Stephanie Kitt, RN, Director Quality & Clinical Informatics, Northwestern Memorial Hospital, Mike Koch, Manager, Project Management Office, and Randy O’Steen, RN, System Director, Strategy and Innovation, CHRISTUS Health, and Michael S. Warden, Senior V.P. Information Technology – CIO, Banner Health, share their respective approaches to project prioritization and justification, which was introduced by Stephanie Kitt at SI’s 2008 Fall Conference. They describe methodologies and governance structures utilized to make complex IT project prioritization decisions.