What Deloitte gets wrong in Healthcare
Deloitte's healthcare consulting practice is extensive. Their healthcare IT implementation practice is a different matter. Health system CIOs have seen the pattern: Deloitte engages at the executive level, proposes a transformation program, and delivers a system that requires significant remediation before it can support clinical operations.
Clinical systems have zero tolerance for the kind of architectural debt that Deloitte's phased delivery model accumulates. When your EHR integration produces duplicate patient records, the risk is not user inconvenience — it is medication errors, duplicate billing, and HIPAA violations that trigger OCR investigations.
HIPAA compliance consulting and HIPAA-compliant system architecture are not the same thing. Deloitte produces HIPAA assessments and remediation roadmaps. We produce systems where HIPAA compliance is enforced at the infrastructure layer, not documented in a workstream.
What we deploy instead
Healthcare system integrations require engineers who understand HL7 FHIR v4, C-CDA document standards, and the operational reality of a system that cannot have planned downtime during a trauma surge. We staff these engagements specifically.
Our clinical systems experience spans hospital systems, health networks, and the integration layer between them. Epic, Cerner, and Oracle Health integrations — we have built them, remediated them, and modernized them.
HIPAA and HITRUST built into the architecture from day one — enforced automatically by ALICE at every commit.
Fixed-price engagements. Production system in 8-20 weeks. No discovery phase. No change orders.
Domain-qualified engineers with healthcare experience. The senior engineer who scopes the engagement is the senior engineer who delivers it.
Full source code and documentation transferred at close. No licensing. No managed services dependency.
The compliance difference
HIPAA, HITRUST, SOC 2, and FDA 21 CFR Part 11 for clinical research systems. Every system we deploy for a health system is architecturally compliant from the first infrastructure decision.
What switching from Deloitte looks like
Health system technology engagement: 12-20 weeks for a defined integration or modernization scope. Team: 8-14 engineers with clinical technology experience. Fixed price. No discovery phase — we scope based on your current architecture.
Architecture review and scope definition. We review existing deliverables and identify gaps.
Scope locked, team assembled, first sprint underway. Working code from week two.
First production milestone — a working integration or system component, not a document.
Full IP transfer. Source code, documentation, operational runbooks. Your team runs the system.
Failed Vendor Recovery Playbook
Step-by-step framework for recovering from a failed Deloitte engagement — from emergency stabilisation through full re-platforming. 4-phase playbook covering stabilise, assess, transition, and normalise.