Posts
Occasional writing when there's something worth saying. No schedule, no filler.
2026
Integration projects don't fail because of HL7 or FHIR. They fail because nobody designed the governance for a programme where three vendors share a boundary and none of them own it.
What actually happens when you walk into a programme that's RED — and the three structural patterns you have to find before anything else.
Contract management and business relationship ownership are different functions. Most organisations conflate them — and the vendor benefits.
When one person enforces quality, manages the relationship, and holds the budget — the vendor wins every argument.
A structured email system for delivery leaders who process 200 emails a day and still need time to think.
The word for what's missing in toxic workplaces — and how to get it back.