Industries · Healthcare
Care is the work. Software should give people more room for it.
Delivering care takes more than the clinical encounter. Referrals need follow-up, staff need reliable information, and the business needs to remain viable. We build software with the people responsible for making that work.
Where work gets held up
- A patient is waiting for the next step. The referral is waiting for someone to follow up.
- Staff enter the same information twice instead of dealing with the next request.
- A group is adding locations. Leadership needs to understand where staffing and capacity are under pressure.
- A patient sends a message. It needs to reach the team responsible for responding.
Source records
- Practice-management systems
- Time and payroll
- Accounting
Group reporting
- Activity by location
- Staffing alongside demand
- Differences to investigate
Group leaders need to see where demand and staffing are out of balance. Comparable records help them investigate; the people running each location explain what the numbers miss.
What We Build Here
Different businesses. Different work to support.
Adding locations should not make it harder to understand what each team needs. Reporting can bring activity, staffing and business performance together while leaving room for local differences. We build around the decisions group leaders and practice managers actually make.
A last-minute absence affects the person expecting a visit as well as the rest of the schedule. Home care and skilled home health have different staffing, documentation and payment requirements. The software needs to reflect the service being delivered and help coordinators manage changes.
The next step in someone's care may depend on a result, a prescription or a delivery. Each follows a different process. Software can make missing information and responsibility for follow-up visible without treating these businesses as interchangeable.
A useful product fits into the care around it. A patient message needs a receiving team; a booking needs to reach the working schedule. We consider the people using the screen and the people responsible for what happens next.
Information is useful when the right person can find it and understand where it came from. We examine how systems identify people, record changes and expose missing information, alongside the access restrictions that protect patients.
Getting paid for completed work helps a provider sustain its services. Billing teams need the records behind a claim, a clear next action and a way to explain outstanding work to the practice. We build around that responsibility.
The Evidence
Healthcare work
Borderless
Software for running a dermatology practice: scheduling, messaging, billing, payments and reporting.
Apex Dental Partners
A custom application for reporting, payroll, time management and business operations across a dental group.
Read the case studyKizuna
A platform helping caregivers build community visibility and connect with people seeking support.
Read the case studyAmbee
Built the core platform connecting patients with nearby ambulances.
What We Understand
What the software must respect
The working day
A new tool should earn the time it asks of staff. We look at repeated entry, interruptions and who must act on each request.
Continuity
A change has to work alongside appointments, visits and follow-up already in progress. Rollout and fallback arrangements belong in the design.
Privacy and responsibility
Useful access and appropriate limits have to coexist. Patients, clinicians, administrators and outside providers need different permissions and clear responsibilities.
How We Work
How we work together
We work with the people running the service and the people using the software. Together, we decide what should improve, what needs to keep working and how to check the change in practice.
01
Your part
Explain the workflow, involve the people doing the work and make decisions on priorities.
02
Our part
We take responsibility for product definition and engineering, and review working software with your team.
We hold ourselves to 5–7 engagements at a time, and most run multi-year as the product and the business grow. More on how we work →
Questions
Questions before you build
Start by checking whether the existing product can be configured or connected. Custom work makes sense when a recurring problem remains, its cost is material and someone can own the process. A spreadsheet is a place to investigate, not by itself a reason to build.
We first look at what can stay. Reporting or an operational workflow may be improved alongside the existing system. Replacement needs a separate assessment of data, integrations, staff training and the changeover.
We look at who benefits, the time it saves or adds for staff, what it costs to run, and whether it can be introduced without disrupting care already in progress. Usually that points to one recurring workflow with a clear owner, where the current process is understood well enough to compare against.
Start by identifying the data involved, who needs access and the responsibilities of each organization. That informs access controls, logging, environments and support procedures. HIPAA obligations also involve agreements and operating practices. They cannot be established by architecture alone.
The main variables are the workflow, integration access, data cleanup and rollout. We work on a monthly basis rather than as fixed-bid projects. We can discuss an initial scope and the assumptions behind an estimate once we understand those dependencies.
You need someone who knows the workflow, can make decisions and can involve the staff who use it. We handle product and engineering. Where integration is needed, we will also need access to the relevant IT or vendor team.
Start Here
What would help your team deliver care?
Tell us what you want to improve for patients, caregivers or staff, or what you want to make possible.
With Jai, Better's founder.
“They have always been receptive to feedback, which is the most important thing for us.”
David HansonCIO · Apex Dental PartnersOperations across a dental group
Read the Apex Dental Partners case studyIndependently reviewed
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