Creative thinking is essential for any IT team, but unless it's combined with lots of sweat equity, it doesn't get you far. Trinity HealthCare clearly knows how to combine the two. The hospital system, the fourth-largest Catholic healthcare system in the country, has put a great deal of creativity and man hours into a platform it calls Genesis. Genesis includes 28 computer applications from nine vendors, and touches virtually every major clinical and revenue process at the hospital. Getting Genesis up and running required the tightly choreographed integration of new systems with multiple legacy applications, including laboratory, picture archiving, communication, and enterprise resource planning systems. More than 60 real-time and batch interfaces were activated during conversion. All the work has paid off with measurable improvements in patient care.