Standardization
For many health IT companies they may just have an initial hurdle of working out what versions of their interfacing platform they have in production. Getting a handle on that so there is an agent that can report this information for central collection is a key initial milestone to access the variability of the installations and what the overall shape of installations is in.
Are they grouped around particular versions of Chameleon or is a very heterogenous environment with many versions in play.
This makes it very important when making alterations to these environments to avoid changing global settings like PATH and registry values.
When installing new software into such critical production environments it's very important to do it very conservatively - using approaches that unzip into directories and do not make any uncontrolled global changes on the machine.
That of course needs to controlled by trusted parties to even place that software using private/public key technology to control when and who does it. Security has to be considered at every stage.