Personal Health Record
Patient-facing medical history, lab results, prescriptions, and visit history with secure messaging.
Patient Engagement Platform
Engage patients across the full care journey
A unified engagement platform — SMS, push, in-app, email — with HIPAA rules applied per channel. Improves communication, adherence, and clinical outcomes across the patient journey.
OmnichannelHIPAA per ChannelAI PersonalisationEHR-Integrated
Trusted by global innovators
Engagement that improves clinical outcomes
We don't build growth-style messaging platforms. Every channel in our engagement stack runs under HIPAA-aware rules specific to that channel.
35%
Reduction in no-show rates
4×
Higher adherence with multi-channel outreach
100%
HIPAA-per-channel policy enforcement
What it does
A unified platform for the full patient journey
A patient engagement platform connects the dots across every moment you want to reach a patient — appointments, medication, care plans, education, billing, and feedback — across every channel they use.
The hard part isn't sending messages. It's doing so under HIPAA, with per-channel rules (SMS has different PHI constraints than in-app), and with personalisation that respects the therapeutic relationship.
Core features
What we build
Every capability tuned for healthcare-appropriate engagement, not marketing-style outreach.
Appointment reminders
Multi-channel reminders with rescheduling and waitlist promotion.
Medication adherence
Refill alerts, dose reminders, side-effect logging, and clinician-visible adherence reporting.
Care plan follow-up
Plan-specific messaging cadence with milestone check-ins and clinician escalation.
Waitlists & check-in
Mobile check-in, digital waitlist promotion, and intake form completion.
Patient surveys
Post-visit NPS, PROs (patient-reported outcomes), and satisfaction instruments.
Billing communications
Statement delivery, payment links, and financial assistance messaging — HIPAA-compliant throughout.
Telehealth integration
Video visits and async consultations embedded in the engagement flow.
AI personalisation
Cadence, content, and channel personalised per patient profile and clinical context.
Channel architecture
HIPAA rules per channel — handled correctly
Not every channel can carry the same PHI. Our channel architecture applies the right rules automatically based on the channel and content type.
SMS — strict PHI limits
- No diagnosis or sensitive clinical info by default
- Generic visit reminders and secure portal links
- Consent captured and recorded per phone number
Push — device-level context
- Encrypted payload, generic preview text
- Full content inside authenticated app
- Device trust and logout controls
In-app — full PHI permitted
- Authenticated session, audit-logged views
- Full clinical content and messaging
- Patient-to-clinician secure messaging
Email — limited PHI
- Generic subject lines by default
- Sensitive content delivered behind secure portal links
- Tokenised access with expiry
Where it runs
Patient engagement across care settings
Primary care
Preventive care reminders, chronic-condition follow-up, and wellness outreach.
Specialty clinics
Specialty-specific protocols — oncology, cardiology, women's health — with clinical cadences.
Post-acute care
30-day readmission prevention with escalating outreach and clinician alerts.
Chronic disease management
Longitudinal cadence for diabetes, hypertension, CHF, and COPD programs.
Behavioural health
Consent-aware messaging under 42 CFR Part 2 for substance-use programs.
Enterprise health systems
Multi-clinic, multi-specialty engagement at scale with centralised governance.
How we ship
Our patient engagement delivery process
Engagement platforms fail when cadence is wrong or channels carry the wrong content. We engineer both from clinical requirements first.
Step 01
Journey mapping
Map the patient journey, channel preferences, and compliance constraints per touchpoint.
Step 02
Channel strategy
Channel mix per audience, content type, and clinical context.
Step 03
Content & cadence design
Clinically validated cadence for each program — not marketing-style frequency.
Step 04
Platform engineering
Messaging orchestration, channel providers, and PHI-aware payload handling.
Step 05
EHR & CRM integration
Pull patient data, write back engagement events, and respect consent state.
Step 06
Launch & optimisation
Phased rollout with outcome tracking — adherence, no-show rate, satisfaction — not opens and clicks.
What usually goes wrong
Patient engagement pitfalls — and how we solve them
Challenge
Treating every channel the same under HIPAA
Agnotic approach
Channel-aware PHI handling — SMS, email, push, and in-app each run under their own compliance rules.
Challenge
Marketing-style frequency that burns out patients
Agnotic approach
Clinical cadence design tuned to therapeutic rhythm, not daily engagement metrics.
Challenge
Siloed data that blocks personalisation
Agnotic approach
EHR integration with consent-aware data pull and event-based personalisation.
Challenge
No accountability for clinical outcomes
Agnotic approach
Track adherence, no-show rate, readmission, and PROs — not opens, clicks, and app sessions.
Standards we build against
Patient engagement standards in our SDLC
HIPAAHITECHGDPRFHIRSAMHSA
Engineered for Healthcare Compliance, Backed by Global Standards
Every Agnotic healthcare build is architected for privacy, interoperability, and regulatory readiness from the first commit — not retrofitted before launch.
Health Insurance Portability and Accountability Act
Protect PHI with privacy-first architecture, encrypted storage and transmission, strict access controls, and traceable audit logs.
General Data Protection Regulation
Implement lawful consent flows, data minimization, retention controls, and secure processing for sensitive reproductive and health data.
Fast Healthcare Interoperability Resources
Enable standardized health data exchange across apps, care teams, and systems through robust FHIR-ready APIs and mappings.
Health Level Seven International
Support enterprise-grade interoperability with HL7-based integrations for records, events, and clinical messaging workflows.
Health Information Trust Alliance
Align security programs to healthcare-specific controls and risk management practices trusted by providers and partners.
Health Information Technology for Economic and Clinical Health Act
Design with breach notification readiness, digital record safeguards, and operational controls that support regulated care programs.
Food and Drug Administration Software as a Medical Device
Plan software quality, traceability, and documentation pathways for products that may require SaMD review and regulatory submission.
Medical Device Regulation (European Union)
Prepare EU market-ready processes for risk classification, evidence tracking, and lifecycle governance under MDR expectations.
Substance Abuse and Mental Health Services Administration (42 CFR Part 2)
Apply confidentiality controls and consent-aware sharing models for behavioral and mental health related data experiences.
We Are Technology-Agnostic
With a diverse technology stack, we deliver solutions using a technology-Agnostic approach to meet your unique needs.
Wireframe & Ideation
User Experience
Real-Time Projects
Voices of Success
We don't just build products; we forge lasting partnerships. See how we've helped industry leaders transform their vision into technical reality.
"I can clearly see how Agnotic has a unique way of handling end-to-end development. They are always active on quick chat and provide support quickly."
Aaron Phelan
Founder, Benchmark
"Agnotic is the best technical team we evaluated. Their engineering excellence made our work dramatically easier and allowed us to stay focused on what matters most for maternal care outcomes. They took full ownership of the technical execution, and we are always happy to continue working together."
Kim Smith
Founder, My Lauren
"Agnotic combines deep technical expertise with strong domain knowledge. They understand the business context, anticipate challenges, and make collaboration smooth and effective."
John Pasmore
Founder, Latimer
Frequently Asked Questions
Different channels carry different PHI limits. SMS carries minimal PHI by default, email carries limited PHI with secure portal links for sensitive content, push notifications use encrypted payload with generic previews, and in-app carries full PHI under authenticated, audit-logged sessions. Our orchestration layer applies the right rules automatically based on channel and content type.
Book a patient engagement demo
Tell us your care setting and target outcomes. We'll share a channel strategy, cadence design, and integration plan.