
Industry Brief · Healthcare
Healthcare runs on trusted information. Smart Stack 3.0 helps health systems understand, govern, preserve, and prepare the data across Microsoft 365 and connected clinical environments for security, compliance, operations, and AI.
Executive Summary
The clinical record is only part of the story. Protected information, contracts, credentialing files, quality documentation, research material, and investigation records live across SharePoint, OneDrive, Teams, Exchange, and Windows File Shares. Smart Stack 3.0 makes that estate visible, governed, and ready for Microsoft analytics and AI.
80%
of the typical health system estate is unstructured and ungoverned
60%
of that unstructured content is redundant, obsolete, or trivial, and every copy is stored, secured, indexed, and embedded
0
accuracy checks Copilot performs on the content it can already reach, because it honors permissions, not authority
Microsoft Learn, Copilot data and privacy
The Data Estate
Microsoft is the collaboration and AI center of gravity in every large health system. Significant institutional information also resides in clinical, research, and departmental platforms connected to that estate.
SharePoint sites for departments, service lines, and committees
OneDrive accounts holding working clinical and administrative material
Teams and Microsoft 365 Groups created for units, projects, and incidents
Exchange communications subject to retention and legal hold
Purview labels, retention policies, and hold signals
Power BI assets, datasets, and lineage
Windows File Shares carrying decades of departmental content
Microsoft Fabric, OneLake, Copilot, and supported agent grounding sources
Electronic health record exports and downstream reporting extracts
Imaging and diagnostic environments
Clinical research and trial management systems
Credentialing, quality, and accreditation repositories
Revenue cycle and payer correspondence platforms
Legacy archives and inherited systems from acquired organizations
The Cost of Doing Nothing
Protected information rarely stays where policy assumes it will. Once it moves into collaboration and file environments, ownership, classification, and retention coverage break down.
Protected health information sitting in SharePoint, OneDrive, and file shares without classification
Dormant sites and stale external access left behind by projects, studies, and acquisitions
Incomplete retention and legal-hold coverage across communications and unstructured content
Duplicate and outdated clinical policies competing with the authoritative version
Storage, backup, migration, and archive spend on content with no continuing value
Longer investigations, audits, and discovery because ownership and authority are unclear
The organization should not pay to store, migrate, secure, discover, index, embed, and process information that has no continuing value.
The Smart Stack 3.0 Response
Trusted Data Refinery analyzes SharePoint, OneDrive, Teams, and Windows File Shares in place. It identifies protected and sensitive information outside the core clinical applications, establishes ownership and policy context, isolates redundant and obsolete content, and prepares higher-value Trusted Data.
Trusted Data Archive preserves required communications and records, enforces retention and legal holds, maintains chain of custody, supports defensible discovery, and reduces dependence on aging archive systems inherited through growth and acquisition.
Provides a read-only view of ownership, permissions, external sharing, dormancy, label coverage, retention coverage, and hold signals before broad processing begins.
Organizes clinical policy, research, credentialing, and investigation material with source, permissions, classification, policy, and provenance attached.
Prepares approved information for Fabric, OneLake, Power BI, Copilot, and agents with visible transformation logic and approval.
The Complete Platform
Smart Stack 3.0 brings executive performance visibility, trusted-data transformation, defensible preservation, controlled information access, and an expanding collection of purpose-built capabilities into one enterprise platform. The result is a connected operating model for improving performance, reducing information risk and cost, and preparing approved organizational data for Microsoft analytics and AI.
The Executive Performance Dashboard gives leadership a unified view of organizational performance, priorities, commitments, risks, and results. It replaces disconnected reporting with a measurable executive operating environment that helps leaders see what is happening, what should be happening, and where intervention is required.
The Trusted Data Suite transforms uncontrolled enterprise information into governed, higher-value, AI-ready Trusted Data. The Trusted Data Refinery discovers, analyzes, classifies, enriches, and improves rapidly growing unstructured data estates. The Trusted Data Archive securely preserves required information with retention enforcement, legal hold, chain of custody, journaling, defensible discovery, and long-term preservation. The Trusted Data Portal provides controlled access to policy-approved information for authorized people, Microsoft platforms, analytics environments, and AI systems.
The Trusted Toolkit is an expanding collection of purpose-built technologies for specific data, compliance, AI, and operational challenges. New capabilities increase the value of Smart Stack 3.0 without forcing the organization to procure a separate product, license, or user entitlement every time the platform expands.
One predictable annual license provides unlimited authorized organizational use and users across an expanding platform. The organization is not purchasing a static point solution or assembling a collection of separately priced tools. It is establishing an enterprise capability whose value increases as adoption expands, more information is governed, legacy cost is removed, risk is reduced, and new Smart Stack capabilities are introduced.
Unlimited authorized users and organizational use
Predictable enterprise-wide annual cost
Expanding capabilities without separate product-by-product purchasing
Increasing value through adoption, risk reduction, cost avoidance, and continuous innovation
Smart Stack 3.0 helps the organization understand, refine, preserve, and control the information moving through its Microsoft environment. Microsoft provides the enterprise platforms. Zantaz improves the quality, governance, defensibility, and readiness of the data those platforms depend on.
Outcomes
Locate patient, employee, and research information across SharePoint, OneDrive, Teams, and Windows File Shares.
Connect Microsoft hold signals with broader identification, preservation, retention, and chain of custody.
Preserve required communications and records while retiring aging, costly archive platforms.
Determine what a combined health system owns, what must be preserved, and what can be defensibly removed.
Identify duplicate and obsolete procedures so the authoritative version is the one people and AI find.
Close out studies with ownership, sensitivity, retention, and external sharing understood.
Identify the information that matters most so it is protected first and restored first.
Give Copilot, analytics, RAG, and agents approved information with visible provenance.
AI Readiness
Microsoft Copilot and agents honor existing permissions. Smart Stack 3.0 helps a health system determine whether the information inside those permissions is current, authoritative, appropriately classified, and suitable for AI.
Identify overshared and sensitive clinical and administrative content before Copilot expands
Reduce redundant, obsolete, and trivial content before AI indexing and embedding
Establish ownership and policy context for departmental material
Create approved Trusted Data Collections for policy, research, and operational knowledge
Preserve provenance and transformation history for every approved collection
Prepare governed information for Fabric and OneLake rather than raw departmental content
The Readiness Ladder
Visibility
See the Microsoft estate, ownership, and external access
Classification and Context
Protected data, sensitivity, and policy identified
Exposure and ROT Reduction
Oversharing narrowed, obsolete content removed
Retention and Preservation
Records, holds, and chain of custody enforced
Governed Trusted Data
Collections built for clinical, legal, and operational use
Microsoft AI Readiness
Approved data prepared for Fabric, OneLake, and Copilot
Timing
You are expanding Microsoft 365 Copilot or building clinical and administrative agents
You are moving healthcare data into Fabric or OneLake
SharePoint, OneDrive, Teams, and file shares have grown without consistent ownership or classification
You are reviewing external sharing, dormant sites, or retention-policy coverage
You are replacing a legacy archive or preparing a major migration
You have inherited tenants, archives, and file shares through acquisition
Legal, records, privacy, security, IT, and data teams work from different views of the same information
The Research
Healthcare AI Readiness is the executive conversation behind this brief. It explains what your AI inherits today across Microsoft 365 and Windows File Shares, why permissions are not authority, and the sequence that gets a health system to trusted, AI-ready data.
Read Healthcare AI ReadinessThree Questions for Your Leadership Team
Do we know which information across Microsoft 365, Windows File Shares, archives, and connected clinical systems is protected, authoritative, obsolete, or subject to policy?
Can we connect what Microsoft reports about permissions, labels, retention, and legal holds to the broader clinical and administrative information we must govern and preserve?
Are we preparing approved data for Fabric, OneLake, Copilot, and agents, or allowing AI to inherit the data-quality and permission problems that already exist?
Close
Smart Stack 3.0 helps your health system understand what it has, reduce what it no longer needs, preserve what it must protect, and prepare approved Trusted Data for Microsoft analytics and AI.
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