Brian will lead a discussion on what we have learned about healthcare IT (HIT) through the ongoing nCOVID-19 pandemic, focusing specifically on the changes in business model which have resulted, and changes to systems thinking that leads us to adaptable systems for future challenges. The distributed nature of typical health systems indicates a technology fragility in the face of both operational and inter-organizational stressors. How do we leverage digital transformation as well as antifragile techniques to solve solutions challenges where we do not have an opportunity to plan in advance? Medicine is becoming more patient-centric and the current crisis provides an impetus to think about newly-important design aspects as we look across the chasm. Architects will understand the complex systems design approach in more detail and will be able to extend strategic guidance for continuity planning into their own domains.