A HIPAA-Compliant Platform for Opioid Crisis Response Teams

Healthcare

An all-in-one healthcare platform enabling post-overdose response teams to streamline operations, communicate with patients via SMS and email, and ensure secure data access across multiple tenants.

[ Client ]

About the Client

Goldie Health is a digital health platform created to support agencies identifying and engaging individuals at risk of opioid overdose. The platform helps response teams deliver personalized care by integrating with electronic patient care reports (ePCRs), electronic health records (EHRs), and local community referral networks. It addresses barriers to treatment by factoring in social determinants of health such as housing instability and financial constraints.

Healthcare

United States

Ongoing

Full-stack Development

Healthcare Platform

100%

HIPAA & 42 CFR Compliant

Multi

Tenant Data Architecture

100%

Offline-First Mobile App

[ Challenge ]

No Digital Standard for Managing Opioid Response Caseloads

Opioid response teams lacked a standardized, digital solution for managing caseloads and tracking interventions. Many relied on spreadsheets and paper records, limiting their ability to measure what works and improve outcomes. Without centralized systems, policies couldn't be tested at scale, and data remained fragmented across counties.

Goldie needed to centralize critical workflows into a single secure platform that would work reliably both online and offline, support regional differences, and maintain full HIPAA and 42 CFR Part 2 compliance.

[ Solution ]

Building the Solution

Akveo handled end-to-end development including system architecture, backend and frontend development, real-time messaging, mobile offline sync logic, and infrastructure deployment on AWS.

HIPAA Compliance: Multi-tenant architecture with separate schemas, role-based access control, strong authentication, HTTPS encryption, automated backups, and activity logging.

Multi-tenancy: Logical data separation at the database level with separate connections per tenant, enforced at both the API level and the database level.

Offline-first: The app works fully offline using a split read/write API architecture. Read APIs load data to a local device database; write APIs queue actions and sync sequentially when connectivity is restored.

Communication: SMS chat per tenant (with real-time updates), email sending on behalf of tenants, and push/in-app notifications for status changes and task assignments.

Tech stack: React, Node.js, NestJS, PostgreSQL, TypeScript, AWS (Cognito, RDS, S3, SNS, SES, ECS), Redux Toolkit, React Hook Form, Tailwind CSS, Tiptap.

Impact that Matters

[ Results]

Goldie Health launched as a fully operational, HIPAA-compliant platform enabling response teams to manage patients, track interventions, and communicate securely across multiple regions.

Robust and secure healthcare app

The platform is fully operational with a multi-tenant architecture, HIPAA and 42 CFR-compliant design, and real-time communication and patient tracking across regions.

Optimized field operations

The offline-first mobile app allows field teams to access and update patient records regardless of connectivity, with seamless data sync when back online.

Scalable public health insights

A centralized data foundation supports policy-making, funding allocation, and long-term planning for opioid response programs at the county and state level.

[ Tech Stack ]