Each new system means another connection, another translation, and one more thing that can break.
The same customer or patient exists in half a dozen systems, and none of them quite agree.
Every application has its own idea of who you are and what you are allowed to do.
A message failed somewhere, data is out of date somewhere, and nobody can tell you where.
Touching one system breaks something three systems away, so changes stop happening.
When something fails, someone digs through logs by hand and fixes it from memory.
The apps, screens and dashboards your teams open every day, and the systems that call them.
Requests that need an answer now, and announcements that others can pick up in their own time.
Data with an owner, a history of where it came from, and rules about who may read it.
Proving who someone is, deciding what they may reach today, and protecting the data either way.
Releasing changes, watching it work, and getting it back quickly when something goes wrong.
Environments that grow when you need them to — public cloud, private cloud, or your own racks.
Data that keeps its meaning, knows where it came from, and has someone answerable for it.
Connections with an agreed shape, delivery you can rely on, and a view of what is passing through.
Files dropped on a server at midnight, odd vendor formats, systems older than the team running them.
One place that tells you what is healthy, what is slow, and what has quietly stopped.
Start where the risk is worst, prove that part works, then build the shared pieces everything else can reuse.