The National Cancer Institute's Digital Services Center evolved from information technology service management and IT automation to an enterprise development platform as a service with ServiceNow. Join this session to learn how the center scaled automation to support National Institutes of Health research, clinical, and administrative functions, including patient enrollment, staff recruitment, training compliance, data calls, acquisition intake, and non-IT help desk operations. See how a governed platform approach helps organizations safely build their own applications, reduce duplication, accelerate mission delivery, and achieve measurable cost savings at scale. Plus, get a preview of how agentic development capabilities can further accelerate this model, enabling autonomous app creation while maintaining enterprise governance.