Healthcare has spent years and billions modernizing its technology. But modernization and transformation are not the same thing — and confusing the two is exactly why so many digital initiatives stall, fail to produce measurable outcomes, or quietly get abandoned.In this episode of Health Reimagined, host Jon Myer (Myer Media) sits down with Monica from Sublimation Health to break down what real transformation requires, why migrations keep getting stuck, and what change management actually looks like when it is done right.🔗 Learn more at sublimationhealth.com🔄 Modernization vs transformation — swapping out technology or moving to the cloud is not transformation until people processes and workflows are aligned around the business outcomes the hospital actually wants to achieve⚠️ Why migrations stall — leadership changes mid-program, oversized KPIs that demand immediate results, and failure to bring vendors application owners and clinical staff in early enough are the most common culprits☁️ Cloud as a platform strategy not just a migration destination — the only way to support the scalability that AI and future innovation will demand is to stop thinking about cloud as a one-time lift and treat it as a long-term strategic enabler🤝 Change management done right starts with leadership — a cascading communication plan that answers why why now and what we gain combined with parallel upskilling and training is what keeps people process and technology aligned throughout the entire program⏱️ Timeline0:00 — Introduction — The gap between transformation and outcomes0:27 — Meet Monica from Sublimation Health0:29 — The emotional state of healthcare IT leaders — excited exhausted and nervous1:09 — Skills gaps and the challenge of upskilling while trying to implement1:49 — Organizational alignment as the hardest part of any transformation2:21 — Modernization vs transformation — what is the real difference3:01 — Can you do one without the other3:49 — AI is consuming all the oxygen — but is the groundwork actually in place4:58 — Why the constant upgrade cycle is a risk for early AI adopters5:38 — Why billions in investment still fails to produce measurable clinical outcomes6:50 — People process and technology — why all three have to move together7:05 — Why migrations stall — leadership changes oversized KPIs and communication gaps7:43 — Agile approaches quick wins and incremental migration waves8:22 — Are we past cloud migration or should healthcare think platform strategy9:10 — How cloud strengthens security rather than introducing new risk10:24 — Designing infrastructure for mergers and acquisitions with 30/60/90 day playbooks11:97 — What change management looks like when it is done right12:57 — Parallel workstreams keeping people process and technology aligned throughout13:38 — Closing remarks and where to learn more