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Rescue case study · Patient-transfer data exchange for a county public-health agency

Public-health nonprofit: a healthcare portal at risk of missing its contract date, delivered on time

A nonprofit health-research organization built a secure data exchange for a county public-health agency. It tracks and shares information about patients with multiple drug-resistant organisms across healthcare facilities, so patient transfers are faster and safer.

  • React
  • TypeScript
  • Spring Boot
  • Liquibase
  • Docker
  • Cypress
  • AWS

The problem

  • The application had to be delivered within a tight contractual deadline.
  • The team had too few experienced engineers to meet its feature commitments, and little to no experience with React, TypeScript and modern front-end practice.
  • Without intervention, the project was at risk of missing its deadline and its contractual obligations.

What we found

  • Every developer depended on a single shared integration environment, which slowed development and testing.
  • Schema changes and deployments created friction and delays.
  • Front-end changes often broke other parts of the application, because there was no type safety and little testing.
  • Back end and front end often fell out of sync, and a loose Jira structure produced duplicated work.

What we did

Added senior capacity

Senior front-end and back-end engineers joined the client's team and led the front-end effort, particularly in the second half of the project.

Stabilized the front end

We made the application fully TypeScript-compliant, introduced reusable UI patterns, added lazy loading and code splitting, and split the front end and back end into separate repositories.

Unblocked development

Docker-based local environments removed the dependency on the shared integration environment, and Liquibase migrations let developers manage schema changes alongside their code.

Platform features

We implemented role-based access control with Spring Security, a notification subsystem for app, email and SMS, audit history with Hibernate Envers, and OpenAPI documentation to keep the front end and back end aligned.

Tests and pipeline

Cypress end-to-end tests, Spring Boot integration tests with TestContainers, CI/CD fixes including container build memory limits, and fixes for production CORS and authentication issues.

Process and mentoring

Clearer Jira tickets ("one screen, one ticket"), better branching, and hands-on mentoring that brought the client's developers up to speed on the modern stack.

The result

  • The data exchange was delivered to the county on time, meeting the client's contractual obligations.
  • Type safety and automated testing reduced defects and stabilized the application.
  • The client's team gained hands-on experience with modern technology and a more structured, predictable process.
[CLIENT QUOTE: public-health nonprofit (publish anonymized only)]

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