The healthcare industry is faced with the challenge of integrating all its informational resources from across notoriously siloed operations. Existing tribal knowledge, multiple applications accessing and creating information, and outdated technology for the clinicians are all challenges that need to be addressed to provide healthcare staff with access to the patient information they require to make critical decisions and devise treatment plans. Sharp HealthCare tackled this daunting task with a revised IT service management (ITSM) strategy that included new and enhanced tools and processes and a tightly integrated configuration management database (CMDB). The result was improved patient care and a more empowered workforce.