In this episode, host David McClelland sits down with Dr Tim Calahan, CIO at Michigan Medicine, to discuss the monumental cloud migration journey underway at one of the leading healthcare institutions in the US. Tim shares deep insights into moving critical clinical systems like Epic and Sectra to the cloud with minimal disruption to patient care. He explores the unique challenges of migrating over 900 applications, the importance of partnering with experts, and how adopting Infrastructure as Code is transforming operational consistency. Tim opens up about the cultural shift needed to upskill long-tenured staff and the crucial balance between technology, people, and processes in healthcare IT. Reflecting on his career, he reveals how thinking like a consultant helps anticipate future needs beyond immediate problems. Tim also offers leadership wisdom on aligning technology with ethics and culture in mission-critical environments. How do you lead transformational change while keeping patient care front and centre? Tune in to find out.