records (EHRs) such as Epic and Cerner, and Enterprise Resource Planning (ERP) systems, such as Lawson and PeopleSoft, are typically two of the largest, most complex projects that health organizations undertake. Most organizations treat these implementations as separate projects. This creates an unnecessary and unproductive silo effect within the organization as the two projects vie for finite IT and staff resources. So often we hear that the strategy is to “just get the systems installed” and we will figure out how to integrate the two at a later date. Unfortunately, the window of opportunity for integration is missed.