Hack the Domo Stack: Build Your Own Domo Consultancy

When Jani Radhakrishnan joined Regional One Health in Memphis, she wasn’t thinking about leading a consultancy. She was an entry-level analyst in the not-for-profit hospital system’s  Center for Population Health , tasked with a puzzle that would change her career: how to measure care outcomes for Memphis’s most vulnerable residents.

“I was really intrigued by that puzzle,” she said. “That was my first introduction into how complicated health systems are. Healthcare data is its own beast, because not only are you dealing with intricate data points, but they're about people’s personal lives.”

Those first few months revealed both the intricacies and the potential of healthcare data. When Jani’s early initiatives started showing measurable improvements, Dr. Reginald Coopwood, Regional One Health’s president and CEO—and a Hall of Fame Award winner at Domopalooza 2023—saw an opportunity to scale the approach across the entire hospital system.

This month in Hack the Domo Stack, we’re exploring how they did it.

Step 1: Start with one success and scale it

Every scalable idea begins with one meaningful win and a leader willing to back it. In her first few months at Regional One Health, Jani and her team started seeing early positive outcomes from bringing data together inside a healthcare system. The CEO noticed.

So, they transformed an existing performance improvement department into a small internal analytics department and moved some people and skillsets around to build a new team. The team learned by experimenting, effectively shaping how healthcare organizations could use Domo long before those features became standard.

Key takeaway: One leader’s belief can turn an experiment into an enterprise. Start small, prove value, and find the champion who will help you expand.

Step 2: Build your internal IP

Before you can build for others, you need reusable systems inside your own organization. Start by documenting how your data flows, how metrics are defined, and how your teams collaborate. Those frameworks will become the intellectual property you can later market to others.

At Regional One Health, that work began the day the analytics department was formed. “We were given this brand new department, this brand new tool, and it was like, let’s just learn our way through this tool and also create solutions for the hospital,” Jani said.  

As the team standardized ETL structures, naming conventions, and dashboard layouts, they created the blueprint that would later power a consultancy.

Key takeaway: Document early and often. The playbooks, data sets, and design logic you refine today become your organization’s most valuable IP tomorrow.

Step 3: Prove your model works—and help others see the value

Once your internal model works, the next challenge is proving its worth and earning broader buy-in. As the Regional One Health team found, that process takes time and persistence.

“I would say it was about a year of conversation,” Jani said. “It was a lot of questions like ‘What are the outcomes you’ve seen?’ Obviously, we’d seen the outcomes at Regional One, but we needed to make them tangible.”

She and her team spent that year gathering adoption data, ROI metrics, and dozens of human stories—including pharmacists, executives, nurses, and physicians —showing how Domo improved their providers’ daily decisions. The visibility her team earned starting to present at Domopaloozas also helped give those results even more credibility. “It got to the point where we realized we clearly had something special and people want to hear our story,” Jani said. “Healthcare could really benefit from this.”  

Those proofs and stories became the foundation for Regional One Health Solutions, a healthcare analytics consultancy born inside a hospital.

Key takeaway: Quantify results and humanize them. Combine ROI metrics with user stories to create a case leaders can’t ignore.

Step 4: Build for scale with clean governance and simple architecture

Scaling a solution means making it safe and understandable for others. Start by defining how your data will be protected and how your architecture will stay transparent.

“We wanted to make sure we weren’t sharing our own data,” Jani said. “So we created a downloadable version of the dashboard powered by demo data, so people can see it in action without getting a real data set.”

Inside Domo, her team focused on simplicity. “Keeping your ETL structure as simple and as clean as possible makes it easy for anybody to use it,” she explained. Her team later codified those standards in a guidebook, now replaced by Domo’s built-in labels and sticky-note annotations within Magic ETL.  

Key takeaway: Governance starts with clarity. Use mock data for demos, and keep your ETLs flat, labeled, and well-documented so others can replicate your work.

Step 5: Choose your next use cases strategically

When you’ve proven one success, the question becomes: Which projects are worth scaling next? The best candidates solve universal problems, deliver clear outcomes, and can be lightly customized for others.

Jani’s team reviewed nine years of Regional One Health dashboards and identified the most transferable ones. “We’ve taken a look at around 200 use cases and found about 20 we could very quickly customize to other healthcare systems,” she said. They called them portfolio pages—dashboards and guidebooks drawn from their own operational portfolio.

“Our solutions are built by a hospital for hospitals,” she added. One of those offerings now available to hospitals grew out of a common pain point: understanding patient feedback at scale. Staff had been manually reviewing thousands of comments to pinpoint areas for improvement. That’s where AI made a difference.

“Now, we have AI that reads the feedback and makes all the recommendations,” Jani said. “We’re doing all that in Domo.”

Key takeaway: Pick use cases that matter to everyone, then prove them in your own environment first. Reusable value starts with solving real problems.

Step 6: Pick the right consultancy model for your organization

There’s no single blueprint for turning internal expertise into a service. You can sell access, manage everything end-to-end, or—like Regional One Health Solutions—equip others to succeed on their own.

“We decided we wanted the hospital to own their own instance,” Jani said. “We want them to have access to their own data, but we’re just teaching them how to do it.”

ROH Solution’s hybrid model combines portfolio products (their dashboards and guides) with a training and enablement approach (hands-on setup and knowledge transfer).  

Key takeaway: Align your business model to your values. Productize what you’ve mastered and teach others to own it. That combination builds trust and scale.

Step 7: Define your IP and price it right

Turning expertise into revenue takes experimentation. Expect to adjust pricing as you learn what your market values.

“Pricing was a learning journey for us,” said Jani. Over time, her team built tiered pricing for different organization sizes and clarified what belonged in a one-time fee versus a recurring service.

She also refined how she defines intellectual property. “There’s a difference between understanding your value and your IP,” she said. “Obviously, it’s not the Domo platform, but what is that extra thing you add on top? That’s your value add.”

As AI features become more accessible, ROH Solutions focuses on where its expertise still adds unique value. “For example, I can build out the prompts in the AI ETL to make sure you’re getting accurate results in your output,” she said. That kind of precision, she believes, is worth paying for.

Key takeaway: Price for what’s distinctly yours. As AI makes basic tasks simpler, your value lies in the accuracy, creativity, and trust you bring to complex work.

Ready to build what’s next?

Over the past decade, Regional One Health Solutions has modeled what can happen when curiosity meets leadership—and when people who know their data best partner with Domo to help others do the same.

Their story shows how innovation doesn’t always start in a lab or a boardroom. Sometimes it begins with one person trying to solve a hard problem and a leader willing to say, let’s see where this goes.

We’re grateful to Jani and the Regional One Health Solutions team for showing what it looks like to build with purpose and turn that work into something that helps others grow.

So, if you’re ready to build what’s next:

• Apply to present at Domopalooza 2026. Like Jani and her team, sharing your story can spark partnerships and possibilities you never expected. ‍
• Explore other editions of Hack the Domo Stack, including how builders monetize their data and tackle budgeting in Domo. ‍
• Considering your own consultancy? Connect with your CSM to explore how Domo can support your architecture, governance, and partnership strategy.