Executive Summary: The Scottsdale Institute convened data, analytics and information executives from across the country for the 2017 SI Business Analytics Fall Summit in Chicago on October 4-5, 2017. Attendees—representing large academic medical centers, multi-regional health systems, rural hospitals and clinics—gathered to share strategies, concerns, insights and lessons learned on the journey towards an “analytics utopia” with specific focus on the governance, staffing, and management of data and analytics in an ever-changing healthcare environment.