Navigating Vendor Relationships in a Changing Healthcare Landscape

Healthcare organizations face rising financial pressures while adopting more technology than ever—from EHR systems to AI tools. But successful implementation isn’t just about the technology; it depends on strong vendor relationships. Poor vendor management can lead to unexpected costs, implementation roadblocks, and user frustration.

This blog explores strategies healthcare leaders use to build effective, value-driven vendor partnerships in today's complex technology landscape.

 

Defining Clear Service Level Agreements

Clear service level agreements (SLAs) are the foundation of successful vendor management. They set expectations, define support requirements, and outline escalation pathways—ensuring there are no surprises when challenges arise.

SLAs should align with the needs of the teams using them, but too often, IT and clinical staff aren’t included in negotiations. This can lead to misalignment and support gaps.

“Sometimes sales teams are working with our COO or others that are not part of our department... So you're kind of working with a finished document that you didn't get to define.”  

-Valere Lemon, Division Director of Clinical Informatics

Healthcare organizations can address this challenge by:

  • Including technical and clinical leaders in contract discussions from the beginning
  • Clearly documenting escalation pathways for different types of issues
  • Establishing response time expectations based on issue severity and impact on patient care
  • Creating feedback loops to improve future contract negotiations

Vendor management requires advocacy and strong leadership, especially when implementation timelines conflict with patient care. Healthcare leaders must be willing to push back on proposals that could disrupt clinical operations.

 

The Critical Importance of Due Diligence

Choosing the right vendor can make or break a healthcare IT implementation. The right partner streamlines operations and enhances patient care, while the wrong one leads to inefficiencies, poor adoption, and unexpected costs.

Rushing contracts can lead to long-term issues as well. A thorough review of vendor capabilities and agreements prevents costly missteps. This is especially important for emerging technologies like AI, as it helps to avoid investing in solutions that could become obsolete before implementation is complete.

“I think a lot of times, 'Hey, we need to get this contract through, we need to get moving on this,' but that contract is binding. It's worth the time to understand  what these things mean for you as an organization and what you can be held accountable to.”  

-Wesley Jayroe, Director of Enterprise Applications

To ensure the best fit:

  • Conduct industry research and consult peer networks.
  • Evaluate reference clients of similar size and complexity.
  • Assess service capabilities beyond just product features.

Clear documentation provides a foundation for productive vendor relationships, enabling both parties to focus on successful implementation rather than contractual disagreements.

 

Reference Clients in Vendor Selection

When evaluating vendors, particularly for large-scale implementations, reference clients provide invaluable insights into real-world performance. However, not all references are equally relevant—the key is finding organizations that match your specific context and requirements.

The scale and complexity of healthcare organizations significantly impact implementation timelines, support requirements, and overall success. A vendor that effectively supports a small hospital system may lack the infrastructure and resources to handle implementations across dozens or hundreds of facilities. 

When reviewing reference clients, healthcare organizations should investigate:

  • Implementation timeframes for organizations of similar size and complexity
  • Ongoing support experiences after the initial implementation
  • Integration challenges with existing systems
  • User adoption rates and satisfaction metrics

Thorough reference checking helps healthcare organizations avoid this common pitfall by providing realistic expectations about how a vendor's solutions will perform in their specific environment.

 

Balancing Standardization and Diversification

Should healthcare organizations stick to a single vendor or diversify their partnerships? There’s no universal answer—it depends on the organization’s structure, needs, and long-term goals. Each approach offers distinct benefits and trade-offs that must be carefully considered.

For large health systems, vendor diversity is often unavoidable. Mergers and acquisitions frequently result in multiple overlapping systems, such as nurse call platforms and communication tools. This makes application rationalization—evaluating and consolidating redundant software—a critical part of vendor strategy. Without a structured approach, organizations risk increased costs and inefficiencies.

While standardizing vendors can streamline implementation and reduce complexity, relying on multiple vendors also fosters competition. Competition can lead to better pricing and greater service flexibility. The key is finding the right balance.

Organizations must balance several considerations:

  • Implementation efficiency – Standardized platforms are easier to roll out across multiple facilities
  • Workflow alignment – Different facilities may have unique needs that aren't well-served by a one-size-fits-all approach
  • Cost optimization – Competition among vendors can lead to better pricing and service
  • Support requirements – Managing multiple vendors increases administrative complexity

Different vendors offer different combinations of price, technology quality, and service levels. Healthcare organizations should weigh these factors against their specific needs and priorities to determine the best mix of vendor relationships.

 

The Path Forward: Building Strategic Vendor Partnerships

Effective vendor management is not just about negotiating favorable contracts—it's about building strategic partnerships that deliver long-term value. When healthcare organizations take a proactive, thoughtful approach to vendor selection, contract negotiation, and ongoing relationship management, they can avoid common pitfalls and maximize the return on their technology investments. 

Success depends on involving key stakeholders, conducting due diligence, and balancing vendor strategies. By managing vendors strategically, healthcare organizations can enhance patient care, streamline operations, and control costs.

To hear more insights from industry experts on vendor management in healthcare IT, listen to our related podcast episode, where healthcare leaders discuss best practices for optimizing vendor relationships and technology adoption.

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