Almost two and a half years after SAP announced the sunset of its industry solution SAP IS-H, hospitals in Germany are still searching for a viable and future-proof alternative. While several hospital information system (HIS) providers have announced new solutions, there’s little more than a few pilot projects on record so far. In the DACH (German-speaking) region alone, over 500 hospitals still rely on IS-H for billing and patient management—it’s a core component of SAP ECC, which itself must be replaced by 2027. This creates a double challenge for healthcare providers. Philipp von der Brüggen (CMO, Natuvion) spoke with Gerrit Schröder (Principal Consultant at adesso business consulting AG) and Burkhard Hergenhan (Head of Public Business, Natuvion) about the dilemma.