Major Health System Refreshes Nearly 2000 Legacy Servers With The Help of the Paradigm Team

Client Profile

  • One of largest health systems in the country
  • Nearly 40 hospitals and over 400 care centers across 3 states
  • More than 60,000 staff and caregivers


  • Deadline to bring system into compliance with CMS Rules for EHR Incentive Programs set at end of 2017
  • Forecasted need for 30 infrastructure architects to convert 2,000 servers
  • Lack of qualified resources to complete job by deadline
  • Current hardware run on legacy servers out of warranty, no longer supported

Business Needs

  • Client needed to refresh nearly 2,000 legacy servers to bring business into compliance with CMS rules to participate in Electronic Health Record (EHR) Incentive Programs
    • System must be certified for Meaningful Use Stages 2-3; if not certified, no incentive payments from CMS (significant $)
  • Build a team quickly to meet the demands of refreshing legacy servers
  • Support business application owners

Solution & Results

  • Paradigm was able to quickly assemble a team of infrastructure architects and build engineers to work on refresh project
    • Only 13% turnover over 2-year period resulting in less time spent on training and onboarding
  • Over a period of 2 years, Paradigm team has reduced the server support ratio from 100 servers: 1 architect to ratio of 150:1 – 33% increase in support coverage
    • Industry average ratio is 100:1
    • Less architects needed, less spend on support and resources
  • Project months ahead of schedule, resulting in reduced risk of fines for non-compliance with CMS rules for EHR Incentive Programs