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Healthcare

Clinical software that holds up under HIPAA, HL7/FHIR, and the realities of a busy shift.

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The landscape

Built for the way care actually gets delivered.

Healthcare technology fails in the same ways across systems: workflows designed in conference rooms break at the bedside, interoperability is treated as an integration project instead of a product capability, and compliance is bolted on at the end instead of designed in. We've built clinical platforms used at major US health systems — Johns Hopkins, Mount Sinai, Tufts Medicine, University of Rochester, Cooper University — so we build for the realities of multi-site operations, EHR integration, and the audit obligations that come with PHI.

Every engagement is HIPAA-compliant by default, mapped to HITRUST CSF controls, and built around HL7 v2 / FHIR R4 interoperability for lab, pharmacy, imaging, and ADT feeds. We also know what's beyond the obvious: the operational metrics (LOS, readmissions, no-show rates) clinical leaders are measured on, and how software either moves them or doesn't.

Healthcare

HIPAA

PHI safeguards by default

HL7 / FHIR

Native interoperability

Multi-site

Cross-facility from day one

5 systems

Major US health systems deployed

Challenges we hear

Where most clinical IT programs get stuck

Fragmented systems

EHRs, billing, lab, imaging, pharmacy, scheduling — each with its own data model. Care teams swivel between four to seven applications to handle a single encounter.

Documentation burden

Clinicians spend nearly two hours on EHR documentation for every hour of patient contact. Burnout is a recruiting problem and a clinical-quality risk.

Compliance and privacy

HIPAA, HITECH, state breach laws, 21st Century Cures interoperability rules, and the patchwork of payer requirements. Any of them can stall a release.

Patient engagement gap

Portals exist; engagement is poor. Most platforms aren't built for the populations they serve, and value-based-care contracts depend on the exact patients who use them least.

Analytics without action

Dashboards on readmissions, LOS, and quality metrics are everywhere; the workflows that would actually change them aren't wired in.

Legacy footprints

On-prem systems originally bought a decade ago, with customizations nobody on staff fully understands. Cloud migrations stall on compliance and integration risk.

How gmware helps

What we build for healthcare

EHR & Clinical Platforms

Our Patient Square suite — EHR, clinical decision support, patient engagement — and custom platforms for specialty workflows (oncology, behavioral health, post-acute).

Interoperability

HL7 v2, FHIR R4 (USCDI v3-aligned), Direct messaging, CDA. SMART-on-FHIR launches, bulk-data, and integration with Epic, Cerner, Meditech, Allscripts.

Patient Engagement

Mobile-first portals, intake / consent flows, secure messaging, telehealth, remote monitoring. Built for the patients you serve — not the median user.

Clinical Analytics

Quality measures, population health, risk stratification, readmission prediction. Wired into clinical workflow, not just a dashboard.

Clinical AI

Ambient documentation, clinical decision support, document summarization, prior-authorization assistance. With clinician-in-the-loop and the governance the FDA / ONC expect.

Compliance Engineering

HIPAA Security Rule, HITRUST CSF, SOC 2, and 21st Century Cures Act information-blocking compliance. Engineered, evidenced, ready for audit.

Standards & Compliance

Regulations and standards we build around

HIPAA

Privacy & Security Rules

HITRUST CSF

Healthcare-specific assurance

21st Century Cures

Information blocking & APIs

HL7 v2 / FHIR R4

USCDI v3 data classes

SOC 2 Type II

For SaaS deployments

NIST 800-66r2

HIPAA implementation guide

FDA 21 CFR Part 11

Where regulated by use case

WCAG 2.2 AA

Patient-facing accessibility

Outcomes

KPIs we help teams move

Readmissions

30-day, by DRG / population

Length of stay

CMI-adjusted, by service line

No-show rate

By clinic / payer / acuity

HCAHPS / NPS

Patient experience scores

FAQ

Common questions

No. Most of our work sits alongside Epic, Cerner, Meditech, or Allscripts — integrated via HL7 v2, FHIR APIs, or vendor-specific interfaces. We're agnostic on system of record; we care about the workflow on top of it.

Synthetic data sets for development and testing, de-identified extracts (Safe Harbor or Expert Determination) for analytics, and tightly-scoped production access for break-fix only — all under BAA. Encrypted at rest and in transit, logged centrally, reviewed quarterly.

Yes. We routinely operate under BAAs with US health systems and have a HITRUST-aligned control set that maps to most covered-entity expectations. Our delivery centers in the US and India both operate under the same controls.

First production milestone in 10–14 weeks for most net-new builds. EHR-integrated workflows usually run 16–24 weeks to first live unit, with phased rollouts after. Pure analytics or population-health work is faster — often 6–8 weeks to a usable dashboard.

Services we deliver here

Products that fit

Browse other industries we serve

Got a healthcare workflow that needs to actually work?

30 minutes with our healthcare practice lead — half discovery, half candid takes on the shortest viable path.