Clinical Workflow Platform
Client Profile
Series C digital health company, 200 employees
Rebuilding a legacy clinical scheduling system while maintaining 24/7 operations for 50+ healthcare facilities.
The Challenge
The client had grown rapidly through acquisition, inheriting multiple scheduling systems that couldn't communicate with each other. Clinical staff were spending hours daily on manual coordination. The existing system was built on outdated technology with no test coverage, and the original development team had left the company.
Why a Long-Term Partner
They had tried twice before with project-based vendors. Both times, the contractors delivered something that technically met the spec but failed in production—they didn't understand the clinical workflows well enough to anticipate edge cases. The client needed a team that would stay long enough to learn the domain.
Our Approach
- Spent first month shadowing clinical staff to understand actual workflows
- Built comprehensive test suite around existing system before any changes
- Designed migration strategy allowing parallel operation during transition
- Implemented facility-by-facility rollout with immediate rollback capability
Technical Solution
Event-driven architecture using TypeScript and Node.js, with PostgreSQL for transactional data and Redis for real-time coordination. HIPAA-compliant infrastructure on AWS with full audit logging. Integration layer connecting legacy systems during migration period.
Why Continuity Matters
Healthcare facilities have seasonal patterns, policy changes, and regulatory updates that affect scheduling logic. Having a team that understood the system deeply meant we could adapt quickly to COVID-related changes, new state regulations, and facility expansions without re-learning the domain each time.
- Reduced scheduling coordination time by 70%
- Zero unplanned downtime during migration
- Consolidated 4 legacy systems into unified platform
- Enabled same-day schedule changes (previously 48-hour minimum)
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