Testing
We test before we hand over
Testing and documented sign-off are included in every project. You get a record of what was tested and what we found.
IT & Business Design
Roberto NietoFounder & Principal Consultant. He scopes your project and is in the room at go-live.
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We learned our standards in healthcare. We apply them everywhere.
RAAM Consulting & Solutions is a Toronto business and IT consultancy. We design, build and support systems that organizations can't afford to get wrong, with the care we learned in hospitals.
Roberto NietoFounder & Principal Consultant. He scopes your project and is in the room at go-live.
13years in hospital systems across Ontario
200+pediatric oncology treatment protocols built and validated
Allinpatient sites covered by one Orders/CPOE team we led, at an academic health sciences centre
6Epic certifications, plus PMP and Lean Six Sigma
The state of the work
Adoption is largely finished. Integration is not.
92%
of Canadian health care providers had access to a digital health system at their primary practice setting in 2024.
78%
hit at least one barrier when trying to share patient information electronically.
50%
named poor integration between systems as the barrier, the most common answer.
The hard part of health technology is no longer buying it. It's getting systems that were built separately to work as one, and keeping them working as the organization changes. That's the work we do, and the same problem shows up in every sector that bought its systems one at a time.
Source: Statistics Canada, Survey on the Use of Digital Technologies by Health Care Providers, 2025 (released 30 March 2026; 6,157 providers, covering 2024).
How we help
Six services. One accountable person.
Start with the one you need. The person who scopes your project is the person in the room at go-live.
Business & Product Design
Decide what is worth building
Working out what's worth building before anyone builds it.
Management Consulting
Redesign how the work is done
Improving how the work gets done, and helping people take on the change.
Technology & Architecture
Make your infrastructure defensible
Making sure your systems hold up as you grow or the rules change.
System Development & Implementation
Land the system, through go-live
Choosing, setting up and launching a new system, and staying with you through go-live.
IT Support
Run the support your staff judge you on
Cloud, backups, security, printing, training and a help desk that answers.
Healthcare & Specialized Services
Put experienced people in the seat
Experienced Epic and clinical systems people, when you need them.
Industries we serve
Sectors where the detail matters
We do our best work where a mistake is costly: clinical care, regulated operations, and organizations that can't afford a bad rollout.
Hospitals & Health Systems
Epic build, testing and go-live support, from someone who spent thirteen years inside Ontario hospitals.
Long-Term Care & Community Health
Practical IT help for small teams carrying hospital-level obligations.
Public Sector & Not-for-Profit
Delivery planned around procurement rules, audits and budget years.
Professional Services & Mid-Market Enterprise
For growing firms whose systems and processes haven't kept up with the business.
Why the healthcare standard travels
Most IT problems are tolerable. In a hospital, they never were.
In a hospital, an order set that behaves unexpectedly is a clinical safety event. That's the standard we learned, and it's the one we bring to every project, whatever the sector.
Continuity
We plan for the day it breaks
Before go-live there's a downtime plan, a way to roll back and a named person to call. Confidence on the day comes from that preparation.
Handover
We leave your team able to run it
Documentation, runbooks and training are part of what you get. A good project is one where you need us less afterwards.
Insights
What we are seeing
Notes from the work: what we see on projects, written for the people who run them.
Field note
What actually breaks at go-live
The failure modes we see again and again, and the three that are cheap to prevent.
Read →BriefingIntegration is the new adoption
Reading Statistics Canada's latest health care provider survey, and what it means for IT planning.
Read →PracticeHow to buy consulting well
What to ask any firm — including us — before you sign a statement of work.
Read →Before you book a call
Tell us the problem. Get a scope back in two minutes.
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Open the scoping tool
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