This article reports that moving from the theory of enterprise risk management to its practical implementation is far easier than hospital risk managers may expect. Discussions and papers on enterprise risk management often are too academic and too theoretical. Risk managers can adopt that approach even though they do not have a background in all of the disciplines that enterprise risk management models suggest they have. Those disciplines include insurance, economics and law. While gathering and sharing information can be difficult in a large organization, enterprise risk management boils down to analyzing how to treat risk. In enlisting support from middle managers, risk managers should ask those responsible for their facilities' various functions and processes to identify risks in their areas and to help develop plans to mitigate them.