The notion of patient-centeredness has become a bit of buzzword across the healthcare industry with often less than clear meaning and intention. Historically, however, healthcare has not focused on the patient per se, evidenced all the way down to healthcare IT strategies and achievements. EHR systems, HIMSS stages of achievement, use of data warehouses and analytics and performance scorecards have all focused on episodic care. This lack of a more complete patient focus can be attributed to the need to align to payment models rewarding healthcare providers for volume of visits and admissions over the overall value of care being provided. This has all begun to change with increased focus on value-based contracts where healthcare providers are now at risk for the total cost and quality of care provided regardless of when and where the care occurred. This change in payment has highlighted significant holes in IT and data strategies that need to be addressed if an organization is to achieve success in this new payment paradigm.