Healthcare2025
1,240 workstations moved to Windows 11 without closing a single clinic
A private network of 31 medical and physiotherapy clinics had to leave Windows 10 before end of support, with a three-person IT team and clinics open six days a week.
The starting point
The fleet had 1,240 workstations from five hardware generations, bought as clinics opened over the years. More than a quarter (338 devices) did not meet Windows 11 hardware requirements: no TPM 2.0 chip or an older processor. Windows 10 support was ending on October 14, 2025, and the three-person IT department could barely keep up with day-to-day operations.
What made it hard
- Clinics open from 7 a.m. to 9 p.m. on weekdays and Saturdays: no disruption during consultation hours.
- Electronic medical record software, imaging viewers and specimen label printers to validate before any cutover.
- Quebec’s Law 25: every retired drive had to be wiped verifiably, with proof by serial number.
- A fixed capital budget for the fiscal year: replace only what could not be upgraded.
What we did
- Discover
Inventory cross-checked between Intune and visits to all 31 sites in two weeks. 46 applications and drivers tested on a reference device from each generation.
- Recommend
Upgrade the 902 compatible workstations in place. Replace the other 338 with ThinkPad T14 laptops in exam rooms and ThinkCentre Tiny desktops at reception, prepared with Windows Autopilot.
- Deploy
Two evening teams, four clinics a week, with a rollback plan for every workstation. Old devices collected, wiped with certification, then resold or recycled.
The results
- of the 1,240 workstations on Windows 11 by September 26, 2025
- 100%
- 18 days before end of support
- of hands-on time per new device
- 35 min
- Before: 3 h 10 with manual imaging
- clinics closed because of the project
- 0
- Work done between 9 p.m. and 2 a.m.
- retired devices wiped and certified
- 338
- 212 resold, 126 recycled
How we measured it: Intune compliance reports, the client’s ticket log and the wiping certificates delivered at the end of the engagement.
What we would do differently
Label printer drivers caused 61% of first-week tickets. They are now among the first items we test, even before the clinical software.
