Custom healthcare software development services design and build solutions tailored to providers, payers, and digital health teams. Beyond off-the-shelf EHR modules, these services focus on interoperability (HL7/FHIR), HIPAA-grade security, and reliable performance so clinical and administrative workflows actually work for patients and staff.
Custom healthcare software is for organizations that need more than what generic EHR add-ons offer. Health systems (hospitals and clinics), insurance payers, digital-health startups, and med-tech companies often find that off-the-shelf EHR modules integrate quickly but miss hospital-specific workflows. In practice, many start with vendor EHR solutions but build custom tools for unique requirements that off-the-shelf systems can’t meet. Custom development means tailoring software to your exact clinical and administrative processes, rather than changing your workflows to fit a pre-packaged module. While it requires upfront investment, the payoff is software that aligns with your operations, differentiates your services, and can adapt as regulations or care models evolve.
Perform develops a range of healthcare solutions, always built to your specifications. Key solution types include:
Custom apps for care coordination, patient engagement, telehealth, appointment scheduling, and patient portals that streamline clinical workflows.
Systems for claims processing, eligibility checks, utilization management, and revenue cycle management (RCM) that improve efficiency for insurers and healthcare administrators.
Integration middleware and data hubs that aggregate electronic health record (EHR) data, handle health information exchange, and ensure a master patient index for consistent patient identity across systems.
mHealth apps and remote patient monitoring dashboards for chronic disease management, wearable integration, and real-time patient data streaming to care teams.
Healthcare BI platforms and reporting tools to track quality measures, operational KPIs, population health metrics, and regulatory compliance data.
These custom solutions are built for you – whether you’re a provider improving patient care coordination, a payer automating claims, or a digital health company with a novel patient app idea.
Interoperability is non-negotiable in healthcare IT. Perform’s engineers are well-versed in industry standards like HL7 (v2 and v3) messaging and FHIR (Fast Healthcare Interoperability Resources). We ensure that your software can exchange data with EHRs and other systems in the formats they expect. In fact, the HIPAA regulations have long mandated ANSI X12 electronic data interchange for claims and eligibility, establishing it as a foundational interoperability requirement. We build solutions that comply with X12 for things like claims (837/835) and eligibility checks (270/271), so payers and clearinghouses can communicate seamlessly with your platform.
We also embrace HL7® FHIR® for modern, API-driven interoperability. FHIR was introduced to tackle the shortcomings of older healthcare interfaces – reducing complexity and speeding up integrations. By adopting FHIR’s RESTful APIs and JSON data formats, our custom solutions can readily plug into EHR platforms (e.g. Epic, Cerner) and patient apps, supporting real-time data access and exchange. For example, we can build SMART on FHIR applications that run securely inside EHR workflows, or use FHIR to share clinical data with patient-facing apps. The bottom line: our team ensures your software speaks the language of healthcare data, whether via HL7 v2 messages, FHIR APIs, CDA documents (for clinical notes), or X12 EDI transactions. We also implement supporting infrastructure like a master patient index (MPI) for patient identity management and consent tracking, so that data from multiple sources can be linked and audited accurately.
Handling protected health information (PHI) requires uncompromising security. We bake privacy and security by design into every project. Any solution touching patient data is engineered to be HIPAA-compliant, meaning it follows strict rules for storing, accessing, and sharing PHI. Key safeguards include ensuring only authorized users can access sensitive data, encrypting data in transit and at rest, maintaining detailed audit logs of access, and preventing unauthorized disclosures. Role-based access control (RBAC) is implemented so each user (doctor, nurse, billing specialist, etc.) only sees the minimum necessary information for their role – this principle of least privilege protects patient privacy at every turn.
Beyond application security, Perform emphasizes infrastructure hardening and robust DevSecOps practices. We configure secure cloud environments with proper network segmentation, firewalls, and continuous vulnerability scanning (to avoid the common misconfigurations that often lead to breaches. Secrets management is handled carefully (no hard-coded credentials – we use vaults and key management systems to keep passwords and keys safe). We set up automated backup and disaster recovery processes as well. Healthcare operations can’t afford downtime, so we routinely enable encrypted off-site backups, standby failover environments, and DR drills. A strong disaster recovery plan – including automated backups and quick failover – ensures that even in worst-case scenarios, systems can be restored with minimal disruption.
Perform also aligns with industry security frameworks. Our approach maps to SOC 2 best practices and other compliance frameworks. (Many of the controls required for SOC 2 – access restrictions, audit logging, encryption, incident response – directly support healthcare security needs.) We treat third-party components and vendors with equal scrutiny: if your solution integrates third-party services, we’ll vet their security and require business associate agreements as appropriate. Industry experts actually recommend verifying a vendor’s SOC 2 certification and incident response readiness when evaluating healthcare software partners - we uphold those same standards internally. Finally, our development process includes security testing (automated code analysis, penetration testing, etc.) as part of the pipeline, so vulnerabilities are caught early. In short, HIPAA and PHI security compliance isn’t an afterthought – it’s built into our development lifecycle from day one..
In healthcare, software quality is directly tied to patient safety. The regulatory and data standards environment (HIPAA, FDA software rules, HL7/FHIR, etc.) creates a high-stakes development landscape where technical mistakes can carry severe legal and financial consequences. Perform mitigates this risk with rigorous quality assurance (QA) and engineering practices to ensure your systems work correctly under all conditions. Quality Assurance is the backbone of trust in healthcare technology, as it keeps systems accurate, compliant, and failure-resistant. We implement extensive test automation and manual testing protocols tailored for clinical workflows. Every code change passes through unit tests, integration tests (e.g. ensuring an EMR interface or device integration works as expected), and validation against requirements. This thorough QA process safeguards patient data, ensures compliance, and prevents system failures in production. In other words, before any update goes live, we verify it won’t compromise patient safety or violate regulations.
We also specialize in performance engineering and reliability tactics. Healthcare platforms must often be available 24/7 with near-zero downtime – for example, a telehealth or EHR system outage can literally put lives at risk. Our engineers design for high availability and low latency, employing load balancing, horizontal scaling, and redundancy so the application stays responsive even during peak usage. We consider performance as a feature, not an afterthought: we conduct load testing and simulate spike scenarios (like open enrollment traffic bursts or Monday morning clinic rush) to ensure the system can scale without degrading. In fact, for critical systems like telehealth, 99.99% uptime is considered a patient safety requirement, not just an IT metric. Perform also builds in observability from the start – we instrument applications with detailed metrics, centralized logging, and distributed tracing. This allows real-time visibility into system health and user transactions. Modern observability tools correlate logs, metrics, and traces to give a holistic view of the system and quickly pinpoint anomalies. As Splunk’s healthcare engineering lead notes, this level of observability is “the path to achieving resiliency across mission-critical services” in healthcare. In practice, that means our DevOps teams can detect and address issues (whether a slow database query or a failing API call) before they impact clinicians or patients. We also prepare robust incident response playbooks – so if something does go wrong, alerts will fire and our team can respond immediately. The result is software that runs smoothly and safely: low error rates, fast response times, and the resilience to withstand outages or cyberattacks.
Successful healthcare software development requires a balance of speed and caution. Perform supports the full project lifecycle – from initial idea to proof-of-concept, through MVP and scaling to a production system – using a phased, value-driven approach:
We start by thoroughly understanding your clinical workflows and business goals.
Our team engages with your clinicians, administrators, and IT staff to map out current processes, pain points, and requirements.
We identify key risks and define success metrics (KPIs) early.
This upfront discovery ensures we target the right problem and design with the end-users in mind, reducing costly surprises later.
Next, we typically build a Proof of Concept (PoC) or Minimum Viable Product (MVP) as a rapid test-bed for the idea. It’s important to distinguish the two: a PoC is often a throwaway prototype to de-risk a concept, whereas an MVP is a slimmed-down but deployable product that can be trialed in a real environment.
In either case, the goal is to prove value quickly with actual clinicians or admins involved. For example, we might develop a limited-feature app for one clinic department to validate that a new workflow indeed saves time or improves patient outcomes. This iterative approach lets us gather feedback from users early and ensure the solution genuinely fits their needs. It also demonstrates feasibility to stakeholders before heavy investments.
Once the concept is validated and there’s buy-in, we scale the solution to full production. “Scaling” isn’t just about handling more users; it’s about hardening the system for interoperability at volume, performance, and maintainability. In this phase, we might integrate the software with additional systems (EHRs, lab systems, insurance exchanges), add features that were deferred in the MVP, and re-architect any component that needs to handle higher load or tighter security. We pay special attention to cost optimization (e.g. efficient cloud infrastructure, optimizing database queries) because at scale, inefficiencies can become expensive. We also manage change control carefully – scheduling rollouts or migrations to minimize disruption. If the software is extending or replacing an existing workflow, our team helps with change management: planning phased deployments, running pilot programs, and adjusting based on user feedback.
A critical (and sometimes overlooked) step of our delivery is ensuring your internal team is ready to own and operate the solution. We provide comprehensive documentation, from architecture and code comments to user guides and maintenance procedures.
Our engineers conduct training sessions with your IT or EHR teams to walk through the system’s design, deployment scripts, and any custom configurations. This knowledge transfer is designed so you’re never dependent on a single vendor for long-term success. In fact, best practices for outsourcing call for demanding clear knowledge transfer processes and documentation to avoid vendor lock-in.
When selecting a development partner, healthcare organizations need technical excellence and domain expertise. Here’s what sets Perform apart.
Perform is an engineer-founded company with deep roots in healthcare IT. Our leadership and senior developers have spent years building regulated software – so quality, patient safety, and compliance are ingrained in our culture. We bring disciplined practices from day one (think rigorous QA, performance tuning, DevOps automation) to ensure no shortcuts in critical areas. This engineering-first mindset means we spot potential pitfalls early and build solutions the right way, avoiding the “quick fix” traps that can derail healthcare projects.
Our development teams are nearshore (located in your time zones or within a few hours’ difference), not half a world away. This allows for real-time collaboration with your stakeholders – daily stand-ups, ad-hoc problem solving, and rapid iteration without the communication lags of far-off outsourcing.
The advantage is both qualitative and economic: nearshore models can cut costs by ~30% versus U.S.-based teams without sacrificing collaboration quality.
Unlike some vendors, we don’t rotate random contractors through your project. Perform assigns a dedicated team of top-tier engineers who are specifically chosen for your project’s technology stack and domain. As we like to say, “We don’t send you options — we send the one.” That means every developer or architect on your project has been deeply vetted and is someone we’d trust with our own critical systems. We also ensure team continuity – the people who architect your solution will be the ones building it and supporting it.
Perform’s engineering process comes with built-in governance that enforces quality every step of the way. All code goes through peer code reviews and automated CI/CD pipelines – catching bugs or deviations from standards early. (Requiring regular code reviews and automated testing is a known best practice to prevent costly quality issues in delivered software.
We practice Infrastructure as Code, meaning your deployment environment (cloud resources, networks, etc.) is scripted and version-controlled just like application code – this ensures consistency across dev/test/prod and enables rapid, reliable changes. Our pipelines are auditable and repeatable, which is important for regulated settings.
Healthcare IT needs are not one-size-fits-all, so Perform offers flexible engagement models to suit your situation.
Perform provides a full cross-functional team (product manager, developers, QA, UX, etc.) to own the delivery of your project from start to finish. This model is ideal if you want a turnkey solution – we handle everything from requirements through deployment. We’ll work closely with your stakeholders for input and validation, but our team takes responsibility for hitting scope, quality, and timeline targets. You get speed and accountability, with Perform serving as your dedicated product development squad. This is often useful for new product builds or when you have limited internal dev capacity.
In this model, we embed our experts alongside your internal team to jointly deliver the project. Perhaps you have an internal IT or EHR development team that knows your legacy systems, and you want to augment them with our specialized skills (say, FHIR integration expertise or mobile app developers). We can integrate into your workflows (using your tools, aligning to your sprint ceremonies) and co-create the solution. Co-delivery ensures knowledge stays with your team and can be great for extensions of an existing EHR or module. Our engineers can accelerate development, introduce new technologies, and mentor your staff in the process. It’s truly a partnership – we share the ownership and work shoulder-to-shoulder with your developers and analysts.
If you have an existing system (for example, a legacy patient registry or an EHR module that hasn’t kept pace), Perform can engage to modernize or extend that solution. This might involve refactoring a monolithic app into a modern microservices architecture, updating a dated user interface, or building new features that integrate with an older EHR. In these engagements, we often start by assessing the current state (code, architecture, tech stack) and then plan an incremental modernization – ensuring we don’t disrupt current operations. Whether it’s migrating you to the cloud, improving performance, or adding new interoperability capabilities, we handle it in a way that minimizes downtime and preserves data integrity. Modernization can be done as a fixed-scope project or in agile iterations, and we coordinate closely with your IT team for deployment.
Taking the next step with Perform is straightforward. We usually begin with a clinical workflow and integration assessment to understand your environment and goals, then proceed to a proposed PoC/MVP plan, and finally outline a production roadmap to scale the solution from pilot to enterprise-wide deployment. This phased plan (assessment → PoC → full rollout) ensures a clear path from idea to impact.
Ask us about how: our engineers can review your services, test for common weaknesses, and help you build Custom Healthcare Solutions.
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