PortfolioA clinical referral portal, shipped in 9 weeks
DoD Healthcare · 2025

A clinical referral portal, shipped in 9 weeks

Replaced a 12-tab Excel workflow with a multi-role web app serving 4 medical centers. Real-time triage, audit log, single sign-on.

Client
Federal Healthcare
Role
Lead engineering team, dedicated to this project
Year
2025
Stack
Next.js 14, PostgreSQL…
9 wks
Brief to first production deploy
4
Medical centers onboarded
12 → 1
Excel tabs replaced
0
Add'l headcount required
THE WORK
STACK
Next.js 14PostgreSQLAWS GovCloud-readyNIST 800-53 Moderate

Challenge

A clinical referral team was running their entire workflow out of a single shared Excel workbook with 12 tabs. Triage decisions were getting lost between tabs. Audit requests took days to compile by hand.

Approach

We scoped a three-role web app, coordinator, clinician, audit, sharing one normalized referral record. Single sign-on through their existing identity provider, full audit log on every state change, exportable evidence for inspectors.

Outcome

Shipped to production in week 9, four medical centers onboarded in the next four weeks. The audit team reported that compiling their quarterly evidence package went from three days to four hours.

The portal landed before the discovery phase of our previous vendor finished. We are using the budget difference to fund the next two integrations.
, Program Director, Federal Health Contractor

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