Key Takeaways from Healthcare Implementations

Leadership and Vision:

• Clear executive mandate is essential for sustainable transformation
• Patient-centered vision must drive technical decisions
• Long-term commitment is necessary for capability building
• Visible leadership support during challenging transition periods
• Strategic patience balanced with tactical urgency

Implementation Approach:

1. Start small but think big - begin with pilot projects but plan for scale
2. Focus on value delivery from the first sprint onward
3. Involve clinicians early and often in the development process
4. Build technical foundations before scaling teams
5. Celebrate early wins to build momentum and support

Technical Lessons:

• Standardize on modern, open technologies when possible
• Implement robust DevOps practices from the beginning
• Prioritize interoperability and standards compliance
• Balance innovation with reliability for clinical systems
• Invest in automated testing for healthcare applications

Cultural Findings:

• Clinical-IT collaboration requires dedicated effort and structures
• Transparency creates initial discomfort but long-term benefits
• Training must address both technical skills and mindset shifts
• Traditional healthcare hierarchy may challenge agile team empowerment
• Demonstrating value is the best way to overcome skepticism