Solving We're trying to scale our engineering team but everything is breaking for HealthTech
Expert Fractional CTO Solutions for HealthTech & Digital Health Companies
This problem has significant impact on HealthTech companies, affecting operational efficiency, customer satisfaction, and competitive positioning. Our fractional CTO services provide HealthTech & Digital Health-specific expertise to resolve this challenge quickly and sustainably.
How "We're trying to scale our engineering team but everything is breaking" Impacts HealthTech
This problem has significant impact on HealthTech companies, affecting operational efficiency, customer satisfaction, and competitive positioning. In the HealthTech & Digital Health sector, this problem manifests differently than in other industries, requiring specialized expertise and industry-specific solutions.
Business Impact
Despite doubling engineering headcount and salary costs, overall output increased only 20-30%. Cost per feature shipped increased dramatically. Missing revenue targets despite significant investment in team growth. Investors questioning engineering efficiency and burn rate. Unable to scale further without fixing fundamental issues.
HealthTech & Digital Health Specific: Revenue loss, customer churn, competitive disadvantage
Team Impact
Confusion about who's working on what and constant duplicate or conflicting work. Junior engineers not getting enough mentorship and guidance. Communication breaking down between subteams. People feeling lost in larger organization and unclear on priorities. Quality declining as coordination overhead prevents proper review and testing.
HealthTech & Digital Health teams face unique pressure and expertise requirements
Leadership Impact
Frustration that hiring more people made problems worse. Spending all time in coordination meetings instead of strategic leadership. Stress from investor questions about engineering efficiency. Second-guessing team growth plans. Concerned about burning runway faster without proportional results. Wondering if you need to replace entire leadership team.
Critical for HealthTech & Digital Health founders and technical leaders
Warning Signs for HealthTech
HealthTech & Digital Health Red Flag
HIPAA compliance gaps identified in audit
HealthTech & Digital Health Red Flag
EHR integration errors increasing
HealthTech & Digital Health Red Flag
Clinical workflow complaints from providers
General Symptom
Velocity per engineer decreasing as team grows
General Symptom
New hires taking 2-3 months to become productive
HealthTech & Digital Health Compliance Risks
This problem can jeopardize critical compliance requirements for HealthTech & Digital Health companies:
Our HealthTech & Digital Health-Specific Approach
We combine deep HealthTech & Digital Health industry expertise with proven problem-solving methodologies to deliver solutions that work in your specific context.
Solution Framework
Team scaling fails when you try to operate a 20-person team like a 5-person team. Successful scaling requires: architectural modularity enabling independent team work, clear team structure with appropriate ownership, technical leadership hierarchy (tech leads, senior engineers, architects), scalable processes for code review, deployment, and communication, and excellent onboarding enabling rapid productivity. We've scaled dozens of engineering teams and know exactly which changes to make at each team size milestone.
For HealthTech & Digital Health companies, we adapt this approach to account for industry-specific challenges including hipaa compliance, ehr integration, and more.
Implementation Timeline
Team Scaling Assessment and Structure Design
We assess your current team structure, processes, architecture, and bottlenecks to understand why scaling isn't working. We design an appropriate team structure for your size: typically 2-3 feature teams of 4-6 people each, with clear ownership boundaries, appropriate technical leadership roles (tech leads, senior engineers), and reporting structure. We create a scaling roadmap addressing architecture, processes, tooling, and hiring. You'll get a clear blueprint for how your 15-20 person team should operate effectively.
2-3 weeks
HealthTech & Digital Health optimizedImplement Team Structure and Technical Leadership
We reorganize into properly-sized teams with clear ownership, identify or hire tech leads for each team providing necessary technical leadership, establish communication and coordination mechanisms between teams, create appropriate forums (architecture review, tech leads sync, demo days), and clarify decision-making authority and escalation paths. We ensure each team has the leadership, ownership, and autonomy to move fast without constant coordination with other teams. This usually unlocks 30-40% improvement in velocity within 4-6 weeks.
4-6 weeks
HealthTech & Digital Health optimizedArchitectural Modularity and Infrastructure Scaling
We refactor architecture to enable team independence: clearly bounded services or modules owned by specific teams, well-defined interfaces between team domains, independent deployment capabilities reducing cross-team dependencies, and comprehensive testing enabling confident autonomous changes. We scale infrastructure and tooling: CI/CD systems that handle increased load, improved testing parallelization and speed, better development environments and documentation, and monitoring/observability for larger system. This enables teams to work in parallel without stepping on each other.
8-12 weeks
HealthTech & Digital Health optimizedScalable Processes and Cultural Practices
We implement processes that scale beyond 15-20 engineers: streamlined onboarding that gets people productive in 2-3 weeks, distributed code review processes not dependent on specific people, asynchronous communication reducing meeting overhead, clear roadmap planning and prioritization frameworks, knowledge sharing systems (tech talks, documentation, pairing), and career development frameworks that work at scale. We establish cultural practices and rituals that maintain cohesion and alignment as the team grows further.
3-6 months
HealthTech & Digital Health optimizedTypical Timeline
2-3 weeks assessment, 4-6 weeks initial restructuring, 3-6 months to fully scale processes and architecture
For HealthTech & Digital Health companies
Investment Range
$18k-$35k/month (justified by unlocking productivity from your existing $150k-$300k monthly engineering salary cost)
Typical for HealthTech & Digital Health engagement
What You Get: HealthTech & Digital Health-Specific Deliverables
Comprehensive assessment of we're trying to scale our engineering team but everything is breaking in healthtech context
HealthTech & Digital Health-specific solution roadmap with timeline and milestones
Technical architecture recommendations tailored to your industry
Implementation plan with risk mitigation strategies
HIPAA compliance gap analysis and remediation plan
FHIR/HL7 interoperability assessment and integration strategy
Clinical workflow optimization and EHR integration roadmap
HealthTech & Digital Health Tech Stack Expertise
Our fractional CTOs have extensive experience with the technologies your HealthTech & Digital Health company uses:
languages
frameworks
databases
Success Metrics for
When we solve "We're trying to scale our engineering team but everything is breaking" for HealthTech & Digital Health companies, you can expect:
Improvement in key performance metrics
To full resolution and sustainability
HealthTech & Digital Health compliance maintained
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Learn about HealthTech & Digital Health solutions →Ready to Solve We're trying to scale our engineering team but everything is breaking in Your HealthTech & Digital Health Company?
Get expert fractional CTO guidance with deep HealthTech & Digital Health expertise. Fast resolution from $2,999/mo.