Taking a healthcare platform from firefighting to boring
Executive summary: Meridian Health runs patient portals for regional clinic networks. Operations lived in spreadsheets and late-night heroics, and audits were an annual crisis. Opsnexus took over operations under a hard SLA, automated patching and recovery, and eliminated 20 hours of weekly manual work. Uptime since: 99.98%.
Client background
Meridian Health serves 60+ clinic networks with patient scheduling and records portals. A five-person engineering team split its time between product work and keeping roughly 80 servers alive.
The challenge
There was no on-call rotation — outages were discovered via support tickets, sometimes hours in. Patching happened quarterly at best, which security questionnaires increasingly flagged. The team's best engineer spent most of his time on operations, and the annual compliance audit consumed a month of scrambling.
What discovery found
The solution
We took operational ownership under a written SLA with 15-minute acknowledgment. Monitoring and alerting were rebuilt on Prometheus and Grafana with an actual escalation path. Patching, certificate renewal, and backup verification were automated with Ansible; restores are now drilled quarterly. Every incident produces a written post-mortem, and every recurring task becomes a runbook in Meridian's own wiki.
Implementation
Results
“Ops used to eat a third of our roadmap. Opsnexus took the pager, wrote the runbooks, and gave us the time back. Audits went from panic to routine.”