Beyond The Tickets: What S.M.A.R.T. Epic Consulting Really Looks Like

How the S.M.A.R.T. framework amplifies the impact of great consultants, elevating their work from reactive ticket-taking to strategic advisory.


When many people think of Epic consulting, they picture analysts racing through tickets to triage issues, fix build problems, or support post–Go-Live chaos. But the highest-performing Epic consultants know that success isn’t defined by how many tickets get closed.

Real value is created through strategy, foresight, and the ability to guide a health system toward long-term growth.

At Incisive Consultants, we analyzed dozens of engagements to identify the five qualities that define what truly SMART Epic consulting looks like, structured around the S.M.A.R.T. framework used in high-performing organizations.

Specific: Strategic Advisory That Goes Beyond Ticket Work

Smart Epic consulting starts with a clear, intentional vision. While tickets matter, stopping at tactical execution leaves meaningful opportunity on the table. The most effective consultants bring specific strategic advisory that shapes how organizations evolve.

Specific advisory services include:

  • Epic roadmap development for expansion, consolidation, and module adoption

  • Pre-build gap analysis to prevent workflow mismatches and costly rework

  • Change management guidance that supports sustainable organizational adoption

By grounding consulting work in clarity and purpose, consultants help health systems move toward scalable, future-proof progress.

Measurable: Deep Lifecycle Expertise That Drives Quantifiable Results

Exceptional Epic consultants bring mastery across the entire implementation lifecycle. This begins with planning and runs through the build with testing, training, Go-Live, and long-term stabilization. This breadth of knowledge enables improvements that can be measured in real operational outcomes.

Measurable impact shows up in:

  • Technical configuration accuracy that reduces defects and enhances user adoption

  • Stabilization and optimization cycles that lower support burdens and improve workflows

  • Actionable analytics and dashboards that turn data into decision-making power

When Epic expertise spans end to end, organizations see faster adoption, fewer issues, and stronger outcomes tied directly to performance metrics.

Achievable: Proactive Problem-Solving That Creates Attainable Progress

Smart Epic consultants anticipate problems, mitigate their impact, and create pathways toward sustainable, achievable improvement.

Achievable progress is built through:

  • Root cause analysis to eliminate recurring issues

  • Lean or Agile process improvement that drives operational efficiency

  • Mature project-management practices that clarify decisions and maintain momentum

This proactive approach keeps organizations moving forward with confidence, reducing surprises, and enabling consistent improvement over time.

Relevant: Embedded Partnership That Aligns With Real Organizational Needs

The best Epic consulting doesn’t happen at arm’s length. It happens through deep collaboration that stays relevant to real workflows, users, and operational challenges.

A relevant partnership includes:

  • Cross-functional alignment with IT, clinical leadership, revenue cycle, and operations

  • Frequent feedback loops that ensure build decisions reflect user needs

  • Knowledge transfer and empowerment so internal teams become stronger and more independent

When consulting work stays aligned with an organization’s real-world needs, adoption accelerates and trust strengthens.

Time-Bound: Scalable Solutions Built for Future Growth

Smart Epic consulting always looks ahead. Health systems grow, merge, affiliate, and evolve. And the Epic environment must keep pace with those timelines.

Time-bound strategies include:

  • Expansion planning to support new sites or merged entities with consistent standards

  • Build and configuration standardization that scales across the enterprise

  • Governance structures and long-term roadmaps that prepare teams for upgrades and optimization cycles

With a time-bound mindset, organizations position themselves to thrive well beyond the initial consulting engagement.

Why Incisive Consultants Stand Out in Epic Consulting

At Incisive Consultants, our mission is to help clients unlock true, sustainable value from their Epic systems.

Over 85% of our consultants are former Epic employees, each bringing multiple certifications and deep implementation expertise across health systems, hospitals, and specialty clinics. We don’t simply resolve issues. We help improve systems, strengthen processes, and build partnerships that support long-term success.

If your organization is looking for Epic consultants who bring strategy, depth, and forward-thinking leadership, we’d love to connect.

Let’s talk about how to unlock your Epic potential.


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Beyond the Build: A Conversation with Senior Consultant Jesus Gonzalez