Case studies

Six projects, including the ones where we sold less

Each of these sets out the actual constraint, what we did about it, and a number you can check. Where a facility is not named it is because their procurement terms prohibit it - named references are supplied privately during a tender.

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In detail

Two projects, start to finish

Both of these had been quoted by other suppliers before they reached us. In both cases the difference was the survey work done before the quotation, not the equipment itself.

CT scanner installed in a hospital imaging suite

Replacing two imaging rooms without closing the department

400-bed acute care hospital, Southern California

The constraint

A 16-year-old CT and an ageing fixed radiography room were failing often enough that the department had built an informal outsourcing arrangement into its scheduling. Two previous vendors had quoted a replacement; both projects stalled when the structural survey came back and neither quotation had allowed for floor reinforcement.

What we did

We ran the structural and route survey before quoting, which identified the floor loading issue and a service corridor too narrow for the gantry. The project was staged so radiography moved to a temporary room first, freeing the CT suite for reinforcement work, then the CT went in. Rigging and structural work ran overnight and at weekends.

Clinical sessions cancelled

31%

Increase in daily CT throughput

2 days

Ahead of the agreed schedule

Structural survey CT installation Digital radiography Out-of-hours rigging PACS integration 14 weeks

LED surgical lighting installed above an operating table

Equipping a new three-theatre surgery centre from an empty shell

Ambulatory surgery centre group, Nevada

The constraint

A three-theatre ASC was being built out with a fixed opening date driven by a signed surgeon contract. The group had no in-house clinical engineering function and no appetite to manage eleven separate equipment vendors against a construction programme that was already tight.

What we did

We took the full equipment scope as a single package: tables, lighting, electrosurgical generators, anaesthesia, sterile processing, monitoring and recovery bays. One project manager sat in the weekly construction meeting from month two, which caught three utility conflicts while they were still drawings rather than installed conduit.

On time

Opened to the contracted date

11 → 1

Vendors to manage

100%

Staff competency signed off pre-opening

Turnkey fit-out Construction coordination Sterile processing Clinical training Single point of contact 22 weeks

More projects

Shorter versions

Two of these ended with us billing considerably less than the customer expected to spend. Those are the ones we would point at first.

Laboratory consolidation across four sites

Regional health system, Arizona

Four labs running six different analyser platforms with incompatible service contracts. We standardised on two platforms, negotiated a single service agreement and redeployed surplus units to two clinics that had been sending work out.

$214k

Annual service spend removed

ICU monitoring refresh under a capital freeze

Community hospital, Central Valley

A 24-bed ICU needed monitoring replaced but capital had been frozen mid-year. We structured the project as a fair market value lease with payments starting after commissioning, moving it into the operating budget.

Capital dollars required

Mobile imaging for a rural clinic network

Rural clinic network, Northern California

Five clinics, none with the patient volume to justify a fixed radiography room. A shared mobile DR unit on a rotating schedule, with a service agreement covering the transport wear that normally kills these arrangements.

Clinics served by one system

Taking over a neglected multi-vendor fleet

Post-acute care group, Southern California

A 900-asset fleet with no reliable service history and an accreditation survey nine months out. Baseline inspection, condition-based triage, and a phased catch-up programme rather than a single unaffordable remediation project.

9 mo

From no records to survey-ready

Detector retrofit instead of a room replacement

Independent imaging centre, San Diego County

The centre had been quoted a full radiography room replacement. The generator and stand were sound; only the imaging chain was obsolete. We retrofitted a modern DR panel and workstation for a fraction of the quoted cost.

68%

Below the replacement quotation

Fixing adoption after someone else's installation

Physician group practice, Nevada

A practice had bought ultrasound elsewhere and barely used it eight months later - nobody had been properly trained. We ran a structured in-service programme and configured protocols around their actual case mix.

Increase in scans per week

The pattern

Projects fail at the survey, not at the install

Across every project on this page, the thing that decided the outcome happened before any equipment was ordered. Structural loading, route access, utility capacity, staff availability for training - these are all knowable in week one and expensive in week twenty.

A survey done before quotation costs us a day and saves the project.
The cheapest capital quote is frequently the one that has left something out.
Equipment nobody was trained on is the same as equipment nobody bought.
A vendor who will argue against a sale is worth more than one who never does.

2,400+

Systems commissioned

98%

Planned maintenance on schedule

380+

Facilities under service agreement

17 yrs

Supplying US providers

Want to talk to one of these customers?

We will arrange a reference call with a facility comparable to yours - same size, same equipment class, same problem. That conversation tells you more than this page does.

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