Telehealth app development for practices that have outgrown off-the-shelf tools.

• 01

  HIPAA compliance built in
  Encrypted storage, audit trails, and role-based access control are part of the base architecture, not an add-on. PHI is encrypted at rest with AES-256 and in transit with TLS 1.3, access control is enforced at the API layer so a front-end bypass cannot expose records, and every record access is written to an immutable audit log. BAAs are signed before development begins.
• 02

  Healthcare domain experience
  We have shipped telehealth platforms, remote patient monitoring apps, and patient portals for practices in the US, UK, and Ireland, so HIPAA safeguards, NHS DSP Toolkit requirements, and GDPR health data obligations are familiar ground. We know how a GP's follow-up booking differs from a specialist's referral queue, and those differences shape data models, not just UI. You are not paying for our learning curve.
• 03

  Milestone-based pricing
  Scope and price are locked before a line of code is written. You receive a fixed price at the end of Week 1 discovery, after we map your patient population, providers, systems, and compliance requirements. Payment is structured against working-software milestones: design sign-off, MVP feature complete, QA sign-off, production launch. The fixed price you receive in Week 1 is the number you pay.
• 04

  8 weeks post-launch support
  Eight weeks of post-launch support is included in every project, covering the period when real patient and provider load exposes issues staging cannot: concurrent booking edge cases, video degradation on poor networks, EHR sync failures. Critical bugs are resolved within 24 hours, and we monitor production error rates and latency with CloudWatch or Datadog so problems are caught by our alerts, not your patients.
• 05

  Connects to your existing stack
  HL7 FHIR R4 is our integration standard for EHR connectivity, with read/write integrations built against Epic, Cerner, Athenahealth, and Greenway Health, so patient demographics, appointments, and clinical notes sync bidirectionally where the EHR allows. Twilio Video or Daily.co handles sessions, Stripe handles payments and co-pay collection, and Twilio SMS and SendGrid handle reminders. Your existing tools stay in place.
• 06

  Bi-weekly demos
  Working software is demonstrated every two weeks, not slides or status meetings. Every sprint ends with a live demo in a staging environment that mirrors production, where you and your clinical stakeholders test the flows as a real provider and patient would. Problems surface when they are cheap to fix, and you never spend 14 weeks without seeing what you are paying for.

• 01

  Tech that grows with you

  Telehealth platforms built on AWS with auto-scaling handle 50 concurrent providers the same way they handle 5, no manual provisioning before a busy period. The application layer scales horizontally against session count, PostgreSQL with read replicas and connection pooling prevents exhaustion under load, and Twilio Video keeps sessions stable with automatic relay fallback. Multi-tenancy is designed in from the start.

• 02

  Improved patient care

  Software designed around clinical workflows produces measurably better care outcomes than generic SaaS patterns. We map your actual workflow in Week 1: how a GP books follow-ups, how a specialist handles referrals, how a chronic-disease nurse tracks RPM alert thresholds. That mapping drives the data model and the UX, so clinical staff recognize their workflow on screen instead of adapting to what the software expects.

• 03

  Works on any device

  Patient and provider interfaces are tested on iOS, Android, and desktop browsers in every sprint QA cycle, not at launch. Video sessions use WebRTC (Twilio Video or Daily.co) and run in-browser on all modern platforms, no plugin or download for occasional patients, while native iOS and Android apps are available where push notifications and offline care-plan access matter.

• 04

  Compliance and security

  HIPAA Technical Safeguards are implemented at the infrastructure level, not patched on later: unique authentication for every user, automatic session timeout, and MFA for admin roles. TLS 1.3 is enforced on all API and video traffic, immutable audit logs record every PHI access stored separately, and penetration testing against OWASP Top 10 and the HIPAA Security Rule runs before launch.

• 05

  Boosts efficiency

  Manual scheduling, reminder calls, and follow-up coordination are the largest time sinks in telehealth operations, and the most automatable. Automated reminders via Twilio SMS and SendGrid email at 48, 24, and 2 hours before appointments cut no-show rates by 25-35% in typical deployments, and cancellation and rescheduling policies enforce themselves, returning slots to availability without staff involvement.

• 06

  Patient accessibility

  The patients who benefit most from telehealth, those with mobility limits, chronic conditions, or low comfort with complex interfaces, are the most likely to abandon a poorly designed platform. We design for them: large touch targets, three taps maximum from reminder link to live video session, and readable default typography, with multi-language and RTL support and WCAG 2.1 AA compliance for all patient-facing web interfaces as standard.

1. Week 1
   01

   Discovery

   Discovery is a structured working session with your clinical and operational leads, not a questionnaire. We map your patient population and care pathways: what conditions are being managed, what appointment types exist (initial consultation, follow-up, group session, crisis check-in), what documentation is required post-session (session note, care plan update, prescription, referral). We map your existing systems: EHR vendor and version, billing system, practice management software, and any current video or messaging tools your providers are already using. We identify the compliance context: US HIPAA, UK NHS DSP Toolkit, GDPR, or state-specific telehealth regulations for interstate practice. By the end of Week 1, we have a scope document, a technical architecture outline, and a fixed price. You approve it before development begins. Nothing is built on an estimate.

2. Weeks 2-3
   02

   Design

   Every patient and provider flow is wireframed and prototyped before any code is written. Patient flows cover registration, booking, pre-appointment forms, session join, and follow-up scheduling. Provider flows cover the daily schedule, patient queue, session notes, prescriptions, and referrals. Each wireframe is reviewed with the clinical stakeholder who will use it daily, not just the project sponsor. Design sign-off is a formal milestone: you approve the product before it is built, so there are no mid-sprint surprises.

3. Weeks 4-10
   03

   Build

   Two-week sprints, each with a clear goal and a working demo at the end. Sprint order puts the highest-risk integrations first: video infrastructure and authentication in Sprint 1, booking in Sprint 2, EHR FHIR integration in Sprint 3, then session notes, messaging, billing, and advanced features per your scope. Each demo runs in staging with anonymized test patient data. Engineers, QA, and your clinical reviewer attend every demo so feedback is immediate.

4. Weeks 10-12
   04

   QA

   QA runs in parallel with development, not as a phase after the build. Automated end-to-end tests with Playwright cover critical patient and provider journeys. Manual testing targets clinical edge cases: a patient joining 20 minutes early, a provider switching devices mid-session, an EHR sync failure mid-appointment. A HIPAA compliance review covers PHI access paths, encryption, and audit log completeness before anything ships. Penetration testing against OWASP Top 10 is completed before go-live.

5. Weeks 12-14
   05

   Launch

   Production deployment follows a defined runbook: infrastructure via Terraform, database migration with tested rollback scripts, and load testing with k6 at twice your expected peak before the first patient is onboarded. App Store and Google Play submission is handled if native apps are in scope, including healthcare category review preparation. For large practices we recommend a phased rollout: a pilot cohort first, 48 hours of monitoring, then full rollout. The 8-week support period begins at go-live.

6. Post-launch
   06

   Iteration

   After launch, the platform improves on data from real clinical use, not assumptions. We monitor error rates, session completion, and booking abandonment, with structured provider check-ins at weeks 2, 4, and 8. The monitoring setup (CloudWatch or Datadog dashboards) is handed to your team with runbooks for the most common operational issues. Improvements found during the support period are prioritized and delivered in post-launch sprints. Ongoing feature development is available afterwards as a fixed monthly retainer.

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