The challenge
The organization grew faster than its IT foundations. Like many healthcare providers that scale through acquisition and outsourcing, it faced heavy dependency on external vendors, limited internal visibility into its own systems and access, thin documentation, and no unified processes for access requests, change management or incident response. For a healthcare provider that is not just an efficiency problem; it is a risk and compliance problem.
What we did
- Deployed senior infrastructure and security consultants who begin with read-level access, assess the estate, and move to executing approved changes: a deliberately trust-first, low-disruption model
- Established a documentation framework covering standard operating procedures, incident response and disaster recovery, building the institutional knowledge the organization lacked
- Designed change-management and access-request processes so that changes to production systems follow a governed, auditable path
- Planned help-desk centralization to consolidate fragmented support channels into a single managed intake
- Worked across the Microsoft estate (M365, Azure, Intune, Defender, Entra ID with privileged identity management) plus the data and integration landscape, including HR and payroll integrations
- Structured the engagement economics deliberately: senior consultants document processes and train lower-cost resources over time, so the client's run-rate goes down as maturity goes up
Results
Transformation in progress. The early phase is focused on access, visibility, documentation and governance foundations. The end state: an IT estate the client controls, documented well enough that no single vendor or person is a point of failure, with data engineering and help-desk capacity scaling under the same framework.
Tech
Microsoft 365, Azure, Intune, Microsoft Defender, Entra ID / PIM, SharePoint, Jira Service Management, Snowflake, integration middleware, HR and payroll integrations