Accelerator
FHIR · HL7 · DICOM Integration Accelerator
Ship production-grade healthcare integrations — without the architecture debt, compliance risk, or vendor lock-in.
Senior interoperability execution embedded in your delivery cycle. I build the integration architecture, pipelines, and compliance controls — then hand off a production-ready system your team fully owns and can extend independently.
Best for teams already in flight that need senior execution support to reach go-live without creating long-term integration debt.
BUILT IN REAL CLINICAL ENVIRONMENTS
Execution shaped by production healthcare delivery
This work is grounded in real-world interoperability delivery across regulated systems, EHR integrations, and production clinical workflows.
Who this is for
The Accelerator is built for teams that have already decided to move — they need senior execution support to get production-grade integrations shipped and handed off cleanly.
- Teams with an active integration timeline — not a research phase
- Companies connecting to Epic, Cerner, Altera, or other major EHR systems
- Organizations where a stalled or brittle integration is blocking launch or certification
- Technical teams that need senior interoperability expertise they don't have in-house
- Teams that completed a diagnostic and are ready to execute
Problems this solves
Stalled production integrations
Pipelines are fragile, edge cases keep surfacing, and certification timelines are slipping.
Compounding architecture debt
What worked for one EHR partner breaks when you add a second. Tightly coupled flows and rework on every new connection.
Compliance gaps blocking go-live
HIPAA, SOC2, or security review is surfacing issues in data handling, access controls, or observability that must be resolved before launch.
No senior interoperability expertise in-house
Your engineers are capable but haven't shipped production healthcare integrations. You need someone who can make the hard architectural calls early.
What’s included
Integration architecture & system design
Explicit system boundaries, interface contracts, and data flow design your team can extend.
FHIR, HL7, and/or DICOM pipeline implementation
Production pipelines built to your EHR partner requirements — not one-off scripts that break under load.
Quality, observability, and hardening
Validation gates, structured logging, metrics, alerts, and production-realistic testing.
Compliance-ready controls
HIPAA/SOC2-aligned data handling, access controls, audit logging, and de-identification.
Documentation and handoff
Runbooks, architecture docs, testing strategy, and incident response playbooks for your team.
What your team owns at handoff
What's in place at handoff — your team owns and operates everything from day one.
- Production-ready integration workflows — tested, validated, and running under realistic conditions
- Clear architecture with explicit ownership boundaries, interface contracts, and extension points
- Validation and test coverage across all integration points and edge cases
- Observability layer — structured logs, metrics, and alerting with full handoff
- Compliance-aligned controls — HIPAA/SOC2 data handling, access controls, audit logging
- Runbooks, incident response playbooks, and technical documentation for your internal team
- Knowledge transfer sessions — your engineers can maintain and extend the system independently
How the engagement works
Scope & architecture
Lock integration requirements, system boundaries, and architecture decisions. If a diagnostic was completed, we build directly from that plan.
Build & validate
Implement pipelines, validation, observability, and compliance controls alongside your team. Regular checkpoints keep delivery predictable.
Harden & handoff
Run under production-realistic conditions, resolve edge cases, complete security review, and hand off with documentation and knowledge transfer.
Pricing
Scoped to complexity
$60k–$120k
Delivered in 6–8 weeks
Built for teams that need senior execution support without adding long-term vendor dependence.
- —Number of interfaces and EHR partners drives baseline scope
- —Greenfield builds typically scope lower; modernization and multi-partner integrations scope higher
- —FHIR, HL7, DICOM mix and compliance requirements factor into complexity
- —Teams that completed the diagnostic usually start with tighter scope, fewer unknowns, and lower delivery risk
- —Pricing is fixed before work begins — no open-ended billing
Frequently asked questions
Not always. If your integration scope and architecture direction are already clear, we can start directly. For higher-risk situations — unclear boundaries, multiple EHR partners, legacy migration — a diagnostic first significantly reduces the chance of expensive mid-project pivots. Most teams that skip it have already done equivalent scoping internally.
Access to your codebase, infrastructure, and integration partners. A technical point of contact for architecture decisions and code review. The engagement works best when your engineers are actively involved — the goal is ownership at the end, not dependency during.
Timeline and pricing flex with complexity: number of EHR partners, data standards (FHIR, HL7, DICOM), compliance requirements, and whether you're building greenfield or modernizing existing pipelines. Everything is scoped precisely before work begins — no surprises.
You own everything — code, architecture decisions, documentation, runbooks, and operational playbooks. Knowledge transfer sessions ensure your engineers can maintain and extend the system independently. If you need ongoing senior oversight, the Advisory Retainer is designed for that.
Integration vendors build systems you depend on them to maintain — black-box middleware, proprietary layers, recurring licenses, and no meaningful knowledge transfer. The Accelerator is designed to do the opposite. Architecture decisions are explicit and documented. Production hardening and compliance controls are included. Runbooks, documentation, and handoff are part of the engagement. Your team owns the system at the end — no lock-in, no ongoing dependency.
Before or after the Accelerator
Need clarity before committing to implementation? Or ongoing support after handoff? These engagements are designed to complement the Accelerator.
Diagnostic
Interoperability Readiness Diagnostic
Not sure if your architecture is ready? The Diagnostic surfaces risks and creates a prioritized plan before you commit to implementation.
Learn moreRetainer
Advisory Retainer
After handoff, the Retainer provides ongoing senior oversight to keep architecture, compliance, and vendor decisions on track.
Learn moreShip production integrations your team fully owns
Scoped, senior-led execution that gets you to go-live without architecture debt, compliance drag, or vendor lock-in.
Engagement slots are limited — typically 1–2 concurrent Accelerator projects.
Need earlier-stage clarity? Run the 3-minute scorecard or start with the Diagnostic.