Healthcare systems can't afford downtime—lives literally depend on it. After seven years of implementing technology solutions at Deloitte across mission-critical healthcare environments, I've learned that traditional reliability approaches fall dangerously short when human lives are on the line. This talk shares hard-won lessons from real-world implementations where 99.9% uptime wasn't good enough. Drawing from extensive experience managing cross-functional teams through high-stakes healthcare technology deployments, I'll reveal the costly mistakes that taught us everything about building truly resilient systems. You'll discover why 68% of healthcare technology initiatives fail reliability tests in production, and how we developed a four-phase reliability framework that reduced critical incidents by 63% while achieving 96.7% system stability rates. This isn't just theory—I'll share specific war stories from surgical robotics implementations where system failures could impact patient outcomes, and enterprise-wide automation deployments serving thousands of healthcare workers. You'll learn how we transformed reliability engineering from an afterthought into a strategic advantage, achieving 41.7% faster recovery times and reducing post-incident remediation costs by millions. Key takeaways include practical strategies for implementing chaos engineering in regulated environments, building observability into legacy healthcare systems without disrupting patient care, and creating SRE cultures that balance innovation with the non-negotiable requirement for reliability. Whether you're working in healthcare or any other industry where failure isn't an option, these battle-tested approaches will help you build systems that truly stand the test of time—and scrutiny.

Aishwarya Pai is a highly accomplished Computer Science professional with over seven years of experience at Deloitte US, one of the Big 4 consulting firms. Currently serving as a Senior Consultant, she has demonstrated exceptional growth throughout her career, advancing from Associate Analyst to her current leadership role. Aishwarya holds a Master of Science in Computer Science from Stevens Institute of Technology, where she concentrated in algorithms, data structures, cloud computing, and software engineering. Her technical expertise spans Java development, JavaScript, database management, and full-stack web development. As a Certified ScrumMaster, Aishwarya excels in Agile project management and has successfully led cross-functional teams through software development initiatives. Her contributions have been recognized with multiple Applause Awards for outstanding performance in both technical delivery and Scrum Master roles. Beyond her technical achievements, Aishwarya is a dedicated leader who has mentored over 20 junior developers and actively contributes to firm initiatives. She has served as Team Lead for Deloitte Impact Day, led wellbeing initiatives for North Dakota, and participated in the C&M Talent Advisory Council, demonstrating her commitment to both professional excellence and community impact. Aishwarya's combination of technical expertise, leadership capabilities, and commitment to continuous learning makes her a valuable contributor in delivering high-quality solutions in today's technology landscape.