A SMART view
of your practice’s IT.

When a computer is slow, an application keeps crashing, or a replacement device needs to be ready for clinic, Aldwell can take care of the setup and troubleshooting. We check the computer, software, and connected devices to find the cause. New workstations are prepared with the applications and access each staff member needs before they begin using them.

Missing email, a shared mailbox that will not open, or files that stop syncing can quickly become a practice-wide interruption. Our Microsoft 365 work covers Outlook and Exchange Online troubleshooting, account administration, Teams configuration, and shared content in SharePoint and OneDrive. For ongoing management, that also means keeping permissions and settings aligned with how your practice uses the platform.

As staff join the practice or change roles, their access needs to change with them. We set up accounts, resolve sign-in problems, and adjust permissions for applications and shared folders. That includes Microsoft Entra ID, which manages sign-ins and access to Microsoft 365 and connected applications. Your practice decides who should have access; we make the approved changes and keep a record that can be checked later.

We support the technology around your electronic health record (EHR), with extensive experience in Epic and Allscripts environments. When clinicians cannot sign in, a session disconnects, or an application works on one computer but not another, we investigate the workstation, connection, browser, and access settings. If the issue needs the EHR vendor’s attention, we share our findings and follow up with them on your behalf.

A stalled print queue or a scanner that cannot reach its destination can hold up reception and clinical staff alike. We troubleshoot printer connections, drivers, scan-to-email, and shared-folder settings, with experience across equipment from Sharp, Lexmark, HP, and other manufacturers. When a fault needs the equipment supplier’s attention, we coordinate with them and test the connection to your systems once the repair is complete.

Calls should reach the right person, whether they come through the main number, a direct extension, or the after-hours menu. Our business phone experience includes Microsoft Teams Phone, Dialpad, and 8x8. We configure call routing and voicemail, troubleshoot desk phones and calling apps, and investigate dropped calls or poor audio. If the issue involves your carrier or phone provider, we work with them to resolve it and check the result with your staff.

A new hire should know where to sign in and have the equipment needed for the job. Before their start date, we coordinate accounts, approved permissions, and workstation setup with your practice. Departures follow a planned process for disabling access, collecting or reassigning devices, and transferring mailboxes or work files when leadership authorizes it.

Some problems sit between suppliers: the EHR vendor points to the network, while the internet provider says the connection is healthy. We gather the diagnostic information, work with the relevant vendors, and track the next action. Your office manager has a clear point of contact rather than having to translate technical findings from one support desk to another.

Aldwell administers physical and virtual servers, including VMware environments and systems running Windows Server or Linux. Routine work includes configuration, updates, and making sure applications have enough memory, processing power, and storage. If a server or virtual machine becomes unstable, we investigate the fault and the applications affected, then work through the changes needed to restore reliable operation.

Our network specialties include equipment from Cisco, Palo Alto Networks, SonicWall, Dell, Aruba, Juniper, and Ubiquiti. The work ranges from switch and firewall configuration to wireless coverage and connection troubleshooting. That might mean finding why an exam room loses Wi-Fi, separating guest traffic from practice systems, or correcting a firewall rule that is blocking an application. We start with the network you have and what you need it to do.

Cloud-hosted applications still need attention to access, networking, performance, and cost. Our cloud infrastructure experience includes Microsoft Azure and Amazon Web Services (AWS), along with the connections between hosted systems and your offices. We troubleshoot application and network problems, review resource use, and maintain the settings those services depend on. If a bill rises unexpectedly or a hosted system slows down, we can investigate what changed.

Our remote access experience includes Cisco and Palo Alto Networks environments, from VPN configuration to troubleshooting failed connections and interrupted sessions. A virtual private network (VPN) provides a protected connection to practice resources over the internet. The setup needs to account for who is connecting, from which devices, and to which systems, along with authentication and access restrictions appropriate to the work.

Slow file access can come from several causes: limited storage space, an overloaded server, or an application using more resources than expected. We find where the slowdown is happening and explain the options for fixing it. A review also looks at likely growth, so you can decide whether a configuration change, added capacity, or replacement equipment is the sensible next step.

Monitoring gives us a way to spot developing faults before someone calls about them. We review alerts from the systems we manage, investigate failures, and arrange maintenance when it is needed. Patching includes scheduling updates around practice hours, checking that they installed successfully, and following up when they did not.

Connecting offices requires a plan for how applications and data will move between them. Our experience spans site-to-site VPNs, MPLS private networks, dedicated point-to-point circuits, and software-defined wide area networks (SD-WAN). We have particular depth with Silver Peak and HPE Aruba Networking EdgeConnect SD-WAN, including configuration and troubleshooting. SD-WAN can manage traffic across multiple connections; the right design depends on your locations, applications, and available circuits.

Endpoint detection and response (EDR) watches activity on computers and servers for signs of an attack. Managed detection and response (MDR) adds a security service to investigate and act on threats. Our experience includes Huntress and Blackpoint Cyber. Aldwell can deploy and manage the agreed protection, work through alerts with the security provider, and coordinate actions such as isolating an affected computer.

A stolen password can give an attacker a way into email and other practice systems. Multifactor authentication (MFA), sign-in policies, email filtering, and appropriate access controls reduce that exposure. We configure and review those protections together, addressing issues such as overly broad permissions or weak account recovery settings. For Microsoft 365 and Entra ID, we use Maester to test security settings against established baselines and identify gaps that need attention.

Recovering a deleted file and restoring an entire practice system are different jobs. Our backup and disaster recovery experience includes Acronis, Veeam, Druva, and Azure Site Recovery. We plan backup coverage, retention, replication, and recovery around the systems you use. Azure Site Recovery supports workload replication and failover; backup tools preserve recoverable copies. Together, the selected approach should reflect how much downtime and data loss your practice can tolerate.

Staff need to recognize suspicious requests and know how to report them. Our experience includes KnowBe4 for security awareness and phishing training, and Eagle Associates for healthcare compliance training. We help organize the training, track participation, and connect it to everyday situations such as an unexpected sign-in prompt or a request for patient information. Phishing exercises can show where further guidance would be useful.

A vulnerability report can contain more findings than a practice can address at once. We sort through issues such as missing patches, exposed services, and unsafe settings to identify what needs attention first. Then we carry out the agreed fixes and check the results. Anything still outstanding stays on the action list, with a clear explanation of the risk and the next step.

If the internet goes down during appointments, what still works, and who makes the next decision? Business continuity planning connects technology recovery to the way your practice operates. We identify critical dependencies, alternate ways to work, contact responsibilities, and the order in which systems need to return, alongside the people responsible for clinical and administrative workflows.

A suspected account compromise or ransomware alert leaves little time to decide who should do what. Before that happens, we work with your leadership and relevant outside specialists to document who to call, how to contain affected systems, and what information to preserve. The plan gives staff a reporting path and gives those responding a set of steps to follow.

A successful backup notification does not demonstrate that an application can be brought back into service. Recovery testing checks actual restoration of agreed files, servers, or workloads and the dependencies needed to use them. Results show what worked, what took longer than expected, and what needs correcting in the backup configuration or recovery instructions.

Access controls, audit logging, and protection of electronic patient information need to work in the systems staff use every day. Aldwell implements and reviews these technical safeguards alongside your practice’s HIPAA policies and compliance responsibilities. We check how the controls are configured, document the findings, and work with you on changes where there are gaps.

When an insurer or compliance reviewer asks how a system is protected, the answer should be supported by current records. We document configurations, responsibilities, and IT procedures, and organize evidence of the relevant controls. Clear system documentation also makes routine support and staff transitions easier: the next person can understand the environment without reconstructing it from memory.

Which risk needs attention now, and which can be addressed through the next budget cycle? An IT risk review looks at what could go wrong, the systems affected, and the cost and effort of reducing that risk. We discuss the findings with leadership and agree on an action plan, including who is responsible for each item and when to revisit it.

Permissions tend to grow as employees change roles, applications are added, and vendors come and go. Periodic access reviews compare the accounts and privileges in place with what your practice currently authorizes. Unused accounts, unnecessary administrator rights, and outdated shared-file permissions can then be corrected, with approvals and changes recorded for later review.

Knowing what the practice owns and pays for makes renewal and replacement decisions easier. Asset and license oversight brings together equipment records, software subscriptions, support dates, and vendor contacts. It can reveal unused licenses, unsupported devices, or a service whose ownership is unclear before a renewal or failure forces a rushed decision.

Replacing every computer at once may be expensive; postponing every replacement creates its own problems. Technology planning weighs equipment age, software support, capacity, and your practice’s direction. We develop a budget and sequence of improvements so leadership can plan spending, understand the tradeoffs, and prepare for changes such as a new location or application.

Some decisions need an experienced technology advisor at the table: an acquisition, a major vendor contract, a security concern, or a multiyear budget. Aldwell offers fractional chief information officer (CIO) and chief information security officer (CISO) guidance, tailored to the role you need. We use CISO Assistant to keep risk assessments, compliance records, and follow-up actions organized. Strategic advice, leadership reporting, and regular governance discussions can be included alongside the technical work.

An EHR change can affect nearly every workstation in the practice. We plan the supporting technology and coordinate with your chosen EHR vendor, drawing on extensive experience with environments such as Epic and Allscripts. Preparation includes checking device and connection requirements, arranging access, and testing with your staff before the changeover. The details of the move depend on the platform and how your practice uses it.

Aldwell’s team has completed dozens of office moves and new-location projects. We know how much of the schedule depends on details such as an internet circuit arriving on time or phone numbers transferring correctly. For a medical office move, we coordinate the network, wireless, phones, workstations, and clinical application access with your carriers and vendors, then test the setup before the location begins seeing patients.

Moving a server to the cloud changes how it is accessed, protected, backed up, and paid for. We start by reviewing the applications and deciding what the destination needs to support. Our migration experience includes Microsoft Azure and Amazon Web Services (AWS). The work covers data transfer, accounts, network access, and testing, with a planned changeover and support as staff begin using the new setup.

Adding exam rooms, replacing a server, or improving wireless coverage can affect systems elsewhere in the practice. We check those connections before choosing equipment and planning the installation. An upgrade may build on what you already have or replace part of it. Compatibility checks, testing, and changeover planning help keep the work coordinated across applications and locations.

Replacing equipment means bringing the useful settings and familiar ways of working with it. We prepare the new computers or phones, transfer approved data and settings, and test applications or call routing before staff take over. Larger replacements can be done in stages so your practice can keep working while the rollout proceeds.

A Microsoft 365 tenant is the environment that holds your organization’s accounts, email, and collaboration services. When practices merge, separate, or move from another platform, those resources need a coordinated transition. Tenant projects cover identities, mailboxes, domains, and shared content, with permission planning and testing to address the details that can otherwise interrupt staff after a move.

Repeatedly entering the same information into separate systems takes time and creates opportunities for errors. Aldwell builds data and system integrations using application programming interfaces (APIs), databases, and reporting connections. The work starts with what information should move and who may access it, then addresses mapping, error handling, testing, and ongoing maintenance of the connection.