--- title: "Proactive Drupal support that kept Altru Health System secure and scaling" description: "Near 100% ADA compliance for Altru Health System. A reactive support contract rebuilt into a proactive, security-first partnership." url: https://www.specbee.com/work/altru type: "Case Study" published: 2026-07-14 updated: 2026-09-17 --- # Proactive Drupal support that kept Altru Health System secure and scaling The engagement started by stabilizing the basics, getting current on security and modules, then building outward into UX, search, content structure, and accessibility. Each phase built on the last. A support engagement grew into a long-term partnership. Altru now has a platform that can keep pace with their content volume and their patients' expectations. Governance gaps, unpatched modules, and search that surfaced the wrong content were each undramatic on their own. Together they shaped a platform that couldn't keep up. The shift from reactive to proactive changed the trajectory. ## Small issues had compounded quietly. When Altru came to Specbee, the ask was clear: stop the platform from falling further behind. Their previous vendor had left them in a reactive posture, fixing problems after they surfaced. For a healthcare platform handling patient-facing content, that gap was a real risk. Altru Health System runs a large, constantly growing library of patient-facing healthcare content. Their previous vendor treated that scale as background noise — working ticket to ticket with no view of what came next. - Security updates had fallen behind, leaving known vulnerabilities unpatched on a healthcare platform - The vendor operated reactively with no proactive maintenance or forward planning - A growing content library had outgrown its architecture, with no governance in place - Patients had trouble finding relevant information quickly on a hospital site - ADA compliance and performance needed sustained attention, not a one-time pass ## A support contract that wasn't actually supporting anything ![altru](https://www.specbee.com/sites/default/files/2026-09/altru-fav.svg) A reactive support contract rebuilt into a proactive, security-first partnership. ## Near 100% ADA compliance for Altru Health System ![Altru Health System teaser](https://www.specbee.com/sites/default/files/2026-09/altru-teaser.png) [Visit Website (accessible only from the US now)](https://www.altru.org/) ![Altru-Banner-image.png](https://www.specbee.com/sites/default/files/migrated/Altru-Banner-image.png) ## Near 100% ### ADA compliance Continuous accessibility work, not a one-time audit pass. ## Cleared ### Security backlog Consistent updates removed the platform's biggest standing risk. ## Improved ### Search experience New landing and listing pages made the content library navigable. ## Scalable ### Content operations Tighter governance means new content doesn't strain the platform. ## A healthcare platform built to keep up with its own growth Measured across security posture, accessibility, and user experience. Improved + new landing pages Defined workflows and architecture Poor content surfacing Ticket-based, no strategy Specbee took over with a security-first maintenance model: Drupal core and module updates on schedule, vulnerabilities caught before they became exposures, and a steady cadence of feature work alongside routine maintenance. - Continuous Drupal core and contributed module updates - Proactive vulnerability monitoring and remediation - On-demand feature development alongside routine maintenance - An engagement built around ongoing collaboration rather than a ticket queue ![Homepage-Video-Altru-cc.mp4](https://www.specbee.com/sites/default/files/media-icons/generic/video.png) ### A proactive support model built around the platform, not the ticket queue The team ran a full site redesign, reworking navigation and tightening user journeys so patients could find what they came for. - Full site redesign and UX overhaul - Navigation and content structure optimization - Tightened user journeys to reduce friction ![Altru-image-1.png](https://www.specbee.com/sites/default/files/migrated/Altru-image-1.png) ### A redesign built around how patients search Specbee restructured the underlying data architecture and tightened content governance and publishing workflows, so Altru's team could keep adding healthcare content without the platform straining under the volume. - Data architecture restructured for scalability - Content governance and publishing workflow improvements ![Altru-image-2.png](https://www.specbee.com/sites/default/files/migrated/Altru-image-2.png) ### Content architecture and governance for a growing library SEO, performance, and ADA work ran as continuous threads throughout the engagement. That sustained approach brought a large healthcare site to nearly full accessibility compliance. - ADA compliance work continued throughout the engagement, reaching nearly 100% - SEO across metadata, content structure, and performance - Site performance improvements across the engagement ![Altru-image-3.png](https://www.specbee.com/sites/default/files/migrated/Altru-image-3.png) ### Sustained ADA compliance and performance improvements Search got a meaningful overhaul. New landing and listing pages made the content library easier to surface, and steady search improvements helped patients reach the right information faster. - Search overhaul for patient-facing content - New landing and listing pages for discoverability - Steady search experience improvements across the engagement ![Altru-image-4.png](https://www.specbee.com/sites/default/files/migrated/Altru-image-4.png) ### Search architecture and content discoverability ### Transitioning from reactive maintenance to a platform that keeps pace ADA compliance reached From reactive maintenance model Site redesign and UX overhaul Long-term platform partnership - [Dr. Reddy’s 72-Site Enterprise Multisite: Launches, Support & Upgrades](https://www.specbee.com/work/dr-reddys-laboratories) - [HCG’s Platform Consolidation: 2 Sites, 25+ Hospitals, 1 AI Search](https://www.specbee.com/work/hcg-hospitals) - [Flat HTML mockups, rebuilt into a reusable Drupal component system for INX International](https://www.specbee.com/work/inx-international)