Service · Healthcare interoperability
Healthcare interoperability consulting that defragments your ecosystem.
After more than 20 years in digital health, I'm convinced of one thing: interoperability is not a standards problem, it's a collaboration problem. I help payers, providers, pharma and health-tech vendors align their stakeholders, data and incentives into one connected, patient-centred ecosystem — strategy and execution together, not another standards document that sits on a shelf. With deep grounding in the Swiss and DACH context, including DigiSanté and the FOPH agenda.
Typical scope
The technical hurdles get the attention. The misaligned incentives are what actually keep you fragmented.
Data silos fragment the patient journey
Best-of-breed systems, separate portals and disconnected records mean clinicians chase information, tests get repeated, and patients carry the cost. Integration eats budget that should go to care — and the silos keep multiplying faster than anyone can connect them.
Misaligned incentives stall every initiative
Each department, organisation and vendor optimises for its own KPIs and budget. The party that must pay for a system-wide fix rarely reaps the benefit, so the obvious collaboration never happens. No standard solves an incentive problem.
Standards without an operating model go nowhere
Billions have been spent on EHRs and interoperability rails — and the FOPH alone has earmarked roughly CHF 400M for DigiSanté — yet the promised benefits stay elusive. Technology is necessary but not sufficient. Without a way of working that rewards collaboration, the rails stay empty.
How we turn a fragmented system into a collaborative ecosystem.
Fragmentation & ecosystem assessment
I map your data silos, the stakeholders involved and where their goals genuinely diverge — across systems, portals and partner organisations. You get an honest picture of where fragmentation actually originates, not just where it shows up.
Interoperability strategy
We define a strategy that treats standards as means, not ends — anchored in the Swiss and DACH reality (DigiSanté, FOPH, and the EHR/EPD landscape). Clear priorities, a sequencing that delivers value early, and decisions you can defend to a board.
Collaboration operating model
We stand up the way of working that makes interoperability stick — built on the five technology commandments from my fragmentation blueprint (break silos, default to open and shared, kill the spreadsheet shadow systems, use AI where it bridges expertise gaps), and align short-term KPIs and budgets with the shared long-term vision.
Change, culture & partnership facilitation
Bottom-up energy fails without top-down mandate. I work with leadership to set the vision, reward systemic thinking, and facilitate the partnerships — between payers, providers, pharma and vendors — that no single actor can build alone.
What this covers
- Defragmenting a healthcare ecosystem end to end
- Breaking down healthcare data silos
- Digital health collaboration strategy
- DigiSanté / FOPH interoperability (Swiss & DACH)
- Aligning KPIs and budgets across stakeholders
- Cross-stakeholder partnership facilitation
How I work: alignment before technology
- Stakeholders and incentives get aligned before we touch a single integration.
- Strategy always ships with execution — I stay through the doing, not just the deck.
- We rewire KPIs and budgets so collaboration is rewarded, not punished.
- Grounded in the Swiss and DACH reality (DigiSanté, FOPH, EPD), not generic global theory.
- Vendor-neutral: I optimise for your ecosystem, not for a platform's licence revenue.
Related insights
Fixing Healthcare Fragmentation
Why healthcare is fragmented, and what it really costs us: inefficiency, bad medicine, and unaffordable care. Frank Eisenlohr on 20+ years of digital health.
Read· 4 minHealthcare FragmentationFragmentation in Healthcare: Who's to Blame?
The real causes of healthcare fragmentation aren't malice but misaligned goals: how hospitals, pharma, and patients each unintentionally make the system worse.
Read· 7 minHealthcare FragmentationDefragmenting Healthcare: My Strategy Blueprint
How to fix healthcare fragmentation in practice: my blueprint of five technology commandments, aligned KPIs and budgets, the right culture, and leadership.
Read· 14 minReady to start defragmenting your ecosystem?
Let's spend 30 minutes on where your data, stakeholders and incentives are pulling apart — and where interoperability can realistically start delivering value. You'll leave with a clear-eyed read on your fragmentation and a sense of the first moves, whether or not we work together.