Regional hospital system in the American Midwest. Twelve facilities, 3,200 beds, $1.8B annual revenue. A mix of acute care hospitals, outpatient surgical centers, and affiliated physician practices running on fragmented systems that didn't talk to each other. Patient records lived in four different platforms. Nurses spent more time navigating software than treating patients.
Their incumbent EHR vendor — one of the largest in the US — had been implementing a unified platform for 18 months. The project was $40M over budget. Go-live had been pushed three times. The compliance team had flagged HIPAA gaps in the new system's access controls that the vendor classified as 'post-launch remediation.' The board demanded a decision: fix it or kill it.
The CTO found us through an industry contact who had worked with our healthcare teams. The deciding factor was our compliance-native approach — the board couldn't stomach another round of 'we'll handle HIPAA later.' We showed them an architecture where compliance was enforced at every commit through ALICE, not documented in a binder and tested after go-live.
Unified EHR integration layer across all twelve facilities. Patient identity resolution engine handling 2.1M patient records with a 99.7% match rate. HL7 FHIR APIs connecting legacy departmental systems to the new clinical platform. Role-based access control architecture mapped directly to HIPAA minimum necessary requirements. Real-time audit logging for every PHI access event.
Production deployment in 14 weeks — compared to 18 months of failure from the previous vendor. Passed HiTrust assessment on the first attempt. Nursing documentation time reduced by 34%. The system processed 11,000 clinical transactions per hour on day one with zero downtime. The hospital system cancelled their managed services contract with the original vendor within 60 days.
They came back six months later for a population health analytics build on top of the unified data layer. That became a Tier II engagement.
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