LTACHs need managed IT that treats clinical systems as critical infrastructure, including 24/7 monitoring, HIPAA-aligned cybersecurity, and tested backup and disaster recovery for clinical data. They also need EHR support for facility-scale platforms like MEDITECH, Cerner/Oracle Health, or Epic, plus reliable HL7 and FHIR interfaces to referring short-term acute care hospitals. Because patients are ventilator-dependent and telemetry-monitored, network segmentation and biomedical device integration are essential. A vCIO to align technology with CMS reporting and Joint Commission expectations rounds out the core needs.