Healthcare Data & EHR · Epic & Oracle Health · Migration Readiness
Epic and Oracle Health implementations rarely fail in the software. They fail in the operational layer underneath it: the fields, reports, code sets, and workflows nobody documented before the vendor conversation started. These are written from inside that work, not above it.
Epic and Oracle Health implementations are famous for blowing their budgets. The software is almost never the reason. The records you're migrating were never audited, never structured, and never ready, and you find out after the contract is signed and the timeline is fixed.
The data problems don't surface when you have leverage. They surface during mapping and validation, after the price is set. The organizations that treat the data as the project, and audit it before they sign, are the ones whose migrations come in near the number they were promised.
Read the full pieceBefore a conversation with Epic or Oracle Health is productive, there is a specific set of things they need to know about your data, and most organizations walk in unable to answer any of them. The vendor scopes the project from what you tell them, and your description is usually optimistic.
Identity, structure, code sets, interfaces, scope. Five things, all knowable before you walk in. Answered up front in an advisory sprint, the work is bounded. Discovered during a live implementation, the same questions get answered by the most expensive people on the project, under deadline, as change orders.
Read the full pieceThere is a phrase that should end the conversation the moment it comes up in a healthcare data project: lift and shift. Bulk-copying clinical records into a new EHR without mapping, transforming, and validating each field is not a migration strategy. At clinical stakes, it is closer to malpractice.
Every field gets four things before it moves: a mapping, a transformation rule, a validation rule, and an owner. Nothing crosses unexamined. It is more work than lift and shift. It is the only version that produces a record you can stand behind when a clinician opens it.
Read the full pieceWhere the Work Starts
Each engagement is fixed-fee and scoped to a named outcome before work begins.
Get Started
Operational restructuring. AI governance. Commercial performance. Operating model redesign. If you're at the moment where ambition has outpaced infrastructure, we'll tell you honestly whether we're the right fit and what the work actually looks like. No deck. No retainer pitch. One direct conversation.
If we're not the right fit, we'll tell you in the first call and point you toward who is.
Not ready for a call? Send your details and the firm will follow up on the diagnostic that fits. → Start the conversation