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Healthtech Lumen Health 14 weeks

Rebuilding Lumen Health's clinician platform

A regional health network's clinician-facing platform was buckling under usage. We rebuilt the core, dropped P95 latency by 85%, and shipped three new modules in the process.

The problem

Lumen's clinician platform served 4,000+ daily active users on a four-year-old monolith. Page loads were exceeding two seconds, the team was spending most sprints on incident response, and a planned third-party integration was blocked by the existing schema.

What we did

We ran a two-week architecture audit, then proposed an incremental rebuild — strangler-fig pattern, no big-bang migration. We moved the read paths first behind a new typed API layer, introduced read replicas and caching, and progressively cut over write paths module by module.

The result

P95 latency dropped from 1.2 seconds to 180ms. The team shipped three previously-blocked modules during the migration itself. There have been zero production incidents in the six months since launch.

Services

  • Architecture Consulting
  • Backend Engineering
  • Custom Web Applications

Stack

TypeScriptNext.jsPostgreSQLSupabaseRedis

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