Managed Services

    Proactive IT management so you can focus on patient care

    Our managed services offering provides 24/7 proactive monitoring, maintenance, and optimization of your healthcare IT environment. From infrastructure management to application support, Brandywine acts as an extension of your team—ensuring uptime, performance, and compliance around the clock.

    What We Do

    Service overview and the core capabilities BCP brings to every managed services engagement.

    24/7 infrastructure monitoring and alerting
    Application performance management (APM)
    Patch management and security updates
    Incident response and escalation management
    Capacity planning and performance optimization
    Monthly health reports and executive briefings

    Key Benefits

    24/7 Coverage

    Round-the-clock monitoring and response ensures issues are resolved before they impact patient care.

    Predictable Costs

    Fixed monthly pricing eliminates surprise IT expenses and simplifies budgeting.

    Focus on Core Mission

    Offload IT operations to our experts so your team can focus on delivering exceptional patient care.

    24/7 managed services operations center monitoring healthcare IT
    Always watching

    Round-the-clock monitoring, response, and optimization.

    Why BCP for Managed Services

    24/7/365 monitoring and incident response for healthcare IT environments
    Predictable fixed monthly pricing with transparent SLA commitments
    Microsoft Defender for Cloud integration for security posture management
    Azure Arc for unified hybrid and multi-cloud management
    Monthly health reports and quarterly business reviews with executive teams
    Proactive capacity planning and performance optimization

    Who We Serve

    The audiences this service is built for, with the specifics that matter to each.

    Community Hospitals

    Right-sized 24/7 IT operations without growing internal headcount.

    • Help desk + infra + apps
    • EHR-adjacent application support
    • After-hours and weekend coverage

    Digital Health & SaaS

    Production SRE and on-call so engineers can build.

    • 24/7 SRE on-call
    • Customer-impacting incident response
    • SLA / SLO ownership

    Payers

    Application and integration operations for core admin + member services.

    • Claims, eligibility, and EDI ops
    • Member portal & API uptime
    • Batch & nightly job ops

    Life Sciences

    Validated environments under change-controlled operations.

    • GxP-aligned ops
    • Validated change management
    • Quality-system integration

    Who We Serve

    Our managed services are tuned to the operational realities of each audience — from 24/7 startup runtime support to enterprise-grade SOC operations for hospitals and health plans.

    Health Startups

    Outsource HIPAA-grade infrastructure operations so engineering teams can focus on product velocity.

    SME Capabilities

    • 24/7 Azure infrastructure monitoring with PagerDuty/Opsgenie escalation
    • Patch management for AKS, App Services, and managed databases
    • Continuous compliance monitoring (Microsoft Defender for Cloud, Azure Policy)
    • Cost optimization reviews with reserved instance and savings plan modeling
    • Disaster recovery runbooks and quarterly DR drills

    BCP Experience

    • Operated Azure environments for digital health SaaS platforms with 99.95%+ uptime
    • Reduced cloud spend 30–40% via right-sizing and reservation strategy
    • Maintained SOC 2 control evidence continuously between annual audits
    Learn more about our work with Health Startups

    Payers & TPAs

    Keep claims, eligibility, and member-facing systems running through open-enrollment surges and regulatory deadlines.

    SME Capabilities

    • EDI gateway monitoring (837/835/270/271) with transaction-level alerting
    • Claims processing platform support (Edifecs, ClaimsXten, custom pipelines)
    • Member portal and Patient Access API uptime management
    • Capacity planning for open-enrollment and renewal cycles
    • Regulatory reporting calendar management (HEDIS, STARS, MLR, CMS submissions)

    BCP Experience

    • Sustained 99.99% uptime on member-facing portals during peak enrollment
    • Operated EDI gateways processing millions of monthly transactions
    • Managed CMS-0057 API runtime with FHIR conformance monitoring
    Learn more about our work with Payers & TPAs

    Health Systems

    Provide enterprise-grade IT operations across clinical, analytical, and administrative platforms — without the overhead of growing internal teams.

    SME Capabilities

    • Integration engine support (Rhapsody, Mirth, Cloverleaf, Azure Health Data Services)
    • Enterprise data warehouse and analytics platform operations
    • 24/7 NOC and SOC services with healthcare-trained analysts
    • Identity and access management (Entra ID, role mining, periodic recertification)
    • Change management aligned with hospital ITIL and CAB processes

    BCP Experience

    • Operated HL7/FHIR integration engines processing 50M+ messages per month
    • Provided Tier 2/3 support for enterprise analytics platforms across IDNs
    • Ran 24/7 SOC services with HIPAA-trained tier-1 through tier-3 analysts
    Learn more about our work with Health Systems

    Provider Organizations

    Take infrastructure, EHR uptime, and security operations off the plate of medical group IT teams.

    SME Capabilities

    • EHR uptime monitoring and vendor escalation management
    • Endpoint management (Intune, Defender for Endpoint) for clinical workstations
    • Backup and ransomware recovery for clinical and billing systems
    • After-hours help desk staffed by healthcare-experienced technicians
    • Quarterly security posture reviews aligned to HIPAA/HITECH

    BCP Experience

    • Operated managed endpoint programs across multi-site provider groups
    • Recovered clinical operations from ransomware events within published RTOs
    • Maintained 24/7 help-desk coverage for after-hours and weekend clinics
    Learn more about our work with Provider Organizations

    EHR Optimization

    Operate and continuously improve EHR-adjacent applications, integrations, and SMART on FHIR apps.

    SME Capabilities

    • SMART on FHIR app hosting, monitoring, and version management
    • Interface monitoring with proactive HL7/FHIR error remediation
    • Quarterly EHR optimization sprints driven by usage analytics
    • Release management coordinated with EHR vendor upgrade cycles
    • Clinical content governance and template library maintenance

    BCP Experience

    • Hosted and operated SMART on FHIR apps for multi-tenant health systems
    • Reduced HL7 interface error backlogs through proactive monitoring
    • Coordinated upgrade testing across major Epic and Cerner releases
    Learn more about our work with EHR Optimization

    HIPAA Compliance

    Run continuous HIPAA control monitoring so compliance is a daily operating posture, not an annual scramble.

    SME Capabilities

    • Microsoft Sentinel-based PHI access monitoring and alerting
    • Continuous Defender for Cloud regulatory compliance scoring
    • Quarterly access reviews and least-privilege enforcement
    • Vulnerability management with healthcare-aware prioritization
    • Tabletop exercises and incident response retainer services

    BCP Experience

    • Operated SIEM platforms with HIPAA-tuned detection content
    • Sustained Defender for Cloud regulatory compliance scores >90%
    • Provided incident response retainers with 1-hour engagement SLAs
    Learn more about our work with HIPAA Compliance

    ONC & Interoperability

    Maintain certified APIs, USCDI conformance, and FHIR endpoints in production after go-live.

    SME Capabilities

    • FHIR endpoint uptime, latency, and conformance monitoring
    • USCDI data quality checks and drift detection
    • Inferno test re-execution as part of release pipelines
    • Information Blocking complaint triage workflows
    • TEFCA / QHIN connectivity operational support

    BCP Experience

    • Operated production FHIR APIs for ONC-certified HIT developers
    • Maintained continuous USCDI conformance through quarterly Inferno runs
    • Supported QHIN onboarding and ongoing TEFCA participation
    Learn more about our work with ONC & Interoperability

    FQHCs

    Provide right-sized managed services for community health centers — predictable cost, full HIPAA coverage.

    SME Capabilities

    • EHR and PM system support tuned to FQHC workflows
    • UDS reporting platform operations and submission support
    • 340B split-billing integration monitoring
    • Endpoint and network management across distributed clinic sites
    • HRSA OSV technology evidence preparation

    BCP Experience

    • Operated IT environments for FQHCs across multiple HRSA regions
    • Prepared and supported clients through HRSA Operational Site Visits
    • Maintained 340B integration uptime through pharmacy contract changes
    Learn more about our work with FQHCs

    Typical Triggers

    If any of these sound familiar, you're in the window where this service delivers the most value.

    On-call burnout

    Small internal team carrying 24/7 pager and missing SLAs.

    Headcount freeze

    Need to grow capability without growing FTE count.

    Incident or outage

    Recent major incident exposed gaps in monitoring or runbooks.

    New cloud workload

    Just launched an Azure footprint with no ops model.

    Audit / compliance pressure

    Need documented change management, access reviews, and evidence.

    M&A operating model

    Need a unified ops model across two acquired environments.

    Service Deliverables

    Three engagement models, same engineering rigor — choose the operating boundary that fits your team.

    BCP Hosted

    Fully managed by BCP

    • Workload runs inside BCP-managed environment with full ops stack
    • Help desk, NOC, SOC, SRE under a single SLA
    • Monthly invoice covers infra + ops fee

    Client Hosted

    Delivered into client tenant

    • Ops tooling, runbooks, and monitoring deployed into client environment
    • BCP advises and trains; client owns day-2 operations
    • Quarterly maturity reviews

    BCP-Managed, Client Hosted

    BCP operates inside your tenant

    • BCP operates client environment 24/7 under Azure Lighthouse / equivalent
    • Monitoring, patching, on-call, change management, and reporting included
    • Quarterly business reviews with KPIs and roadmap

    Service Timeline

    BCP's framework-driven methodology: Discover → Design → Build → Validate → Launch → Operate. Durations are typical and right-sized to scope.

    011–2 weeks

    Discover

    • Environment inventory
    • Tooling & runbook review
    • SLA & maturity baseline
    021–2 weeks

    Design

    • Target ops model
    • SLA & RACI
    • Tooling and integration plan
    032–4 weeks

    Build

    • Monitoring & alerting deployment
    • Runbook authoring
    • Ticketing & on-call setup
    041–2 weeks

    Validate

    • Tabletop incident drills
    • DR test
    • Shadow operations period
    051 week

    Launch

    • Cutover to BCP ops
    • Hypercare
    • Stakeholder comms
    06Ongoing

    Operate

    • 24/7 NOC / SOC / SRE
    • Monthly reports
    • Quarterly business reviews

    Service Stack

    The BCP-preferred technology stack for this service, plus the common client stacks we support and operate.

    BCP Technology Stack

    Monitoring

    Azure MonitorDatadogNew RelicGrafana / Prometheus

    Security

    Defender for CloudSentinelDefender XDRCrowdStrike

    ITSM

    ServiceNowJira Service ManagementFreshservice

    Automation

    Azure AutomationAnsibleTerraformLogic Apps

    Common Client Stacks We Support

    Microsoft / Azure

    Azure MonitorDefenderSentinelLighthouse

    AWS

    CloudWatchGuardDutySystems Manager

    Multi-cloud / hybrid

    Azure ArcDatadogServiceNow

    BCP Azure Stack

    Purpose-built Azure components powering this service — HIPAA-compliant, scalable, and production-hardened.

    Azure Monitor

    Unified monitoring

    Application Insights, Log Analytics workspaces, and Azure Workbooks for custom dashboards.

    Microsoft Defender for Cloud

    Security posture

    CSPM, workload protection, and security recommendations with regulatory compliance dashboards.

    Azure Automation

    Runbook automation

    PowerShell and Python runbooks for patch management, configuration, and operational tasks.

    Azure Arc

    Hybrid management

    Unified management plane for on-premises, multi-cloud, and edge resources from Azure portal.

    Azure Backup

    Data protection

    Application-consistent backups for VMs, SQL, and file shares with cross-region restore.

    Azure Cost Management

    Cost optimization

    Budget tracking, anomaly detection, and advisor-driven optimization recommendations.

    Representative Use Cases

    • Full IT operations management for community hospitals
    • Cloud infrastructure management for health tech companies
    • Application support for clinical trial platforms
    • Security operations center (SOC) for healthcare organizations

    Compliance

    The standards we engineer to — and how BCP ensures the controls are real, evidenced, and audit-ready.

    HIPAA

    BAA-backed operations, documented access reviews, audit-log retention.

    HITRUST CSF

    BCP-managed environments inherit HITRUST controls; client-hosted ops operate to HITRUST control set.

    SOC 2 Type II

    BCP ops processes are SOC 2 audited; report available under NDA.

    ITIL 4 change management

    Documented CAB, change freeze windows, and post-implementation review.

    NIST 800-53 / CSF

    Control mapping available for federal-adjacent workloads.

    Service Proof Points

    Representative engagements with the technical challenge, BCP solution, measured outcomes, and the trust assets we deliver alongside the work. Client identifiers anonymized; details available under NDA.

    Community hospital network, 3 hospitals + 60 clinics

    24/7 managed operations for a hospital network

    Challenge

    After-hours coverage was on-call rotation of 4 engineers; SLAs missed monthly, audit findings rising.

    BCP Solution

    • BCP NOC + SOC took over 24/7 coverage under Azure Lighthouse
    • ServiceNow ITSM rollout with documented runbooks
    • Monthly executive reporting with KPI dashboard

    Measured Outcomes

    82% → 99.4%
    SLA attainment
    −61%
    Mean time to resolve P1
    9 → 0 in 2 cycles
    Audit findings

    Stack

    Azure MonitorSentinelServiceNowAzure Lighthouse

    Trust Assets

    • SOC 2 Type II report
    • HIPAA BAA
    • Quarterly business reviews
    Series B remote-monitoring platform, 80K patients

    SRE-as-a-service for a digital health SaaS

    Challenge

    Customer-impacting incidents at growth stage; engineering team pulled off feature work.

    BCP Solution

    • BCP SRE pod took primary on-call and incident management
    • SLO definition, error budgets, and chaos drills introduced
    • Customer status page and incident communications managed

    Measured Outcomes

    −72%
    P1 incidents / quarter
    Reclaimed 38 hrs/wk
    Engineer on-call hours
    0 in following year
    Customer churn from reliability

    Stack

    DatadogPagerDutyAzure LighthouseTerraform

    Trust Assets

    • SOC 2 Type II
    • Public status page
    • Incident postmortems shared with customers

    Frequently Asked Questions

    01

    What is an MSP (Managed Service Provider) in the context of IT?

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    02

    Does Brandywine Consulting Partners function as an MSP?

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    03

    Does BCP offer MSP solutions and services?

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    04

    Does BCP assist clients with technology adoption and implementation?

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    05

    What are the key benefits of BCP's MSP solutions?

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    06

    What additional services does BCP offer alongside MSP solutions?

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    Request a Managed Services Proposal

    Share the specifics so we can scope, price, and stand up the right team. Most proposals back within 3–5 business days.

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