“What’s our cloud strategy?” is a common question in IT these days. A somewhat lengthy answer is required. Few technologies have grown as fast as the cloud. It is a profound shift to have your data – your precious, regulated data – stored not just out of your control, but out of your sight. This change provokes a wide range of responses, from “Never in a thousand years” to “Take my data, please”. A better reaction might be “Yes, but.” As with many things in life, and certainly in healthcare, the extreme reaction is not the best one.