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Fractional CTO · Healthtech

Fractional CTO for healthtech startups

Build HIPAA-compliant products without the architectural debt that strangles your roadmap.

The case

Healthtech engineering is not generic engineering.

Healthtech founders inherit a 1990s-era stack of regulations, vendors, and integration standards that nobody outside the industry takes seriously until it costs them a deal. Our founder spent years shipping AI medical devices and HIPAA-compliant patient-facing software. We know what BAAs actually require, which cloud configurations are defensible, and how to design a system that does not need to be rebuilt before your first enterprise hospital contract.

Most healthtech founders are clinicians, scientists, or operators — not engineers. A fractional CTO who has shipped regulated software fills the gap without burning early-stage cash on a $300k hire.

What we cover

Healthtech-specific decisions we help you make

01 Choosing between Redox, Particle, and direct FHIR integrations
02 BAA coverage for every vendor in your stack
03 Encryption-at-rest, encryption-in-transit, and key rotation that satisfies enterprise security questionnaires
04 PHI access logging that is queryable, not just stored
05 De-identification pipelines so analytics teams can work without expanding PHI scope

Tools we use in healthtech

HIPAA-aligned GCP / AWSFHIRRedoxParticle HealthPostgres with row-level securityAWS HealthLakeAudit logs

Book a call

Talk through your healthtech problem.

Free 30-minute technical review. Tell us where you're stuck — we'll tell you what it takes.

Free 30-min technical review

Tell us where you're stuck. We'll tell you what it takes — honestly.

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FAQ

Healthtech questions founders ask

Have you built HIPAA-compliant products before? +

Yes — patient-facing apps, provider tools, and AI medical-device software. We know the difference between "encrypted" and "audit-defensible," and we have built BAA review checklists into our vendor evaluations.

Should we use Redox, Particle, or build FHIR direct? +

Almost always start with an integration vendor (Redox or Particle). Direct FHIR is technically simpler but operationally brutal — every health system implements the standard slightly differently. The vendor abstraction is worth the cost until you have a multi-million-dollar deal that demands a direct connection.

Can you help us prepare for an enterprise hospital security review? +

Yes. Most reviews are 200-question spreadsheets that map to the same 20 underlying controls. We have answered enough of them to know which answers actually matter and which boxes can be checked by configuration alone.