Switching IT providers shouldn't feel like surgery on your practice.
Most of the practices that move to BITS have already had a rough provider experience. We assume that going in. Our transition process is documented, paced, and built to land on a normal Tuesday morning — not a chaotic Saturday night.
The reasons we hear, almost word for word.
If any of these sound familiar, you're not alone — and it's not a permanent state.
Tickets disappear into a queue
You log a ticket on Monday and hear back Thursday from someone who's never seen your network. By then your front desk has already worked around it.
HIPAA is "covered" but undocumented
Your current provider says you're compliant. Ask for the Security Risk Analysis, the BAA pack, the workforce training log — and the room goes quiet.
Bills don't match the service
Monthly retainer plus surprise project invoices, plus "out of scope" charges. You can't plan the IT budget. Worse: you don't know what you're getting.
2026 Security Rule is exposed
MFA is partially deployed, network segmentation doesn't exist, the incident response plan is a folder no one has opened. You're carrying real regulatory risk.
The relationship went stale
Your old MSP got bought twice. The technician who knew your environment left. Every call is now an "intro" call with a new person who asks you to re-explain the practice.
You're leaving a hospital system
Independence comes with IT you didn't have to think about before. EHR, identity, email, phones, BAAs — all of it lands on your desk at once.
Five steps, documented as we go.
Most moves complete with zero downtime during business hours. Cutovers happen evenings or weekends, with rollback documented before we touch a single switch.
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01Free assessment
Sixty-minute environment review.
We sit down with you (or hop on a call) and walk through your current setup: providers, vendors, EHR, identity, network, backups, devices, HIPAA paperwork. You leave with a written summary — even if you don't hire us.
- Honest inventory of what's working and what isn't
- HIPAA / 2026 Security Rule gap analysis
- Written report, sent the same week
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02Proposal
Itemised plan with transparent pricing.
You see exactly what's included monthly, what's a one-time project, and what we recommend deferring. No surprise add-ons, no vague "managed services" tier. If we can't take the account this cycle, we'll tell you up front.
- Flat monthly fee, fixed scope, in writing
- Project line items with timelines & deliverables
- Capacity check — we say no if we can't deliver
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03Discovery & documentation
We learn your environment before we touch it.
Hardware, software, vendors, credentials, configurations, network paths, user list, BAA status — documented so we know your systems as well as you do. That document is yours, regardless of what happens after.
- Full asset & software inventory
- Credential vault stood up under your ownership
- Vendor & BAA map (and gap list)
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04Cutover
Quiet, scheduled, reversible.
Cutover is planned to your operating hours — usually a Friday evening or weekend window for the parts that have to land outside business hours. Monitoring, MFA, backups, and helpdesk are live before patients walk in on Monday.
- Pre-flight: change ticket with rollback plan
- Monitoring, patching, MFA active at go-live
- BITS on-site or on-call through Monday morning
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05Stabilise & close gaps
The first 90 days, paced.
The first quarter is about closing the gaps the assessment surfaced — missing BAAs, weak MFA coverage, untested backups, training, segmentation. Then your environment is on the steady-state cadence: annual risk analysis, monthly reviews, quarterly tabletops.
- BAA & vendor cleanup
- HIPAA workforce training rolled out + tracked
- Annual SRA scheduled, incident response plan tested
It should feel like nothing happened.
The honest goal of a transition is invisibility. Patients still get seen. EHR still opens. Email still works. The phones still ring. The only change you'll notice on Monday is that when something does break, the number you call reaches a person who already knows your network.
Practical guarantees
- Documented rollback for every cutover step. If something doesn't land cleanly, we step back, not forward.
- On-site or on-call for Monday morning. The first business day post-cutover, we're standing by, not in a queue.
- Your data, your documentation, in your hands. Inventory, credentials, vendor map — co-owned by your practice from day one.
- Honest "no" if it's not a fit. We say no on the assessment call if our capacity or your needs don't line up — you still keep the report.
The first hour costs nothing.
Sixty minutes, on-site or remote. You leave with a written report of where you stand against the 2026 Security Rule — whether or not we end up running your IT.