STAGE 01
Inputs
Direct-to-patient touchpoints with native EHR integration and single sign-on.
MyChart SSODynamic E-ConsentRisk SurveysOne-Time Password Logins
CUSTOM PLATFORM ENGINEERING & ARCHITECTURE CONSULTING
We Build the Technology Platforms That Power Complex Clinical Programs
Off-the-shelf healthcare software rarely solves specialized clinical workflows. We architect and engineer custom middleware operating systems, EHR integrations, and patient engagement hubs tailored to your health system's exact operational needs. But in today's AI-first world, you should not expect to have to make your program conform to your software options. Instead, we take a holistic approach: We first work on the program goals and strategy side, then look at your particular situation (existing infrastructure/constraints/known dependencies/staffing/etc), then define a platform that works best to accomplish your goals. Sometimes that is using off the shelf components, and other times it is building key tools from scratch for you.
ENTERPRISE SCALABILITY WITH A STARTUP MINDSET
Featured Case Example: The 'Genomic Operating System' Engineered for Patient Engagement, Efficiency, Scalability, and ROI
For a large, multi-state health care system we decoupled rapid genomics innovation from IT constraints — building a unified bidirectional middleware engine connecting patients, labs, EHRs, and clinical workflows. It still connected to the EHR, but also enabled program growth at an accelerated pace beyond what IT could support. This was crucial in an environment where results mattered: They mattered for the patients, and they mattered for the health system. Plus, i
This was crucial in an environment where results mattered: They mattered for the patients, and they mattered for the health system. In this environment, where there is a lot of local decision-making, it was imperative for long-term success to show some quick program wins so that we could leverage this for success throughout the entire enterprise. So we worked very closely with clinical and program management teams to help construct programs that were needed. Using our depth of knowledge of these programs plus technology, this enabled us to take a 'design for manufacture' approach, where we knew how to structure the program to take advantage of the latest technology so that we could get to the finish line faster. The result? A robust and thriving precision medicine program that is system-wide and making positive impacts for 1000's of patients PLUS a positive return for the health system. Additionally, the health system now has a scalable platform they can use to spin up new programs faster, drive more ROI from those programs, leverage clinical operations to help drive research recruitment, and reduce the overall overhead for program management.
STAGE 02
Integrations
Bidirectional protocol normalization and lab provider connective tissue.
Middleware EngineFHIR R4 APIsHL7 PipelinesAPI Ordering Layer
STAGE 03
Propel Core Engine
Embedded algorithms, ordering/resulting, provider dashboards, order management, IRB integration.
De-ID / Re-ID DBOrder OrchestrationRouting Hub
STAGE 04
Outputs
Discrete genomic variants and longitudinal research harmonization.
Epic Discrete + PDFClinician PortalResearch Marts
COMPREHENSIVE STRATEGIC VIEW & HANDS-ON EXECUTION
Comprehensive Analysis with a Strategy Output Designed to Work in a Specific Environment
Its not about setting strategy THEN figuring out how to execute. Instead, it's critical to understand the what and why with a built-in view of the how. This approach leads to success in complex healthcare environments.
Our Dual Superpower: Strategy + Architecture
We bridge executive clinical program design and senior-level software architecture to deliver bespoke systems without burdening your health system's existing IT backlog.
Lab Integration
Custom EHR interface per lab vendor
Requires custom HL7 point-to-point connections, discrete dictionary mappings, and ongoing interface analyst maintenance for every new vendor.
Single Unified Pipe Connection
Connect once to the Propel Integration Engine that features a standardized middleware component. New genomics labs, assays, PGx panels, and other tests active in weeks vs. months.
Program Launch
Months of IT Backlog
Each precision initiative waits 9 to 18 months for hospital IT prioritization, interface testing, and custom EHR order set creation.
Reusable Content Management
Rapid turn-up using pre-built dynamic consent templates, clinical risk logic, and a team with deep knowledge of what works and what doesn't.
Research Accrual
Isolated Low-Volume Enrollment
Clinical trials and research depend on manual chart reviews and isolated, paper-based recruitment desks, resulting in high attrition and slow ramp-up.
Embedded Opt-In Pathways
Dual-purpose consenting collects clinical diagnostic orders while concurrently enrolling consenting participants into institutional biobanks and observational registries.
Clinical Protocol Updates
Manual Clinical Rule Re-coding
Updates to NCCN or ACMG guidelines require manual clinical decision support (CDS) reconfiguration across multiple EHR instances.
Cloud-Orchestrated Logic
Centrally governed guideline libraries automatically update risk stratifications, order suggestions, and reporting triggers without touching on-prem EHR builds.
ENTERPRISE INTEROPERABILITY ARCHITECTURE
Need a Custom Clinical Technology Platform or Middleware Solution?
Whether launching a novel screening program, scaling a molecular lab, or uniting disparate EHR instances, our engineering and advisory team builds the bridge.
Discuss Your Architecture Needs With Our PrincipalsClinical Security & Regulatory Alignment
HIPAA Compliant21 CFR Part 11 ReadySOC2 Type IIEpic FHIR Certified
Precision Oncology Core System Status: Operational