Enterprise Application Modernization and Integration for Pediatric Home Healthcare Services

A healthcare organization specializing in pediatric home care faces difficulties due to outdated custom software applications supporting patient management, caregiver coordination, and order processing. The legacy systems, hosted on-premises, entail high maintenance costs, limited scalability, security vulnerabilities, and inconsistent integration with modern electronic health record (EHR) systems. Additionally, the organization struggles with inefficient workflows, poor user experience, and lack of reliable automation, which hinder their ability to scale operations, improve patient and caregiver engagement, and comply with evolving healthcare standards.

A regional healthcare provider specializing in pediatric home health care with multiple locations across several states, operating in complex regulatory and billing environments, requiring customized software solutions to manage patient care, caregiver coordination, and operational workflows.

• Modernize existing custom software applications to support scalable, cloud-native architecture on a secure platform.
• Integrate new and existing EHR systems with the upgraded applications to ensure seamless data exchange and operational continuity.
• Implement reliable order processing workflows with automated retries and error handling to reduce failure rates and improve reliability.
• Enhance user experience for both caregivers and healthcare staff, enabling secure messaging, caregiver management, and streamlined digital onboarding.
• Establish robust DevOps practices including CI/CD pipelines for safe, efficient, and flexible deployment of new features.
• Migrate all hosting and infrastructure to a cloud environment to improve scalability, security, and ease of maintenance.
• Support multi-location operations with varied billing practices and multi-child, multi-caregiver management capabilities.

• Modernized web applications supporting current frameworks and supported technology versions (e.g., latest .NET, Angular, Node.js).
• Order management module with event-driven architecture using messaging queues for reliable submission and retry mechanisms.
• Integration layer for connecting with multiple external EHR platforms, ensuring real-time data synchronization.
• Secure caregiver and patient portal with multi-user management, allowing multiple caregivers per patient and multiple children per caregiver.
• Employee portal updates incorporating secure messaging and communication workflows.
• Digital onboarding process enabling families to self-register with minimal manual intervention.
• Hosting on a cloud platform with scalable architecture, utilizing cloud-native services for reliability and security.

• Multiple EHR platforms to synchronize patient data and orders in real-time.
• Secure messaging systems for caregiver and staff communication.
• Billing and financial systems to accommodate multi-state and multi-client billing practices.
• On-premises legacy systems (if applicable) during phased migration to cloud.

• Scalability to support multi-location operations with increased user and data load.
• High availability with 99.9% uptime SLA targets.
• Data security compliant with healthcare regulations such as HIPAA.
• Automated error handling and retry mechanisms to ensure 99.9% successful order processing.
• Performance optimization for end-user response times below 2 seconds.

This modernization initiative will enable the organization to scale operations efficiently across multiple states, reducing manual intervention and operational costs. By implementing reliable, secure, cloud-native applications with seamless EHR integration, the organization can enhance caregiver and patient engagement, improve communication, and streamline workflows. Expected outcomes include increased portal adoption rates, higher system reliability, and enhanced compliance with healthcare standards, ultimately supporting growth and delivering superior patient care.