IRFs need managed IT tuned to hospital-level rehab, not generic office support. That means rehab and acute EHR support, HIPAA cybersecurity and ransomware defense, backup and disaster recovery for clinical and functional-outcome data, secure interfaces to referring acute hospitals, and cloud and network reliability for interdisciplinary PT, OT, and SLP documentation. A healthcare vCIO ties it together with roadmap planning around IRF-PAI, the 3-hour rule, and CMS IRF quality reporting.