2026

The State of Software Delivery in Healthcare

Original research with engineering, product, and technology leaders across US healthcare organizations.

Healthcare organizations don't have to choose between fast and safe.

We surveyed engineering, product, and technology leaders across US healthcare organizations to find out how the best teams are doing both. Here's what they told us.

Technical teams are under pressure to move faster.

Leaders are being asked to modernize, adopt AI, and ship faster than ever inside some of the most tightly regulated environments in software.

68

struggle to increase delivery velocity without introducing operational risk

58

spend more time navigating approvals than building product

What slows delivery most (% citing each factor)

  • Compliance approvals 57%
  • Budget constraints 47%
  • Security reviews 46%
  • Vendor integration 42%
  • Legacy systems 38%

Reliability beats speed.

Reliable software delivery has become the competitive advantage, not just raw velocity.

94

of healthcare leaders value teams that ship reliably over teams that simply move quickly

Organizations aren’t innovating less. They’re innovating more intentionally.

Structured adoption, sandboxed testing, and operational discipline are becoming the default path to shipping AI and new technology safely.

90

say innovation strategies are shifting toward operational discipline

89

say successful initiatives depend on structured adoption

85

say secure sandbox environments are becoming standard

Confidence is often the limiting factor.

Teams don't stall because the tools aren't ready. They stall because no one's confident enough to move.

89

say accelerating delivery depends on trusted software partners

67

are more willing to adopt new technology when supported by an experienced partner

How high-growth teams reduce risk while moving faster

  • Structured prioritization
    85%
    39%
  • Experienced software partners
    71%
    59%
  • Cross-functional planning
    65%
    42%

So what does this mean for your team?

The survey suggests organizations that balance speed with reliability invest in delivery foundations, intentional AI adoption, and strategic product thinking. Here are three ways to go deeper.

Build a stronger delivery foundation

Strong delivery foundations help teams move faster without sacrificing reliability.

Introduce AI with confidence

Successful teams balance security, governance, and practical implementation from day one.

Reduce risk before you build

Better product decisions reduce delivery risk before development begins.

Benchmark your team against your peers

Take the Healthcare Software Delivery Assessment to see how your organization's approach compares with engineering, product, and technology leaders across the US.