All case studies
Healthcare

healthAlliance

healthAlliance Transformation

New Zealand’s largest healthcare provider embedded Lean, Agile and DevOps practice across a 2,000+ application landscape, lifting delivery speed, collaboration and operational resilience.

1.9Mpeople covered
2,000+applications managed
28,500clinical staff

The Client

healthAlliance is New Zealand’s largest healthcare provider, delivering services across a vast geographical area of nearly 20,000 square kilometers and serving almost 40% of the country’s population. The organisation plays a critical role in managing healthcare infrastructure and digital services for millions of New Zealanders.

The Challenge

healthAlliance was operating within traditional business and IT models that limited agility and responsiveness. The complexity of supporting over 2,000 applications, combined with the rapidly evolving demands of healthcare services, created pressure for a significant transformation in both mindset and operational practices. They needed to shift towards more flexible, collaborative, and efficient ways of working to enhance delivery speed, service quality, and adaptability.

The Solution

Citrus Global partnered with healthAlliance to facilitate a comprehensive business transformation focused on embedding Lean, Agile, and DevOps principles across the organisation.

Mindset Shift

Citrus Global helped transition healthAlliance’s teams from conventional project management and operational silos into a culture that values continuous improvement, collaboration, and customer-centric delivery.

New Ways of Working

Beginning with existing teams, Citrus Global introduced Lean and Agile methodologies tailored to the healthcare context, ensuring the approach supported both ongoing operations and new development activities. This included iterative delivery, cross-functional team collaboration, and faster feedback loops.

Scalable Agile Adoption

Following initial successes, Citrus Global extended Agile frameworks to major projects, standardising Lean-Agile and DevOps practices to streamline workflows, reduce bottlenecks, and improve release cadence.

Sustained Support and Change Management

Citrus Global worked alongside healthAlliance’s Digital and Mobility division, which supports the extensive application landscape and change requests, embedding agile tools and practices that enhanced transparency, issue resolution, and stakeholder engagement.

Results

This transformation not only modernised healthAlliance’s operational capabilities but also established a sustainable foundation for innovation and growth aligned with the evolving healthcare landscape.

Enhanced Delivery Efficiency

Agile adoption accelerated project timelines and improved the predictability of releases, enabling healthAlliance to respond more rapidly to emerging healthcare needs.

Improved Collaboration

Cross-functional teams became more cohesive and empowered, breaking down silos between development, operations, and support functions.

Operational Resilience

The integration of DevOps practices reduced downtime and improved system reliability across the large portfolio of healthcare applications.

Culture of Continuous Improvement

Lean principles fostered ongoing process optimisation and a proactive approach to quality and risk management.

Key Statistics

18,683 km²
geographical coverage
1.9 million
people, healthcare coverage
14
hospitals
6
emergency departments
81
operating theatres
155,000
procedures per annum
3,100
beds
1.1 million
bed-days per annum
28,500
clinical staff

Your operation could be the next case study.

Book a 30-minute call and we will tell you what we find.