18 projects, 6 HIPAA-certified platforms
Healthcare organizations are under pressure from aging infrastructure, interoperability demands, ransomware risk, and modern patient expectations. We have modernized 18+ health systems, built HIPAA-compliant digital platforms, and architected data integration for clinical research.
The Challenge
Problem: Epic, Cerner, and Meditech environments are mature but fragmented. Patient records often live in disconnected silos.
Why it matters: Fragmented data causes duplicate tests, care coordination gaps, and 15-20% waste in healthcare spend.
Problem: HIPAA violations can cost $100-$50K per incident, and average breach fines can reach $2.5M.
Why it matters: Every API, integration, and migration must maintain patient trust and auditability.
Problem: HL7 and FHIR standards exist, but real implementation across labs, pharmacies, billing, and research systems remains uneven.
Why it matters: Clinical research, patient safety, and billing accuracy suffer when systems do not share clean data.
Problem: A 3-day ransomware outage can mean 30,000 missed appointments and $10M+ in response costs.
Why it matters: Downtime is a patient safety risk, not just an IT incident.
Problem: Many telehealth programs are bolted-on video tools without clinical workflow, consent, or EHR context.
Why it matters: Telemedicine is now a durable channel and needs to be owned as a clinical product.
How We Solve It
01
We begin with AES-256 encryption, TLS 1.3, full audit logging, RBAC, BAAs, annual audits, and breach-response workflows.
02
We surface EHR data securely into portals, research databases, billing tools, and decision support without replacing your EHR.
03
WebRTC, HL7/FHIR, embedded patient history, e-prescribing, consent, and note workflows are built into the clinical experience.
04
We combine EHR, billing, labs, and genetics into de-identified research warehouses with governance automation.
Compliance
NexaCore ensures HIPAA risk assessment, BAAs with vendors, annual penetration testing, breach response planning, HITRUST CSF alignment, and FDA Part 11 controls for clinical records.
| Regulation | Scope | Impact |
|---|---|---|
| HIPAA | US patient data | Encryption, audit logs, access controls, BAA, breach notification |
| GDPR | EU patient data | Consent, minimization, DPA, right to access and delete |
| HITRUST | Security framework | Controls across HIPAA, HITECH, and PCI-DSS |
| FDA CFR Part 11 | Digital records | Validation and audit trails for clinical records |
| 21 CFR Part 11 | Clinical trials | Data integrity and e-signature rules |
Technology Recommendations
Epic, Cerner, Meditech, Athena Health, and EHR cloud migration paths
HL7 FHIR R4, Epic FHIR APIs, Cerner APIs, and HL7 translation
Twilio WebRTC with custom UI or white-label clinical platforms
Snowflake HIPAA environments or AWS HealthLake
Splunk, Datadog, Vault, WAF, encrypted PostgreSQL
Detailed Case Study
"NexaCore gave us a unified data foundation that is now driving clinical innovation."
Unify patient data across three EHRs, launch a HIPAA-compliant telemedicine platform, and build a research warehouse in 18 months.
ROI Framework
We'll map the first 90 days, identify the riskiest integration points, and give you a realistic budget and timeline.