A 7-hospital regional health system had aging VMware infrastructure facing end of support in 18 months. With 12,000 staff, Epic EMR as the clinical backbone, and HIPAA as a non-negotiable constraint, this was a controlled migration, not a crisis response. But the timeline was fixed.
Unlike enterprise IT, healthcare migrations must handle patient data sovereignty, audit trails, Epic integration, and radiological imaging workloads with strict latency requirements. Every migration decision has clinical implications.
Most cloud migrations slip because teams underestimate dependencies. We started by mapping Epic, not by counting VMs. That changed everything.
We did not impose a generic migration timeline on clinical staff. Instead, we adapted to their calendar: oncology rotations, surgical schedules, critical staffing periods. Migrations happened outside peak clinical demand. Hypercare teams worked nights and weekends so hospitals did not have to.
Bring the problem. We'll come back with a written brief: what to build, what to defer, and where AI actually moves the number. No deck pitches.