Gramercy
Gramercy Specialty Clinic is a mission-driven behavioral health provider headquartered in Texas, with physical locations in Austin, San Antonio, and El Paso. Their mission is to increase access to culturally competent and affordable mental healthcare across underserved communities. Gramercy offers bilingual (English/Spanish) individual, couples, and family counseling, both in-person and via telehealth. To scale their services and streamline operations, Gramercy invested in a custom digital platform intended to simplify intake, scheduling, documentation, and patient communication—all while remaining HIPAA compliant.
HealthCare
Techstack
Client Overview
Gramercy Specialty Clinic is a mission-driven behavioral health provider headquartered in Texas, with physical locations in Austin, San Antonio, and El Paso. Their mission is to increase access to culturally competent and affordable mental healthcare across underserved communities. Gramercy offers bilingual (English/Spanish) individual, couples, and family counseling, both in-person and via telehealth.
To scale their services and streamline operations, Gramercy invested in a custom digital platform intended to simplify intake, scheduling, documentation, and patient communication—all while remaining HIPAA compliant.
The Problem
Gramercy’s leadership had previously engaged a large software vendor to build the first version of their platform. While the vendor delivered according to the original contract, the scope didn’t fully cover HIPAA compliance implementation, last-mile user experience improvements, or the flexibility to adapt post-launch.
When Gramercy approached the vendor for changes needed to launch the product, they were met with a barrier: the previous vendor only operated under large, long-term engagements —something that didn’t align with Gramercy’s operational pace. It wasn’t a budget issue—it was a flexibility and support issue. That’s when their Fractional CTO, already advising the business, brought us in to help finish the job and bring the product to life.
The Solution
Our team partnered directly with the Fractional CTO and Gramercy’s leadership to execute a rapid 60-day push toward launch.Engagement Structure: 200 Monthly Hours with flexible resource allocation:
- 65% Engineering (Front-end in Next.js, Back-end with Supabase, AWS).
- 15% Project Management (Daily collaboration and planning)
- 10% UX/UI(Last-mile design adjustments for HIPAA and usability).
- 10% Functional Analysis (Clarifying requirements, improving workflows).
Workflow:
- Daily collaboration with the Fractional CTO to prioritize tickets, define backlog, and align expectations.
- Weekly or biweekly client meetings to review progress, capture feedback, and ensure client confidence
- Agile cycles focused on small deliverables with big impact: security improvements, accessibility, optimization, and user-centric refinements.
Platform Features (based on Figma designs):
Patient Portal
- Account creation and secure login.
- Appointment booking with real-time provider availability.
- Digital intake and consent forms.
- Access to upcoming sessions and care plan visibility.
Provider Dashboard
- Streamlined daily schedule.
- Note-taking and progress tracking.
- Alerts and actionables for follow-up care.
Admin Control Panel
- Provider and clinic-wide scheduling management.
- Reporting and metrics for clinic performance. .
- Role-based access management.
Results
- Launched the platform in 60 days with full HIPAA compliance and a clean, responsive user experience.
- Enabled the Fractional CTO to shine by supporting his vision and providing a team that delivered fast, high-quality outcomes.
- Built a trusted partnership where Gramercy leadership felt that we were not just a vendor—but part of their internal team.
- Introduced AI capabilities to improve operational efficiency, such as automated intake workflows and provider scheduling suggestions.
- Ongoing collaboration continues across other shared clients with the Fractional CTO.
