Day 1 of the Gartner BI Summit was energizing.  I started off the day with a great networking breakfast and presentation from Vi Shaffer on Healthcare ACO.  During the networking portion I got to hear about many of same the challenges that my clients are facing.  The question of "what BI tools are you using" got a good laugh from the table.  The unanimous answer was "all of them".  While funny, large healthcare organizations are without a doubt saddled with every product under the sun, primarily as a result of acquisitions.