Healthcare — Predictable delivery across care journeys

Client: Regional provider network

Context: Referral + scheduling

Situation

Wait times crept up. Teams were busy but outcomes didn’t move.

What we did

• Team Topologies: stream-aligned teams for referral, scheduling, and patient comms; small platform team.
• Flow metrics across all teams; weekly review and small experiments.
• Dependency map and simple release checklist.
• Quality gates inside pipelines, not after the fact.

Results in 3 months

• Lead time down, fewer rollbacks, steadier cadence.
• Referral-to-scheduled time reduced; fewer dropped handoffs.
• Staff reported clearer priorities and less context switching.

Why it worked

Aligned teams to outcomes, made work and flow visible, and removed friction.