Large-Scale Healthcare Transformation

Background:

• Largest integrated healthcare system in the United States
• 1,255 healthcare facilities serving 9 million veterans
• Legacy systems creating significant technical debt
• Need for modernization while maintaining continuous operations

Implementation Approach:

1. Adoption of SAFe across the IT organization
2. Building of internal development capabilities for critical systems
3. Establishment of product-oriented development teams
4. Implementation of DevSecOps practices for healthcare compliance
5. Gradual replacement of legacy systems with modern microservices

Key Results:

• 60% reduction in time-to-market for new capabilities
• Successful delivery of COVID-19 vaccination scheduling system in weeks
• Improved interoperability with DoD and private sector healthcare
• Enhanced veteran experience through modern mobile applications
• Significant cost reduction compared to contractor-based development
• Culture shift toward product thinking and customer-centricity