A behavioral health coordinated-care network serving 3M+ patients was locked inside a third-party vendor's clinical platform, unable to ship features or customize workflows on its own timeline. We ran a 4-week discovery of the legacy .NET application, then built a longitudinal patient dashboard pulling claims, EHR, referral, and SDOH data into a single view across 15 clinical cards.
Talk to UsA behavioral health coordinated-care network serving 3M+ patients across primary care, behavioral health, hospitals, social services, and payers
4-week legacy platform discovery, then a longitudinal patient dashboard built inside the client's care optimization suite
React, Node.js, Azure App Service
In production, Phase 2 underway
Discovery through production ran without a delay or a sprint deviation, and the platform has held up under real clinical use since launch.
Uptime in the first 30 days of production, zero critical or major bugs
Clinical and operational cards in a single patient view
Claims, EHR, referral, and SDOH data sources consolidated
Discovery phase, completed on schedule ahead of build
Three problems compounded on each other: a fragmented patient view, a vendor that controlled the roadmap, and a compliance bar the platform wasn't built to clear at scale.
A care manager working a patient with behavioral health diagnoses, active referrals, SDOH barriers, and a recent ED visit had to piece that picture together from separate systems: claims in one place, EHR records in another, referral status in a third, SDOH assessments somewhere else.
Feature requests went through the vendor's development queue, and customization was limited to what the vendor's platform supported. The client held source code escrow rights but lacked the infrastructure and managed services expertise to run the platform independently.
Serving millions of patients across multiple behavioral health organizations meant strict HIPAA compliance, SOC 2 standards, and high availability were operational requirements, not aspirational ones, and the existing platform wasn't built to meet them at the scale the client was growing into.
A React frontend and Node.js backend on managed Azure infrastructure, built to HIPAA and SOC 2 Type II aligned standards.
A care manager searches by patient name and date of birth, or by Medicaid ID, and gets a single screen pulling from 7 data sources into 15 clinical and operational cards. Each card operates independently, so new data sources can be added without redesigning the dashboard.
The dashboard reads from finalized data tables and never writes back to source systems, protecting claims, EHR, and referral system integrity while still giving care teams the aggregated view they need. Agency-level data separation is enforced at the API layer, so a care manager at one agency cannot see patients managed by another. Role-based access control runs at the backend, not as a UI filter.
Real-time ADT alerts, risk stratification, care gap tracking, and 12-month cost and utilization views surface alongside the patient record, so care managers can act on current information instead of a static snapshot.
HIPAA-compliant audit logging, a SOC 2 Type II aligned design, and HTTPS encryption for all data in transit run underneath the platform, with token-based authentication protecting every API call between the frontend and backend.
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