Startup pipeline setup
Compliant CI/CD and IaC from the first deploy.
We build compliant CI/CD pipelines and infrastructure-as-code for healthcare teams — auditable deployments, HIPAA-ready cloud, and DevSecOps guardrails that let you release often while staying audit-ready.
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In most industries, DevOps optimizes for speed. In healthcare, it has to optimize for speed and provability at the same time. Every deployment touches systems that handle PHI, so you need to ship often to stay competitive while producing an audit trail that shows exactly what changed, who approved it, and how it was tested — without slowing engineering to a crawl.
Generic pipelines skip the parts that matter here: environment parity so PHI never leaks into test, infrastructure-as-code so your HIPAA controls are version-controlled rather than clicked into a console, and DevSecOps scanning wired into the pipeline. We build compliant CI/CD and infra-as-code where the guardrails are automated, so compliance is a byproduct of how you ship, not a gate that fights it.
What it is
Healthcare DevOps is the practice of building, testing, and deploying software fast while satisfying HIPAA and enterprise security obligations — through compliant CI/CD, infrastructure-as-code, and DevSecOps automation.
The goal is provable velocity: ship often, but produce an audit trail and reproducible infrastructure at every step. We build the pipeline so compliance is automatic, not a bottleneck.
Infrastructure-as-code, gated CI/CD, security scanning, and immutable audit logs composed so every release is fast, repeatable, and defensible.

Each capability pairs a delivery gain with the compliance control it depends on.
Automated build, test, and deploy on GitHub Actions, GitLab CI, or similar, with approval gates, immutable release records, and a complete audit trail of who changed what and when.
Terraform, CloudFormation, or Pulumi so your HIPAA-ready cloud — encryption, network isolation, IAM — is version-controlled, peer-reviewed, and reproducible instead of hand-configured in a console.
SAST, dependency and container scanning, secret detection, and policy-as-code gates in the pipeline, so vulnerabilities and misconfigurations are caught before they reach an environment with PHI.
Repeatable dev, staging, and prod environments with de-identified or synthetic data in lower tiers, so real PHI never leaks into test and environments behave identically.
Centralized logging, metrics, tracing, and alerting with runbooks, so you meet uptime and breach-detection obligations and can reconstruct any incident.
HIPAA-eligible services, private networking, KMS-backed encryption, and BAA-covered architecture, provisioned as code and consistent across every account.
Where it runs
Compliant CI/CD and IaC from the first deploy.
Lift and modernize onto HIPAA-eligible AWS, GCP, or Azure.
Pipeline controls and evidence for audit.
Cut manual, risky releases down to routine deploys.
Secure, compliant container platforms at scale.
Observability and incident response for uptime obligations.
Automated, auditable delivery lets healthcare teams release often while producing the evidence auditors and enterprise buyers require.
Health Insurance Portability and Accountability Act
Protect PHI with privacy-first architecture, encrypted storage and transmission, strict access controls, and traceable audit logs.
General Data Protection Regulation
Implement lawful consent flows, data minimization, retention controls, and secure processing for sensitive health data.
Fast Healthcare Interoperability Resources
Enable standardized health data exchange across apps, care teams, and systems through robust FHIR-ready APIs.
Health Level Seven International
Support enterprise-grade interoperability with HL7-based integrations for records, events, and clinical messaging workflows.
Health Information Trust Alliance
Align security programs to healthcare-specific control and risk management practices trusted by providers and ecosystem partners.
Health Information Technology for Economic and Clinical Health Act
Design with breach notification readiness, digital record safeguards, and operational controls that support regulated care programs.
FDA Software as a Medical Device
Plan software quality, traceability, and documentation pathways for products that may require SaMD review and submission.
Medical Device Regulation (European Union)
Prepare EU market-ready processes for risk classification, evidence tracking, and lifecycle governance under MDR expectations.
Substance Abuse and Mental Health Services Administration
Apply confidentiality controls and consent-aware sharing models for behavioral and mental health data experiences.
Standards we build against
We turn deployment from a risky event into a routine, provable operation.
We review your current pipeline, cloud footprint, and compliance obligations, then baseline where releases stall and where the audit trail breaks.
We move your HIPAA-ready cloud into infrastructure-as-code — encryption, IAM, networking — so it's reviewable, reproducible, and version-controlled.
CI/CD with approval gates, security scanning, and immutable release records, plus environment parity so lower tiers never see live PHI.
Observability, alerting, and incident runbooks in place, with the pipeline continuously hardened as your compliance and scale needs grow.
Lera Health runs on a HIPAA-ready cloud foundation we built and deploy through automated, auditable pipelines — the same infrastructure-as-code and DevSecOps discipline we bring to healthcare DevOps engagements.

We build delivery pipelines where compliance is automated into how you ship, not a gate that fights engineering.
HIPAA controls, scanning, and audit trails baked into the pipeline — so staying compliant doesn't slow releases.
Automated, gated deployments turn releases from risky events into routine, repeatable operations.
Infrastructure and policy version-controlled and peer-reviewed, so your environment is reproducible and auditable.
We understand PHI isolation, BAA scope, and the audit evidence provider and payer deals demand.
Compliant delivery, engineered for velocity
Tell us about your pipeline and cloud. We'll return a phased DevOps plan covering compliant CI/CD, infrastructure-as-code, and the audit trail you need.
contact@agnotic.com
Partnerships
contact@agnotic.com