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New: The State of Software Delivery in Healthcare
Fernando Perales · 2026-07-30 · via Giant Robots Smashing Into Other Giant Robots
https://thoughtbot.com/blog/new-the-state-of-software-delivery-in-healthcare

We surveyed engineering, product, and technology leaders across US healthcare organizations to learn how teams are balancing speed, innovation, and risk.

Move fast and break things may have been a popular mantra for startups, but the nature of healthcare software demands no room for breaking things while still moving fast.

We commissioned a third-party research firm to survey tech leaders at established healthcare and health tech organizations about the tensions they are experiencing when it comes to software delivery. We wanted to learn what’s working, what isn’t, and what’s next.

A few things stood out:

68% of respondents struggle to increase delivery velocity without introducing operational risk, and 58% spend more time navigating approvals than building product

  • 68% say speed and risk are in constant tension. When we asked why, we learned that the top blocker isn’t what most teams assume.
  • 58% report spending more time navigating approvals than actually building product.
  • 94% of leaders say they’d rather work with a team that ships reliably than one that simply ships fast.

Check out our (ungated) report to see the stats that jumped out at us. Plus learn how your team compares to the industry average as well as other useful resources.

About thoughtbot

We've been helping engineering teams deliver exceptional products for over 20 years. Our designers, developers, and product managers work closely with teams to solve your toughest software challenges through collaborative design and development. Learn more about us.