Telehealth Platform

Industry: Healthcare
Year: 2022

HIPAA-compliant telehealth solution serving thousands of patients

The Challenge

A healthcare startup needed to rapidly build a comprehensive telehealth platform that could handle the full patient care cycle—from scheduling through video visits to e-prescriptions—while maintaining strict HIPAA compliance. The platform needed to be intuitive enough for both tech-savvy and non-technical users, secure enough to handle protected health information, and robust enough to scale with rapid patient growth.

The existing healthcare infrastructure landscape was fragmented, with separate systems for scheduling, charting, video, and prescriptions. The challenge was integrating these disparate pieces into a cohesive experience while meeting regulatory requirements and maintaining performance under load.

Our Approach

We started with a deep discovery phase, interviewing clinicians, administrative staff, and patients to understand the actual workflows—not just what the stakeholders said they wanted, but how healthcare actually happens. We mapped out the entire patient journey, identifying pain points and opportunities for automation.

Rather than building everything at once, we took a phased approach:

  1. Core scheduling and patient management first
  2. Video visit infrastructure with WebRTC
  3. Charting and clinical note-taking
  4. E-prescription integration with pharmacy networks
  5. Reporting and analytics for practice management

Each phase was deployed to a subset of users, allowing us to gather real-world feedback and adjust before full rollout. We prioritized security and compliance from day one—HIPAA wasn't an afterthought, it was built into every architectural decision.

The Solution

We built a full-stack web application using React and Node.js, with a PostgreSQL database designed to handle complex healthcare data relationships while maintaining audit trails for compliance.

Key features included:

  • Smart Scheduling: Integrated calendar with provider availability, automated reminders, and self-service rescheduling
  • Secure Video Visits: WebRTC-based video with automatic fallback options, screen sharing for reviewing test results, and in-visit note-taking
  • Clinical Charting: Customizable templates for different visit types, voice-to-text for faster documentation, and integration with diagnostic codes (ICD-10)
  • E-Prescriptions: Direct integration with pharmacy networks (Surescripts), medication history lookup, and controlled substance handling
  • Patient Portal: Appointment history, visit summaries, prescription refills, and secure messaging with care team
  • Practice Management: Billing workflows, insurance verification, and real-time dashboard for clinic operations

All patient data was encrypted at rest and in transit, with role-based access controls and comprehensive audit logging. We implemented automated backups with point-in-time recovery and built a disaster recovery plan that met healthcare industry standards.

Results & Impact

Full telehealth platform delivered: scheduling, video visits, charting, and e-prescriptions

Passed independent HIPAA security audit with zero critical findings

99.9% uptime maintained across all services

WebRTC video with automatic quality adaptation and sub-second connection times

Integrated with Surescripts pharmacy network for electronic prescriptions

Complete audit logging and role-based access control for compliance

Technologies Used

ReactNode.jsPostgreSQLWebRTCAWS (EC2, RDS, S3)Surescripts APITwilioRedisDocker