Ian Temple, RN, MBA, Manger, Integrated Digital Enterprise and Solutions (IDEAS), First Consulting Group, reviews key strategies for implementation with an emphasis on critical workflow issues. He describes impediments to physician acceptance of structured reporting and to overcome them. Pros and cons of organizing Cardiology services as one service line or several are described, including addressing communications issues between Cath Lab managers and Echo Lab managers, EKG and Respiratory, etc. Part 1, a CVIS overview, was presented on October 17.