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An all-in-one enterprise healthcare solution

Learn how we developed an enterprise healthcare system to digitize processes for healthcare providers and consumers


40+ people


2015 – present


California, USA

The screenshots used in this case study contain fictitious names and medical data
and are purely for illustrative purposes.

About the client

Healthfully is a California-based startup that offers a multiplatform healthcare solution to meet the needs of all hospital stakeholders. The platform digitizes processes from C-level decision-making to routine processes of all medical specialists, non-medical hospital personnel, laboratory staff, and healthcare consumers.

Benefits of Healthfully

  • Telehealth solution

  • Scheduling and payments

  • Collaboration and messaging

  • Caregiver, family, and peer support

  • Health programs

  • Incentives and rewards

  • Health and social communities

  • Remote monitoring and device integration

Business challenges

The Healthfully team faced three key business challenges.

Find a reliable software vendor who:

  • had healthcare industry expertise

  • was capable of architecturing cost-efficient software solutions

  • could build an enterprise-level multiplatform healthcare system.

Enhance the experience for existing clients by responding to emerging requirements and requests for new functionality.

Onboard new healthcare organizations.

Product scope

In creating their app, Healthfully wanted to accomplish two goals.

Build a holistic solution that

  • enabled most healthcare jobs to be done from a single app

  • captured the patient data required to perform Value-Based Care and Population Health Management

  • integrated with existing EHR, PMS, and HIS systems

  • curated service destinations and influenced downstream decisions and referrals.

Create a caregiving community through the platform that includes different circles of care, containing:

  • patients

  • healthcare providers

  • caregivers (family, nurses, guardians, etc.)

Schedule template

Project details

Product discovery

  • To ensure the scope of the project was aligned with business values, we divided the discovery phase into three stages:

  • Analysis. Define business requirements, determine the product’s market positioning, analyze the product architecture, and elicit the best technical solutions.

  • Design. Create a product vision and roadmap and build an architectural design in line with business goals.

  • Requirements. Formalize the product vision into the project scope for the development team and perform initial project setup.

Mobile healthboard and communities

Managing several groups of stakeholders

This project requires us to work with different groups of stakeholders who contribute to the project backlog:

  • Healthfully (product owners)

  • Healthfully’s clients (clinics and their patients, who are the main source of end user feedback)

  • Third-party integrations providers (one of the sources for technical requirements)

To align the processing of stakeholders’ input, we:

  • developed a stakeholder management strategy to balance expectations of different groups of external stakeholders and ensure all their functionality requests were properly prioritized and delivered

  • rebuilt the technical workflow in line with our stakeholder management framework, which involved implementing a CI/CD pipeline and implementing a GitFlow branching mode

  • adjusted project delivery to the stakeholders’ management framework once Healthfully got new clients.

Ensure secure data sharing between system modules

We needed to integrate with some poorly documented legacy systems. Our task was to ensure system integrity regardless of the technologies. The integrations we implemented included:

  • an EHR system

  • an HL7 messages interface

  • a telemedicine solution

  • an appointments scheduling solution

  • a payment system

  • WebRTC solutions

  • new cloud infrastructure (integrated with existing on-premises infrastructure)

HIPAA compliance and product security

We ensured HIPAA compliance by:

  • limiting the scope of data visibility for sensitive PII/PHI data

  • securely sharing HL7 messages

  • logging activity with regular long-term cold storage backups and strict access limits to sensitive information

  • implementing AWS as a 100% HIPAA-compliant infrastructure provider

  • setting the session expiration time and regulating the number of devices that can be logged in to one account at a time.

We ensured product security with:

  • secure SSL-based connection protocols for exchanging data between users and the server

  • isolated database access that allows connections only from the internal network with role-based authentication

  • bruteforce application login detection and blocking of access for suspicious users

  • a strict password policy

  • suspicious activity detection and prevention

  • an encrypted communication layer (SSL)

  • role-based authentication and permissions management

  • cloud-based infrastructure.

Ensuring quick team scaling

During five years of our collaboration, there were several times when we had to quickly scale the project team. The last time, we had just a couple of weeks to scale the team from 12 to 30 people.

To ensure fast and smooth scaling, we

  • rebuilt the management structure and implemented partially independent domain pods for specific project units

  • embedded a new structure of technical leadership

  • assigned a dedicated resource manager who knew the project context

  • established an onboarding process that included learning the project documentation, workshops conducted by BAs and QAs, and mentoring by tech leads.

Developing a telehealth module from scratch in response to COVID-19

We were in the middle of building the core Healthfully functionality when the coronavirus outbreak started. In addition to the ongoing core development, the client asked us to create urgent virtual visit functionality to enable remote doctor appointments.

We managed to build live health video chat functionality within two weeks that effectively replaced many in-office visits during the pandemic. We made the virtual visit functionality capable of being integrated with any enterprise master patient index or third-party enterprise risk management system.

Video call

Simple UX for a complex product

Due to healthcare specifics, we had to make complex functionality clear, intuitive, and user-friendly for non-techies, people with disabilities, and different age groups. The Healthfully app includes many user roles, and we made the UX comfortable for all users by

Providers and circles
  • building a consistent information architecture that’s scalable enough to allow for future implementations

  • adapting the design to the needs of users in different age groups

  • making the system convenient for people with disabilities

  • ensuring outdoor usability and accessibility.

Business process management for digitizing a workflow

Our client asked us to digitize the process by which care coordinators create patient referrals. The client provided us with their existing workflow as a starting point. As you can see in the diagram below, it was full of manual work, clarifications, and calls.

This was ineffective and time-consuming. Our task was to analyze the current workflow and add functionality that would significantly decrease the process complexity.


To digitize the referral process, we created models to visualize the future state and to model the sequence of events and the flow of information. Together with our business analyst, we designed and developed the corresponding functionality.


As a result, if eligibility rules are set up, the system automatically checks a patient’s eligibility for social services with no human involvement. Now, the process of referring a patient takes minutes instead of the hour or so that it took before.


Value delivered

As a result of the functionality provided by Yalantis, Healthfully was able to expand its user base with several large organizations both public and private.

All of a sudden, not only health systems are interested in having access to our app but employers and universities as well. Our phone is ringing all the time with people asking us to present our solution. It’s something that is really needed by employers.

Paul Viskovich, Chief Executive Officer at Healthfully

Thanks to the results of our collaboration, Healthfully and its partners are currently

  • having discussions with charity foundations to, among other things, help psychologically traumatized people get back to normal life through online doctor visits

  • looking to globalize the structure we created to enable people to access the services of all agencies in their communities

  • partnering with social health organizations to help people stay well and live better lives

  • exploring new ways to evolve the platform by making use of smart devices like Apple Watch, Fitbit, and wireless scales to better manage and improve people’s overall wellness.

Group chat
List of communities

We’re literally saving people’s lives, getting people back to work, educated, and back to college. The influence that this solution can have on the world is incredible.

Vice President of Strategy, Healthfully`s partner

Looking to create an all-around solution for digitizing your medical routine?

We have experience and well-established processes building custom HIPAA-compliant software including EHR, EMR, and ERX systems.

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