Mitch Morris and Kent Wheeler, Deloitte Consulting. With increasing financial pressures on hospitals, coupled with increased needs for IT investment in clinical systems, the imperative for an effective and efficient IT function has never been more pressing. While outsourcers promise lower cost with reliable service levels, the industry has been slow to accept this approach and results have been mixed at best. In this session we review IT Optimization: Methods to lower costs and improve service levels while keeping IT in house. Case studies are used to illustrate successful IT optimizations, ranging from a standalone hospital to a large system.