§ The Practice · 2026

Everyone has an AI pilot.
Almost nobody has a second one.

A data, AI, and BI practice for healthcare and manufacturing. Production-grade systems, sequenced. Multi-year renewals with the same senior team.

Practices · Healthcare / Manufacturing
Delivery · US / Canada / AU / India
Select engagements
Anonymized · NDA
  1. 01
    Healthcare
    US HealthTech Startup
    70%+ less time in the EMR
  2. 02
    Manufacturing
    US Medical Device Manufacturer
    $4M returned to profit in 6 months
  3. 03
    Healthcare
    US Health Systems
    15-25% clinic capacity recovered
  4. 04
    Manufacturing
    Global Outdoor Equipment Manufacturer
    20 hrs/week returned to planners
  5. 05
    Cross-industry
    US Accident Law Firm
    60%+ faster document review
Full case index
Read →
§ Practice marks

The way we work, in one line each.

  • HIPAA aware
    Clinical AI in private Azure
  • FHIR native
    Epic / Cerner / Meditech
  • Microsoft partner
    Fabric, Azure OpenAI, Synapse
  • Multi-year renewals
    3× with the same medical device client
  • Global delivery
    US, Canada, Australia, India
§ 02 · By the numbers

Four measurements from live deployments.

Every figure is from a client engagement in the last thirty months. Anonymized under NDA. Read the case index for the mechanics.

70%+
Less time in the EMR

Azure OpenAI assistant on top of the EMR, HIPAA designed in from sprint one.

US HealthTech Startup
$19M
Inventory loss identified

Consumption, billing, transfer, and location records consolidated. Monte Carlo placement models. Colorado pilot, then national rollout.

US Medical Device Manufacturer
20
hrs / wk
Returned to planners

Bottleneck analysis first, then daily data automation, then Microsoft Fabric consolidation. ROI landed before any modelling.

Global Outdoor Equipment Manufacturer
Contract renewals

With the same senior team, on the same medical device account. The rest of the client roster tells the same story.

Practice-wide
§ 04 · Practice One — Healthcare

Same EMR. Same data. A different way in.

Our largest practice. Azure OpenAI assistants that sit on top of the EMR, 90-day access programs on Epic, HCC risk adjustment NLP, and seven-phase AI strategy engagements that turn a backlog of forty use cases into a scored twelve-month sequence.

§ 06 · Method

A structured sequence, not open-ended discovery.

Five stages, scoped so the output is a decision or a shipped system, not a workshop summary. Rhythm holds whether the engagement lasts four sessions or nine months.

  1. 0.1

    Discovery and Requirements

    Ambition, constraints, stakeholders, and what a good outcome looks like. Sequenced so the plan survives contact with your data.

  2. 0.2

    Data Assessment and Roadmap

    Fixed-scope, seven-phase assessment across four two-hour sessions. Written roadmap document you can hand to whoever builds the thing.

  3. 0.3

    Build. Engineering and Analytics

    Production-grade pipelines, warehouses, and reporting on Azure, Microsoft Fabric, or the platform of your choice. First slice ships in weeks.

  4. 0.4

    Applied AI and Go-Live

    Azure OpenAI, agents, NLP, and forecasting shipped into daily operations with evaluation and monitoring baked in from the start.

  5. 0.5

    Support and Scale

    Managed support and roadmap iteration. Multi-year renewals with the same senior team. 3× on the medical device account, and counting.

§ 07 · Why

Production go-lives. Not slideware.

Six beliefs, one per line. Everything else on the site is these beliefs put to work.

  • 01
    Small, senior teams.

    You work directly with senior practitioners. Data architects, delivery managers, and analysts based in the US and Canada, supported by a dedicated India offshore delivery team.

  • 02
    Executive-level trust.

    Direct relationships with CEO, VP, and owner-partner buyers. Multi-year renewals with the same clients. A law firm's first AI-in-production system. 3× on the medical device account.

  • 03
    Compliance from sprint one.

    HIPAA designed in, not retrofitted. Governance positions on clinical safety, privacy, and model risk agreed up front, so approval is not the thing that kills the project at month five.

  • 04
    Cloud-agnostic, Microsoft-fluent.

    Azure OpenAI, Microsoft Fabric, Synapse, Databricks by default. AWS and GCP where the client is already there. Never the model that dictates the sequence.

  • 05
    Prototypes in weeks.

    Results-driven and iterative. First build ships the quarter after the roadmap. Twenty hours a week returned to planners before any modelling shipped, in one recent engagement.

  • 06
    Say no early.

    We would rather say this now than three weeks in. Anti-fit criteria are documented on every service. Chemistry checks happen on the discovery call, not the invoice.

§ 08 · Conversations

The problems arrive first.

Every engagement starts with a sentence like one of these three. We keep them on file as a reminder of what our clients actually come in the door with.

No. 01

We know our no-show rate. It is on a dashboard. But by the time we see it, the slot is already gone and the patient who needed it is still on a waitlist.

The conversation we keep having · US Health Systems
No. 02

We know roughly what each site uses, so we stock to the average. Then half our locations run short while the other half sits on stock nobody will ever use.

The conversation we keep having · US Medical Device Manufacturer
No. 03

By the time the forecast is finished it describes a quarter that already happened. We are not planning. We are reporting, late.

The conversation we keep having · Global Outdoor Equipment Manufacturer
§ 09 · Questions

Frequently asked, answered plainly.

The questions that come up most often before a first call.

DATA4AI Consulting Inc. is a data, AI, and BI consultancy founded by Guryash Singh Dhall. We help healthcare and manufacturing organizations turn operational data into decisions and AI pilots into systems people actually use. Our work spans production-grade AI on Azure OpenAI, Microsoft Fabric platforms, EHR integration, HCC risk adjustment, inventory placement, and demand forecasting. Delivery across the US, Canada, Australia, and India.

Three pillars from a single senior team: Data Strategy and BI (assessment, roadmap, executive advisory), Data Engineering and Analytics (pipelines, warehouses, cloud platforms), and Applied AI and GenAI (Azure OpenAI, agents, NLP, computer vision, production deployment). We take engagements that end in a decision or a shipped system, not a workshop summary.

Both. Healthcare is our largest practice (EMR-integrated AI, no-show reduction, HCC risk adjustment, ACCESS Model readiness, ACO analytics). Manufacturing is a growing practice with anchor work in consigned inventory placement for medical device manufacturers and demand forecasting on Microsoft Fabric for global outdoor equipment brands. Same senior team, same delivery discipline.

Data Assessment and Roadmap runs as four two-hour sessions with a written roadmap deliverable, scheduled immediately after signing. Access and no-show programs are 90-day pilots on Epic. AI Strategy is a seven-phase engagement with the first build ready to ship the quarter after the roadmap lands. Larger platform builds run in the range of six to nine months.

Cloud-agnostic in principle, Microsoft-heavy in practice: Azure OpenAI, Microsoft Fabric, Azure Data Factory, Synapse, Databricks. Also comfortable with AWS and GCP where the client is already there. For GenAI we use Azure OpenAI and the Claude API. For orchestration and workflow automation, n8n and Azure Functions.

HIPAA is designed in from the first sprint, not retrofitted. Clinical AI runs in secure Azure environments, PHI stays within your tenant, and access control is built into the architecture rather than the perimeter. Governance positions on clinical safety, privacy, and model risk are agreed up front so approval is not the thing that kills the project at month five.

A fixed-scope Data Assessment and Roadmap: four two-hour sessions with your team, one written assessment and roadmap document you can hand straight to whoever builds the thing. Scheduled post-signing. From there we scope the build together.

Small, senior, agile teams. Data architects, delivery managers, and analysts based in the US and Canada, supported by a dedicated India offshore delivery team. You get senior expertise at a competitive cost, and can scale speed up or down as needed. Executive-level trust with CEO, VP, and owner-partner buyers.

Production go-lives, not slideware. Multi-year renewals with the same clients. A law firm's first AI-in-production system. 3x contract renewals with a repeat medical device client. And the constraint we work with is honesty about fit. If we would not deliver value, we say so before an engagement, not three weeks in.

Delivery across the US, Canada, Australia, and India. Named client work spans US health systems, US medical device manufacturing, a US accident law firm, US healthtech startups, and a global outdoor equipment manufacturer with regional teams across continents.

§ 10 · Get in touch

Let’s talk about the second pilot.

Working on a healthcare AI, manufacturing analytics, EHR integration, inventory placement, or demand forecasting project? Book a 20-minute discovery call. We will tell you honestly if we are the right fit.

Response
Within one business day
Delivery
US, Canada, Australia, India
Focus
Healthcare and manufacturing