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// 00Web & Mobile · Healthcare

A scheduling platform serving 200+ clinics, rebuilt to handle 40x traffic growth without a ground-up redesign.
Arclight Health · 2023
// 01The Challenge

Problem

Arclight's scheduling platform was built for a handful of pilot clinics. As adoption grew past 200 locations, the system that once felt generous started dropping bookings during peak hours, and every clinic's data lived in a separate silo.

Strategy

Instead of a rewrite, we scaled the existing scheduling core outward — introducing a proper sync layer with clinics' EHR systems and a notification service — so growth wouldn't mean starting over.

// 02Architecture

A central scheduling core serves both the patient-facing app and clinic staff portal, synced against each clinic's EHR system in near real time, with a dedicated notification service handling reminders and confirmations at volume.

Scheduling Core
Patient App
Clinic Portal
Notification Service
EHR Sync
// 03Outcome

Solution

We rebuilt the booking path to handle concurrent writes safely at far higher volume, added real EHR synchronization so clinic staff stopped double-entering data, and scaled notifications independently from the booking path itself.

Impact

The platform now comfortably handles 40x its original peak load, no-show rates dropped as reminders became more reliable, and the clinic network kept growing without another rebuild.

40x

Peak load handled

-27%

No-show rate

200+

Clinics onboarded

Stack
TypeScriptReact NativePostgreSQLTwilioAWS

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