PulseCare Telehealth
Led the end-to-end build of a HIPAA-compliant telehealth MVP with real-time event streaming and AI-assisted triage tools.
Overview
PulseCare folds intake, live care, and follow-up into a single HIPAA-compliant workflow so clinicians can focus on people over process.
Problem
- Clinics juggled separate SaaS tools for forms, waiting rooms, video calls, and charting.
- Low-bandwidth patients struggled to maintain stable telehealth sessions.
- Compliance demanded patient privacy, auditable access, and fault-tolerant infrastructure.
Solution
- Unified journey from AI-assisted symptom intake to visit summaries with collaborative notes.
- Implemented WebRTC with TURN + adaptive bitrate, device preflight, and humanised waiting rooms.
- Delivered infrastructure-as-code with Terraform, encrypted storage, and audit logging across regions.
Results
No-shows ↓ 28%
Automated reminders + frictionless web check-in reduced drop-offs for beta clinics.
Call success 99%
TURN routing and adaptive bitrate sustained sessions on 1.5 Mbps upstream links.
HIPAA readiness in 6 weeks
Infrastructure, logging, and BAAs passed compliance audit ahead of pilot launch.
Key Decisions
- Next.js, Supabase, Clerk auth, and custom WebRTC stack with TURN + SFU fallback.
- OpenAI + LangChain summarisation tuned for medical context with clinician review loop.
- Terraform-managed infrastructure deployed across Vercel + Fly.io regions for redundancy.
Timeline
Blueprint
Mapped provider + patient journeys with service blueprinting workshops.
MVP Sprint
Implemented intake AI, video rooms, clinician console, and notifications.
Compliance
Hardened infra, encryption, and monitoring to hit HIPAA benchmarks.