Healthcare · Full Stack Development
Scaling a patient portal to 50,000 monthly users
A HIPAA-ready patient portal rebuilt from the ground up — appointment booking, secure messaging, and records access that finally kept pace with demand.
Client — A regional healthcare network
0K+
Monthly active patients
0%
Uptime post-launch
0%
Fewer support calls
The challenge
The client's legacy patient portal was built on an ageing stack that couldn't handle peak traffic during flu season and appointment windows. Pages timed out, bookings failed silently, and their support team was fielding hundreds of avoidable calls a week.
The solution
We rebuilt the portal as a full-stack React and Node application on AWS, with a redesigned PostgreSQL schema and caching layer to handle traffic spikes. HIPAA-compliant encryption, audit logging, and role-based access were built in from day one, not bolted on after.
Built with
The results
Peak-season page load times dropped from 6+ seconds to under 800ms.
Appointment booking completion rate rose by 38% after the checkout flow was simplified.
Support ticket volume tied to portal issues fell by 65% within the first quarter.
"Macrohire understood our compliance requirements as well as our engineering team did. The portal has been rock solid since launch — no fire drills, no downtime during our busiest months."
Director of Digital Health · Regional Healthcare Network
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