Telemedicine Platform Launch: 50,000+ Virtual Visits in Year One
A regional health system with 200+ providers across 15 specialties, operating in a competitive metropolitan market. The system includes primary care, behavioral health, dermatology, endocrinology, neu...
Client Overview
A regional health system with 200+ providers across 15 specialties, operating in a competitive metropolitan market. The system includes primary care, behavioral health, dermatology, endocrinology, neurology, rheumatology, and other specialties — with patient volume spread across urban and suburban locations.
Timeline and Team
Team composition: Project manager, UX designer, 3 frontend developers (React + React Native), 2 backend developers, 1 integration engineer (Epic FHIR + Mirth Connect), 1 QA engineer, HIPAA compliance lead.
Phase | Duration |
Discovery & Requirements | 3 weeks |
UI/UX Design | 4 weeks |
Development (platform + integrations) | 16 weeks |
Testing & QA | 4 weeks |
Pilot Launch (3 clinics) | 2 weeks |
System-Wide Rollout | 4 weeks |
Total | ~8 months |
Client Testimonial
The Challenge
The health system had no virtual care capability. Patients requiring follow-up visits, medication management, or specialist consultations were driving to clinics for 10-minute appointments. New patient acquisition was declining as competing health systems offered telehealth options. Specific challenges included no infrastructure for HIPAA-compliant video visits, providers resistant to virtual care due to past experience with clunky tools, e-prescribing needed to work within the virtual workflow (not as a separate step), the EHR (Epic) integration was non-negotiable — providers refused to document in two systems, multi-state licensing requirements complicated provider-patient matching, scheduling needed to blend virtual and in-person slots seamlessly, and billing had to support telehealth-specific CPT codes and payer rules across multiple states.
The Solution
Taction built a full-featured telemedicine platform designed for clinical adoption — not just patient convenience.
Technical Architecture
Video: WebRTC-based HD video with adaptive bitrate streaming. Fallback to audio-only for low-bandwidth connections. Screen sharing for reviewing lab results and imaging with patients during the visit.
Frontend: React Native mobile apps (iOS and Android) for patients. React web application for providers (designed for desktop clinical workflows, not forced into a mobile layout).
Backend: Node.js with PostgreSQL. Real-time session management via Redis. WebSocket connections for waiting room status updates and in-visit messaging.
EHR Integration: Deep Epic integration via Open Epic FHIR APIs and HL7v2 interfaces through Mirth Connect. The provider sees the patient’s chart within the telemedicine interface — demographics, problem list, medications, allergies, and recent results all visible without switching applications. Visit notes are written directly back to the Epic encounter via FHIR DocumentReference resources.
e-Prescribing: Surescripts connectivity with EPCS (Electronic Prescribing for Controlled Substances) support. Providers prescribe during the video visit with the same workflow they use for in-person visits.
Features Delivered
HD video consultations with virtual waiting room and estimated wait times, multi-participant sessions (patient + provider + family member or interpreter), screen sharing for reviewing clinical data with patients, in-visit secure messaging for sharing links and documents, appointment scheduling blending virtual and in-person slots in one calendar, automated pre-visit workflows (insurance verification, consent, intake forms), e-prescribing with Surescripts and EPCS, clinical documentation with structured templates and voice-to-text, real-time insurance eligibility verification, automated CPT code assignment for telehealth visits, copay collection and self-pay payment processing, provider dashboard with daily schedule and patient queue, state-specific telehealth compliance rules engine, and post-visit patient satisfaction survey.
HIPAA Compliance
Full HIPAA compliance implementation: SRTP + DTLS encrypted video transmission, AES-256 encrypted data storage, MFA for all users, end-to-end encrypted messaging, comprehensive audit logging, BAAs with all infrastructure providers (AWS, Twilio, Surescripts, Stripe).
Technologies Used
Results
The no-show rate reduction alone — from 23% for in-person to 8% for virtual — recovered an estimated $1.8M in lost revenue annually. New patient wait times dropped from 12 days to 3.2 days, directly improving patient acquisition and retention.
Provider adoption was the critical success metric. By designing the platform around existing clinical workflows (not forcing providers into a new workflow), 92% of eligible providers were actively using the platform within 4 months of launch.
Metric | Year One Results |
Virtual Visits Completed | 50,000+ |
Patient Satisfaction | 94% |
No-Show Rate (Virtual) | 8% (vs 23% in-person) |
Provider Adoption | 200+ providers actively using |
Specialties Supported | 15 |
Average Visit Duration | 14 minutes |
Time to First Visit (New Patients) | 3.2 days (vs 12 days in-person) |
Revenue Generated | $4.2M in telehealth billing (year one) |
