Community & rural hospitals
Right-sized modernization, care coordination and specialist access for hospitals that are often the only source of care in their communities.
Our partnership model →
Healthcare technology strategy & enterprise architecture
Building healthcare solutions that work.
Vivid Solutions brings CIO- and CTO-level architecture leadership to healthcare organizations that need enterprise-first thinking without the C-suite overhead. We help providers, payers, public programs and health technology companies modernize infrastructure, exchange data that can be trusted, and design technology around how care is actually paid for and delivered.
"Start with the problem first, not the technology."Founding principle, Vivid Solutions
Why we exist
Healthcare has a technology problem that technology alone will not fix.
Most organizations are not short on systems. They are short on an architecture that connects those systems to the mission, the payment model and the people doing the work.
What organizations face
- Fragmented care delivery, where the patient's story is split across settings, vendors and portals
- Aging infrastructure that is expensive to run and risky to change
- Mounting technical debt from a decade of point solutions bought one project at a time
- Interoperability gaps that turn regulatory deadlines into fire drills
- Payment-model change (value-based care, new care-management programs) arriving faster than platforms can absorb
- Governance that reviews projects but never sees the enterprise
What architecture changes
- Care delivery optimized around a shared, longitudinal view of the patient
- A modern infrastructure foundation that is cloud-ready and right-sized
- Strategic tech-debt reduction sequenced by business value, not by vendor roadmap
- Interoperability excellence on FHIR, USCDI, HL7 and TEFCA, built once and reused
- Platforms designed from the reimbursement rules backward, so new programs plug in
- Governance that measures review burden and decision quality, not paperwork
What we do
Four practice areas, one architecture point of view.
Each engagement draws on the same core: deep healthcare domain knowledge, standards-level interoperability expertise and a disciplined enterprise architecture method.
Capabilities
Technical depth where healthcare is hardest
Interoperability standards, identity and consent, cloud and data architecture, security and compliance, and the enterprise architecture methods that tie them together.
Explore capabilities → SolutionsRepeatable answers to recurring problems
Compliance-driven interoperability, trusted-exchange onboarding, caregiver and delegated access, payment-model-aligned care platforms, legacy modernization and governance operating models.
See solutions → Consulting servicesArchitecture as a Service
Fractional CIO, CTO and IT-director leadership delivered as a service: strategic consultation, solution architecture and ongoing advisory, scaled to your organization.
How engagements work → Strategy & supportManagement strategy and consulting support
Product and program strategy, policy and regulatory analysis, business cases, funding and proposal support, vendor oversight and the operating model to run it all.
Strategy and support →
Our model
Architecture as a Service.
Enterprise-level architecture leadership, delivered fractionally. Three levels of perspective, available as a service rather than a full-time hire.
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Healthcare strategy & thought leadership
CIO-level perspective
Business use case discovery, solution validation, value proposition development, health technology product strategy, policy and regulatory analysis, data validation and ROI analysis. We help leadership decide what is worth building before anyone decides how.
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Technology infrastructure & interoperability
CTO-level perspective
FHIR and USCDI implementation, EHR integration, cloud-first infrastructure, healthcare data exchange, API and microservices strategy, and security architecture. Standards-based foundations that survive the next regulation and the next vendor.
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Tech debt reduction & enterprise transformation
IT-director-level perspective
Technical debt elimination, legacy modernization, enterprise landscape optimization, change management, technology ROI measurement and vendor oversight. Transformation that the organization can absorb while it keeps delivering care.
Proven results
Outcomes from architecture-led engagements.
Representative results from provider and health-system work. Each began with a specific operational problem and ended with a measurable change in how care was delivered.
40%
improvement in provider scheduling efficiency through an EHR-based insights dashboard
15%
reduction in no-show rates through cross-EHR appointment reminders
30%
reduction in provider burden by integrating a SMART on FHIR care coordination application
15%
reduction in readmission rates through real-time health information exchange integration across a 300,000-patient population
Who we work with
Partnerships across the healthcare ecosystem.
We work as an extension of leadership teams, not as a vendor on the other side of the table.
Health systems & physician groups
Interoperability, EHR optimization, care-management platforms and the governance to run a complex portfolio.
Learn more →Payers & health plans
Compliance-driven API programs, payer-to-payer exchange, prior authorization modernization and data strategy for value-based contracts.
Learn more →Public programs & HIEs
Program architecture, trusted exchange onboarding, governance and review-board support for agencies and the organizations that serve them.
Learn more →Health technology companies
Product strategy, reference architectures, certification pathways and the regulatory fluency to sell into providers, plans and programs.
Learn more →Universities & research partners
Translational partnerships, grant-funded innovation and the small-business vehicle to pursue them together.
Learn more →
Insights
Thinking we are willing to put in writing.
Perspectives drawn from a decade of healthcare architecture work. No vendor pitches.
Start with the problem, not the technology
Why the most expensive decisions in healthcare IT are made before the first requirement is written.
Transport trust is not actor trust
Certificates prove who is on the wire. They do not prove who is allowed to ask, or why. What trusted exchange still leaves to governance.
Payment models are requirements
Designing care-management platforms from the reimbursement rules backward.
Next step
Tell us about the problem. We will tell you whether architecture is the answer.
A first conversation is a working session, not a sales call. Bring the operational problem, the deadline or the decision you are trying to make, and we will give you an honest read on where to start.