Healthcare Operations
We do not touch the chart.
Every health system runs on an electronic health record, and around it runs a second estate nobody planned: the spreadsheets, the shared drives, the access database in the sterile processing department, the scheduling that happens by text message. That estate is where the operational cost lives and it is not what an EHR is for. We build there, and we are explicit about the boundary; we do not implement, customize or extend your EHR, and if what you need is Epic or Cerner work we will tell you to hire a partner certified in it rather than take the engagement. What we do is the operations layer beside it, built to the standards this work demands, with a BAA in place before any protected health information moves.
What we hear
The problems that actually show up.
Not a market overview. These are the specific failures that bring people to us in this sector.
The report the EHR cannot produce
The data exists and the question is reasonable and there is no way to ask it, so somebody exports to a spreadsheet every Monday and the answer arrives four days late and slightly wrong.
An operational estate nobody owns
Sterile processing, materials management, transport, environmental services and biomed each solved their own problem years ago, in tools that do not talk to each other and depend on one person who knows how.
Devices that produce data nothing collects
Infusion pumps, monitors, analyzers and environmental sensors generate readings that stay on the device or in a vendor silo, so the operational question they could answer never gets asked.
Compliance evidence assembled by hand
The controls exist and the proof of them is reconstructed before each audit from screenshots and email, which is expensive, slow, and least reliable exactly when it matters.
PHI in places nobody would design
A protected identifier reaches a spreadsheet, a chat message or a report attachment because there was no other way to do the job, and the organization finds out during an assessment.
What we build here
Systems we typically build in this sector.
Some of these are whole products; some are one screen that removed a week of manual work. Both count.
- Operational reporting and dashboards over data the EHR cannot surface
- Scheduling, dispatch and transport coordination systems
- Materials, inventory and sterile-processing tracking
- Device and environmental data collection at the edge
- Compliance evidence automation and access reporting
- Referral, intake and prior-authorization workflow outside the chart
- Integration into an EHR through its supported interfaces, read-mostly
Integrates with
The estate you already have.
We work through supported interfaces, not screen-scraping that breaks at the next upgrade.
Built to
The standards this sector answers to.
Engineered in from the start. Retrofitting conformance costs several times as much and produces a worse result.
Case studies
None published in this sector yet.
We have not delivered and published an engagement in healthcare operations under this firm’s name. We would rather say that here than let a capability page imply otherwise. What is behind this page is the regime named above, the services listed below, and the reference implementations on the engineering page, each carrying a written note of what it is not. If a proven engagement in your own sector is what the decision rests on, say so on the first call and we will tell you plainly whether we are the wrong firm for it this year.
Sources
- 1.45 CFR Part 164 Subpart C: Security Standards for the Protection of Electronic Protected Health Information (opens in a new tab), Electronic Code of Federal Regulations
- 2.FHIR Overview (opens in a new tab), HL7 International
Next step
Working in healthcare operations?
Bring the specific failure, not a requirements document. Forty-five minutes and we’ll tell you what we’d do about it.