Wayne Bohenek, Vice President Clinical Support Services, and Susan Mashni, Chief Pharmacy Officer, Mercy Health. Mercy Health has 23 acute care facilities and over 2000 ambulatory providers live on a single instance of Epic. Standardization of both clinical content and medication formulary within the electronic healthcare record has resulted in over $50 million in cost savings and significant downstream efficiency savings. The governance structure and process necessary for success will be discussed and shared.