
Building Your In-House Development Team
Creating the Right Mix of Skills and Roles
Essential Team Structure
Core SAFe Roles:
- Release Train Engineer (RTE) - orchestrating the Agile Release Train
- Product Management - defining and prioritizing the solution
- System Architect/Engineering - guiding technical direction
- Scrum Masters - facilitating team processes and removing impediments
- Product Owners - managing team backlogs and stakeholder engagement
Technical Expertise Required:
- Full-stack developers with modern web/mobile experience
- Healthcare integration specialists familiar with HL7 FHIR/IHE
- UX/UI designers with healthcare application experience
- DevOps engineers managing continuous delivery pipelines
- Security specialists focused on healthcare compliance
Domain Knowledge:
- Clinical workflow experts (nurses, physicians as part-time team members)
- Healthcare data specialists understanding medical terminologies
- Regulatory compliance expertise (GDPR, MDR/IVDR, etc.)
- Hospital operations understanding (admission to discharge processes)
- Healthcare standards knowledge (HL7 FHIR, DICOM, ISiK, etc.)
Sourcing Strategy:
- Balance hiring experienced professionals and developing junior talent
- Consider strategic partnerships to fill initial capability gaps
- Engage consultants for specialized implementation knowledge
- Create internal development paths for clinically-trained staff
- Build university partnerships for talent pipeline