Healthcare · 2023

Integration fabric for clinical and ERP data

Regional health system

IntegrationsHealthcareAPIs

Challenge

Critical feeds between clinical, supply chain, and HR systems broke silently. Teams learned about issues from users, not monitors. M&A added duplicate integration paths and unclear ownership.

Solution

We introduced standard patterns (API + event), centralized monitoring, and runbooks. Each interface got an owner, SLO, and alert routing. We staged cutovers with parallel runs and reconciliation before decommissioning legacy jobs.

Canonical integration catalog and ownership model
Retries, dead-letter queues, and replay procedures
Dashboards for throughput, latency, and error budgets
Cutover playbooks with rollback criteria

Results

Mean time to detect integration failures dropped sharply
Clear accountability reduced duplicate work across IT teams
Safer onboarding of new clinics after acquisition