Your systems should talk to each other.

IHSE engineers the connections between your clinical, financial, and operational systems — so data moves once, cleanly, and arrives with its audit trail attached.

68%
of billed charges go uncaptured.

Most CMS reports land between 60% and 70% — this is the industry-wide pattern, not an outlier. Data that moves late, incomplete, or by hand is where it ends up.

Source: CMS claims sample analysis
The Challenge

What we find in most health systems

The same four failure points, regardless of the vendor names on the servers.

Current state

Siloed clinical data

Results live in the EHR, the LIS, the imaging archive, and three departmental databases. Reconciliation is manual and heroic.

Current state

Integrations held together by hand

Point-to-point scripts nobody owns. One vendor upgrade breaks three feeds on a Friday night.

Current state

Compliance evidence is assembled by people

Audit readiness means someone spending weeks pulling records out of systems that should have kept them.

Current state

Analytics arrive after the moment has passed

The dashboard refreshes after the shift, the census, the denial window.

What We Do

Engineering for the whole system

Six disciplines, one goal: data that moves once, correctly, with its history attached.

Interoperability engineering

FHIR/HL7 pipelines between clinical systems, built to survive vendor changes.

Clinical data infrastructure

Pipelines with provenance and quality checks — every value traceable to its source.

Compliance by design

HIPAA-aligned access, audit trails, evidence on demand instead of evidence hunts.

Platform integration

Labs, imaging, devices, scheduling, billing — connected, monitored, documented.

Analytics infrastructure

Near-real-time operational data, not next-week data.

Reliability & operations

Monitoring, runbooks, documentation you keep — whether or not we stay.

How We Work

From assessment to steady state

Three phases. No black boxes, no permanent dependency.

Phase 01

Assess

Map systems, data flows, and the failure points hiding between them. You get the map either way.

Phase 02

Engineer

Build the integrations, guardrails, and evidence trails. Tested against the way your systems actually behave.

Phase 03

Operate

Monitor and document, then hand over clean — or we stay on.

Honest Positioning

What IHSE is — and isn't

What IHSE is

An engineering firm that builds and runs the connective tissue of health systems.

Integration work, data infrastructure, and the operational discipline around them — delivered as systems your team owns.

What IHSE isn't

Another platform to license, a body shop, or a dashboard demo.

We don't sell you software to live inside. We build what you own, documented so your team can run it.

Contact

Request a consultation

Tell us what your systems look like today. We reply within one business day.