What the work taught us
Nothing theoretical. Every piece here comes out of an engagement, a build, or a mistake.
Standardize What’s Arbitrary
A decade ago I helped a hospital system figure out what surgery actually cost. The answer was a lesson about data that had nothing to do with hospitals.
Nobody Thinks Integration Is Hard Until They Can See It
Process doesn’t make you faster. What it does is make a change of direction survivable when the work depends on organizations you don’t control.
Three Questions Before You Commission a Build
Almost every project that gets proposed is a good idea. That’s exactly why “is this a good idea?” is the wrong test.