On this page
Field notes from Shriram IT Ventures delivery work on Healthcare: Accessibility Delivery Guide: the constraints that matter, the shortcuts that haunt you, and a checklist we still use.
Who this is for
Ignore the buzzwords. For Healthcare: Accessibility Delivery Guide, the hard constraint is usually data ownership or ops capacity — not how many features fit on a roadmap slide.
Decisions that still look smart in 18 months
Teams that write trade-offs down before coding burn fewer sprints when a stakeholder changes their mind mid-build. We keep ADRs short on purpose.
Build checklist we actually use
Teams that write trade-offs down before coding burn fewer sprints when a stakeholder changes their mind mid-build. We keep ADRs short on purpose.
Failure modes we keep seeing
Ignore the buzzwords. For Healthcare: Accessibility Delivery Guide, the hard constraint is usually data ownership or ops capacity — not how many features fit on a roadmap slide.
How we measure rollout
Use boring technology where the risk is operational. Save novelty for the one wedge that makes the product worth buying.
We update this when delivery patterns change on live client work.