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Scaling Software Delivery with AI in the Broader Healthcare Sector

A healthcare-adjacent organization based in the United States relies on software to serve customers and manage internal operations. Stack Builders works alongside its engineering team to expand delivery capacity through AI-assisted development.

Healthcare Adjacent
60% more team throughput

The Challenge

The team needed to increase delivery capacity without lowering engineering standards. The question was not whether AI could write more code, but whether it could help a smaller team ship more useful work without creating more defects or review risk.

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How We Approached It

We introduced Claude Code into the delivery workflow, then paired AI-assisted development with peer review, adversarial AI review, a written Definition of Done, and recorded browser and API smoke tests.

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A Closer Look At Our Approach

Partnership in Practice

A closer look at how we worked together on this project, including the engineering decisions, delivery practices, and collaboration model that helped us accomplish the goal.

  1. Step 1: Measure the System

    We compared two four-week delivery periods using GitHub, git history, and Jira data to understand how team output changed after Claude Code entered the repository.

  2. Step 2: AI Inside the Existing Workflow

    AI supported implementation and review, but was validated by peer review, engineering judgment, and the team's established delivery process.

  3. Step 3: Review Designed to Find Failure

    An adversarial AI reviewer assumes code may be wrong and actively looks for issues against strict quality, correctness, and security criteria.

  4. Step 4: Speed Without Skipping Safeguards

    As AI helped the team take on more and larger changes, the review process became more rigorous too. Additional testing and AI-assisted quality gates helped ensure higher throughput didn’t come at the expense of engineering standards.

The Solution

AI was introduced as an accelerator within an established engineering process. Developers used Claude Code for implementation, while peer review and AI-driven quality gates remained in place to increase output without lowering production standards.

ai adoption

AI-Assisted Development

About 94% of merged changes became AI co-authored after adoption.

Results & Impact

After AI-assisted development became part of the workflow, the team delivered substantially more work with fewer active developers. Pull request and ticket throughput rose, while test code continued to keep pace with product code, and bug-fix PRs became less common. The gain was in total output, not faster turnaround for each change alone.

+56%

More pull requests merged over four weeks, with half the engineer count.

+61%

More Jira tickets delivered across the same four-week comparison.

~2.5x

Pull requests per developer per week increased from 1.9 to 4.8.

Project Tool Stack

The workflow combined Claude Code, GitHub, and Jira with peer code review, adversarial AI review, automated test suites, and recorded browser and API smoke tests.

Looking Forward

The strongest result from this shift is that AI became part of a delivery system that increased capacity while preserving review discipline. The next step is to keep measuring the workflow at the system level: where AI saves effort, where review needs to become stricter, and whether quality signals continue to hold as usage expands.

For healthtech teams, we know that matters. Complex software cannot trade reliability for speed. In fact, with AI, there should be a balance instead. This project shows a practical path to increasing engineering capacity while keeping human review, testing, and accountability in place.

Want to increase software delivery capacity without lowering the quality bar? Talk to our team about building an AI-assisted delivery model around your existing engineering process: