Ness helped a leading clinical trials company improve software development productivity by 70% through implementing an adaptive agile methodology and integrated development tools. A four-week assessment identified over $10 million in potential annual efficiencies. Recommendations included customizing agile practices, integrating application lifecycle tools for improved workflow, and implementing a process optimization framework with metrics dashboards for increased transparency. Benefits included unprecedented transparency, predictability, and a 70% increase in deliverables without additional costs.