Building a Unified Digital Healthcare Ecosystem on Azure

A leading integrated healthcare network operating more than 700 clinics across 850 locations needed to unify fragmented patient and employee experiences. Myridius built an Azure-first digital ecosystem spanning Patient 360, a React Native employee app, an accessible design system, and DevSecTestOps governance, delivering roughly 4 million dollars in annual infrastructure savings, 37 percent faster delivery, and a WCAG 2.2 AA accessible experience.

Key Outcomes

  • Roughly 4 million dollars in annual infrastructure savings and 1 million dollars in identity savings.
  • 37 percent faster delivery and 30 to 50 percent design efficiency gains.
  • A WCAG 2.2 AA accessible experience and 75 percent SharePoint support cost reduction.

Overview

A leading integrated healthcare network, among the largest integrated physician and hospital networks in the Southeast US with more than 700 clinics across 850 locations, faced fragmented patient and employee experiences, rising infrastructure costs, and inconsistent, less accessible digital interfaces. The desired state was a unified, secure, accessible digital ecosystem serving both patients and a workforce of more than 10,000 staff. Myridius delivered an Azure-first platform spanning a Patient 360 experience integrated with Epic through MuleSoft, a React Native employee mobile app, the Aurora design system meeting WCAG 2.2 AA, and DevSecTestOps governance with Azure AD B2C single sign-on and Kubernetes. As a result, the network achieved roughly 4 million dollars in annual infrastructure savings, 1 million dollars in identity savings, 37 percent faster delivery, 30 to 50 percent design efficiency gains, and a 75 percent reduction in SharePoint support costs.

Client Context

The client is among the largest integrated physician and hospital networks in the Southeast US, operating more than 700 clinics across 850 locations and supporting a workforce of more than 10,000 staff.

A unified digital ecosystem mattered here because fragmented patient and employee experiences, rising infrastructure costs, and inconsistent, less accessible interfaces were limiting both care delivery and operational efficiency at scale. What was at stake was the network's ability to serve patients and staff consistently, securely, and accessibly across hundreds of locations.

The Challenge

The network faced fragmented patient and employee experiences, rising infrastructure costs, and inconsistent, less accessible digital interfaces. The desired state was a unified, secure, accessible digital ecosystem that served patients and more than 10,000 staff consistently across more than 700 clinics and 850 locations.

Consider the scale. Patient experiences were spread across disconnected systems, employees lacked a unified mobile tool, design was inconsistent and not fully accessible, and infrastructure and identity costs were climbing. Delivering change was slow, and support costs for legacy collaboration tools were high. Unifying all of this securely and accessibly was the core challenge.

Status Quo and Desired State

Before: Fragmented patient experiences
After: A unified Patient 360 experience

Before: No unified employee mobile tool
After: A React Native app for 10,000-plus staff

Before: Inconsistent, less accessible design
After: An accessible design system at WCAG 2.2 AA

Before: Rising infrastructure and identity cost
After: An efficient Azure-first, single sign-on foundation

Before: Slow delivery and high support cost
After: Faster delivery through DevSecTestOps

Transformation Goals

The engagement focused on north stars that connected a unified, secure, accessible digital ecosystem to efficiency, speed, and a better experience for patients and staff.

  • Unified Experiences: Create a Patient 360 experience and a unified employee mobile app across the network's many locations.
  • Accessibility and Consistency: Establish a consistent, accessible design system meeting WCAG 2.2 AA across digital products.
  • Efficiency and Speed: Reduce infrastructure and identity costs and accelerate delivery through modern governance and DevSecTestOps.

The Solution

The engagement delivered an Azure-first digital ecosystem across four pillars. Myridius orchestrated a unified platform foundation, embedded integration, identity, and accessibility into every product, and reimagined how the network delivers digital experiences to patients and staff. The progression moved from deploying an Azure-first foundation with Kubernetes and single sign-on, to embedding Epic integration, accessible design, and security throughout, to reimagining delivery as a governed DevSecTestOps operating model.

  • Orchestrated the foundation: Built a Patient 360 and personalization experience integrated with Epic through MuleSoft, unifying patient data and interactions across the network.
  • Embedded intelligence into the journey: Delivered a React Native employee mobile app for iOS and Android serving more than 10,000 staff, and the Aurora design system meeting WCAG 2.2 AA for consistent, accessible experiences.
  • Reimagined the operating model: Established governance and DevSecTestOps with Azure AD B2C single sign-on, Kubernetes on AKS, and SharePoint modernization, accelerating delivery and reducing cost.

Governance and Trust

Because this engagement spanned patient data, employee identity, and accessibility for a large healthcare network, security, identity, and compliance were central. Azure AD B2C single sign-on consolidated identity and contributed to roughly 1 million dollars in identity savings, while a DevSecTestOps approach embedded security and testing throughout delivery rather than treating them as afterthoughts.

The Aurora design system meeting WCAG 2.2 AA ensured that accessibility was built into every experience, an essential commitment in healthcare. Integration with Epic through MuleSoft kept patient data unified and consistent, and Kubernetes on AKS with SharePoint modernization provided a secure, efficient, and maintainable foundation that reduced infrastructure cost and support burden while accelerating delivery.

Results

The engagement transformed a fragmented, costly, inconsistent digital landscape into a unified, secure, accessible ecosystem serving patients and staff at scale. The result was substantial savings, faster delivery, and a more accessible experience.

The result:

  • Delivered roughly 4 million dollars in annual infrastructure savings and 1 million dollars in identity savings.
  • Achieved 37 percent faster delivery and 30 to 50 percent design efficiency gains.
  • Reached a WCAG 2.2 AA accessible experience and reduced SharePoint support costs by 75 percent.

Before and After

The following shifts show how the engagement moved the organization toward embedded, proactive, and unified ways of working.

Patient Experience

Before: Fragmented across systems
After: Unified Patient 360 with Epic integration

Employee Tools

Before: No unified mobile app
After: React Native app for 10,000-plus staff

Design and Accessibility

Before: Inconsistent, less accessible
After: Aurora design system at WCAG 2.2 AA

Infrastructure and Identity

Before: Rising cost
After: About 4M in infra and 1M in identity savings

Delivery

Before: Slow, high support cost
After: 37 percent faster, 75 percent less SharePoint support cost

Technology Stack

Infrastructure and Cloud

Microsoft Azure, AKS (Kubernetes)
Provide the Azure-first, scalable platform foundation

Identity and Security

Azure AD B2C single sign-on, DevSecTestOps
Consolidate identity and embed security and testing

Patient Data Integration

Epic, MuleSoft
Unify patient data into a Patient 360 experience

Employee Experience

React Native (iOS and Android)
Deliver a unified mobile app for 10,000-plus staff

Design and Accessibility

Aurora design system (WCAG 2.2 AA), SharePoint modernization
Ensure consistent, accessible experiences and reduce support cost

 

For a large healthcare network, fragmented experiences and rising costs limit both care and efficiency. This case shows how a unified, secure, accessible Azure-first ecosystem serves patients and staff at scale. This was not a single app or migration. It was a unified digital ecosystem spanning patients, a mobile workforce, accessible design, and governed delivery.

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