Hospital operations are hugely complex. Operational excellence and efficiency affects the patient experience, clinical quality and safety, and the organization’s bottom line. Many executives, along with the federal government, look to information technology for improving operations. Regulatory incentives and requirements for employing IT offer more integrated operations but also create challenges in implementation. The cost of healthcare IT adds to the imperative of operational efficiency. HealthLeaders Media convened a panel of healthcare executives who share high-level perspectives on operations and deep familiarity with system IT to discuss how to achieve sustained excellence in operations while maintaining margins.