Strategic planning is essential in healthcare- particularly when implementing and operationalizing an EHR. One key extension to proper strategic planning is project and portfolio management. According to the Project Management Institute, 89% of high-performing organizations value project management and 81% of high-performing organizations actively engage sponsors. An overall Portfolio Management Framework, however, is a necessary component to effective project management since it can instill a programmatic but practical approach towards implementation and optimization initiatives. To sum it all up, portfolio management helps projects align with overall enterprise strategies.