Tristate Health Data required an automated solution to streamline chronic care chart review across multiple practices. The process involved extracting signed clinical notes from EHR systems, converting them into standardized CCM review comments, posting them to Tristatecare, and maintaining accurate tracking without duplication. A production-ready .NET 8 automation service was developed using an adapter-based integration approach for EHR systems like eClinicalWorks and DrChrono. The solution includes queue-driven job processing, idempotent API handling, Google Sheets synchronization, audit logging, PHI masking, and secure secret management. Designed for scalability and compliance, the platform ensures consistent outputs, reduces manual effort, and supports safe concurrent processing. Its modular architecture enables seamless onboarding of additional EHR systems, making it a reliable and extensible automation framework for chronic care workflows.

This project addressed the challenge of integrating multiple EMR systems without building separate custom solutions for each provider. Traditional approaches led to inconsistent data structures, duplicated effort, and limited scalability. smartData developed a vendor-agnostic interoperability platform that standardizes communication across leading EMR systems such as Epic and eClinicalWorks using FHIR R4 and SMART on FHIR protocols. The platform supports secure OAuth 2.0 authentication, patient management workflows, appointment synchronization, provider data handling, and both real-time and scheduled data exchange.

The Pharmacy Benefit Analytics Platform is a secure, cloud-hosted solution designed to modernize legacy PBM systems by automating claim processing, enhancing data transparency, and enabling real-time analytics. It empowers payors, TPAs, and pharmacy networks to reduce billing errors, ensure compliance, and make data-driven decisions — all from a unified, HIPAA-compliant environment.

The platform is a HIPAA-compliant, AI-driven diagnostic test management system designed to digitize and streamline the end-to-end lifecycle of diagnostic reports—starting with Pulmonary Function Tests (PFTs). It enables testing clinicians, physicians, and administrators to seamlessly upload, interpret, review, and sign diagnostic reports within a single secure environment. The system aims to reduce physician workload through AI-generated interpretations, while preserving clinical authority, regulatory compliance, and full traceability. It incorporates state-based physician licensing controls to ensure that reports are routed only to authorized physicians as mapped by administrators.

This solution delivers an all-in-one SaaS platform enabling Minnesota home healthcare agencies to manage client care, EVV compliance, caregiver compensation, and Medicaid claim submission from a single multi-tenant system. The system enables agencies to reduce operational cost, eliminate manual file handoffs, and ensure seamless compliance with Minnesota DHS 245D requirements.

The client operates a modern Medical Spa and Telehealth Wellness clinic offering services such as Good-Faith Exams (GFE) for aesthetic procedures, weight-loss programs, urgent care teleconsultations, and preventive wellness services. As the business expanded, the clinic aimed to unify patient engagement, provider workflows, and MedSpa partner coordination into a single digital platform that seamlessly connects their website, telehealth services, and existing EHR (Jane).

Healthcare organizations often struggle with ensuring their Electronic Health Record (EHR) systems meet the evolving standards required for MU 3.5 certification, particularly in areas such as data interoperability, patient engagement, and secure information exchange. This results in inefficiencies in clinical workflows, delays in reporting, and difficulty in accessing and sharing critical patient data across providers, leading to missed deadlines, penalties, and compromised patient care. The need for a comprehensive system upgrade that not only ensures compliance but also enhances operational efficiency and supports better healthcare outcomes has become increasingly urgent.

An anesthesia-focused Practice Management System (PMS) streamlining patient-provider coordination with features like scheduling, e-prescribing, HL7/FHIR integration, billing, dashboards, chat, and email templates. Anesthesia practices struggle with fragmented systems for scheduling, patient records, billing, and compliance, leading to inefficiencies, data silos, and regulatory risks, especially with HL7/FHIR and e-prescribing integrations. A unified, anesthesia-specific Practice Management System integrating scheduling, EHR, billing, e-prescribing, and communication tools, with seamless HL7/FHIR and Health Gorilla integration, improving workflow efficiency, compliance, and care coordination.

Chronic Care Management is a data-driven corporate wellness platform designed to empower healthcare providers and employers with AI-powered, real-time interventions for population health management. The solution integrates advanced analytics, digital member engagement, and care coordination tools to optimize disease management, pharmacy benefits, and clinical workflows. By leveraging Health Risk Assessments (HRA), AI-driven messaging, and real-time care gap identification, the platform enhances preventive care and chronic disease management.

The objective is to develop a secure, efficient, and scalable lead tracking and patient questionnaire management system to replace the existing manual, error-prone processes. The Patient CRM streamline patient engagement while ensuring data security, and enhance the conversion of patient leads into consultations.