Case Study
Case Study
World's first AI-powered scheduling app
Leveraging Custom Digital Solutions to Improve Patient Outcomes and Optimize Resources.
Executive Summary
About the Client
The Challenge
Problem
Lanai Community Health Center (LCHC) needed a scalable solution to improve diabetes care for its rural patients. Limited resources and geography made in-person visits difficult, and manual data collection hindered efficient care management.
Solution
Estenda partnered with LCHC to build a Comprehensive Diabetes Management Program (CDMP) that boosted patient engagement, streamlined workflows, and enabled real-time remote monitoring through seamless integration with their EMR system, eClinicalWorks.
Impact
Reduced the need for frequent in-person visits, improving accessibility.
Optimized clinical resource utilization, allowing providers to manage care remotely.
Compiled real-time, accurate patient data, enhancing clinical decision-making.
Empowered patients with automated tracking tools, leading to higher engagement.
Executive Summary
About the Client
The Challenge
Problem
Lanai Community Health Center (LCHC) needed a scalable solution to improve diabetes care for its rural patients. Limited resources and geography made in-person visits difficult, and manual data collection hindered efficient care management.
Solution
Estenda partnered with LCHC to build a Comprehensive Diabetes Management Program (CDMP) that boosted patient engagement, streamlined workflows, and enabled real-time remote monitoring through seamless integration with their EMR system, eClinicalWorks.
Impact
Reduced the need for frequent in-person visits, improving accessibility.
Optimized clinical resource utilization, allowing providers to manage care remotely.
Compiled real-time, accurate patient data, enhancing clinical decision-making.
Empowered patients with automated tracking tools, leading to higher engagement.
Executive Summary
About the Client
The Challenge
Problem
Lanai Community Health Center (LCHC) needed a scalable solution to improve diabetes care for its rural patients. Limited resources and geography made in-person visits difficult, and manual data collection hindered efficient care management.
Solution
Estenda partnered with LCHC to build a Comprehensive Diabetes Management Program (CDMP) that boosted patient engagement, streamlined workflows, and enabled real-time remote monitoring through seamless integration with their EMR system, eClinicalWorks.
Impact
Reduced the need for frequent in-person visits, improving accessibility.
Optimized clinical resource utilization, allowing providers to manage care remotely.
Compiled real-time, accurate patient data, enhancing clinical decision-making.
Empowered patients with automated tracking tools, leading to higher engagement.
Our Engagement
01
How We Started
LCHC and Estenda Solutions initiated their partnership over a decade ago, recognizing the need for customized telehealth solutions to support diabetes management. This collaboration began with an initial software development project and evolved into a long-term strategic partnership, continuously improving the CDMP platform to meet LCHC’s needs.

01
How We Started
LCHC and Estenda Solutions initiated their partnership over a decade ago, recognizing the need for customized telehealth solutions to support diabetes management. This collaboration began with an initial software development project and evolved into a long-term strategic partnership, continuously improving the CDMP platform to meet LCHC’s needs.

01
How We Started
LCHC and Estenda Solutions initiated their partnership over a decade ago, recognizing the need for customized telehealth solutions to support diabetes management. This collaboration began with an initial software development project and evolved into a long-term strategic partnership, continuously improving the CDMP platform to meet LCHC’s needs.

02
Project Goals
Develop a telehealth platform that facilitates remote diabetes management.
Ensure seamless integration with LCHC’s existing eClinicalWorks EMR system.
Enable real-time tracking of blood glucose, blood pressure, and patient-reported outcomes.
Reduce the burden of in-person visits by automating data collection and reporting.
Empower patients to take an active role in managing their condition.

02
Project Goals
Develop a telehealth platform that facilitates remote diabetes management.
Ensure seamless integration with LCHC’s existing eClinicalWorks EMR system.
Enable real-time tracking of blood glucose, blood pressure, and patient-reported outcomes.
Reduce the burden of in-person visits by automating data collection and reporting.
Empower patients to take an active role in managing their condition.

02
Project Goals
Develop a telehealth platform that facilitates remote diabetes management.
Ensure seamless integration with LCHC’s existing eClinicalWorks EMR system.
Enable real-time tracking of blood glucose, blood pressure, and patient-reported outcomes.
Reduce the burden of in-person visits by automating data collection and reporting.
Empower patients to take an active role in managing their condition.

03
Collaboration Model
Estenda worked as an end-to-end technology partner, taking full ownership of the software development while closely collaborating with LCHC’s clinical team to ensure that the system aligned with real-world clinical workflows. This iterative approach allowed for continuous refinements based on provider and patient feedback.

03
Collaboration Model
Estenda worked as an end-to-end technology partner, taking full ownership of the software development while closely collaborating with LCHC’s clinical team to ensure that the system aligned with real-world clinical workflows. This iterative approach allowed for continuous refinements based on provider and patient feedback.

03
Collaboration Model
Estenda worked as an end-to-end technology partner, taking full ownership of the software development while closely collaborating with LCHC’s clinical team to ensure that the system aligned with real-world clinical workflows. This iterative approach allowed for continuous refinements based on provider and patient feedback.

The Solution
Technologies Used
Telehealth Integration: Developed a cloud-based Comprehensive Diabetes Management Program (CDMP).
Data Analytics: Enabled real-time tracking and visualization of patient health metrics.
Interoperability: Built custom APIs to integrate with eClinicalWorks EMR.
Automated Surveys & Data Collection: Designed patient engagement tools to capture behavioral data.
Telehealth Integration: Developed a cloud-based Comprehensive Diabetes Management Program (CDMP).
Data Analytics: Enabled real-time tracking and visualization of patient health metrics.
Interoperability: Built custom APIs to integrate with eClinicalWorks EMR.
Automated Surveys & Data Collection: Designed patient engagement tools to capture behavioral data.
Telehealth Integration: Developed a cloud-based Comprehensive Diabetes Management Program (CDMP).
Data Analytics: Enabled real-time tracking and visualization of patient health metrics.
Interoperability: Built custom APIs to integrate with eClinicalWorks EMR.
Automated Surveys & Data Collection: Designed patient engagement tools to capture behavioral data.
Processes implemented
Agile development methodology to deliver incremental improvements based on feedback.
User-centered design approach, ensuring ease of use for both patients and clinicians.
HIPAA-compliant security measures to protect sensitive patient data.
Agile development methodology to deliver incremental improvements based on feedback.
User-centered design approach, ensuring ease of use for both patients and clinicians.
HIPAA-compliant security measures to protect sensitive patient data.
Agile development methodology to deliver incremental improvements based on feedback.
User-centered design approach, ensuring ease of use for both patients and clinicians.
HIPAA-compliant security measures to protect sensitive patient data.
Customization
The CDMP software was tailored to align with LCHC’s existing clinical operations, ensuring that it complemented daily workflows rather than disrupting them. This customization ensured:
Seamless data integration with other medical records.
Automated tracking of blood glucose and blood pressure, reducing manual entry.
User-friendly patient interfaces to encourage adoption and engagement.
The CDMP software was tailored to align with LCHC’s existing clinical operations, ensuring that it complemented daily workflows rather than disrupting them. This customization ensured:
Seamless data integration with other medical records.
Automated tracking of blood glucose and blood pressure, reducing manual entry.
User-friendly patient interfaces to encourage adoption and engagement.
The CDMP software was tailored to align with LCHC’s existing clinical operations, ensuring that it complemented daily workflows rather than disrupting them. This customization ensured:
Seamless data integration with other medical records.
Automated tracking of blood glucose and blood pressure, reducing manual entry.
User-friendly patient interfaces to encourage adoption and engagement.
Challenges Along the Way
EMR Integration Issues
Difficulty connecting CDMP with eClinicalWorks.
Solution
Developed custom APIs to ensure seamless data exchange.
EMR Integration Issues
Difficulty connecting CDMP with eClinicalWorks.
Solution
Developed custom APIs to ensure seamless data exchange.
EMR Integration Issues
Difficulty connecting CDMP with eClinicalWorks.
Solution
Developed custom APIs to ensure seamless data exchange.
Low Patient Tech Adoption
Patients unfamiliar with digital tools hesitated to engage.
Solution
Implemented education programs to boost digital literacy and comfort.
Low Patient Tech Adoption
Patients unfamiliar with digital tools hesitated to engage.
Solution
Implemented education programs to boost digital literacy and comfort.
Low Patient Tech Adoption
Patients unfamiliar with digital tools hesitated to engage.
Solution
Implemented education programs to boost digital literacy and comfort.
Connectivity Limitations
Unstable internet in rural areas hindered real-time data use.
Solution
Built a lightweight, cloud-based platform optimized for low-bandwidth environments.
Connectivity Limitations
Unstable internet in rural areas hindered real-time data use.
Solution
Built a lightweight, cloud-based platform optimized for low-bandwidth environments.
Connectivity Limitations
Unstable internet in rural areas hindered real-time data use.
Solution
Built a lightweight, cloud-based platform optimized for low-bandwidth environments.
Results & Success Metrics
Quantifiable Outcomes
Quantifiable Outcomes
Reduced In-Person Visits
Improved access to care while easing clinic workload.Real-Time Health Data
Accurate tracking of glucose and blood pressure for timely interventions.Enhanced Clinical Decisions
Data-driven insights enabled better, faster treatment changes.
Reduced In-Person Visits
Improved access to care while easing clinic workload.Real-Time Health Data
Accurate tracking of glucose and blood pressure for timely interventions.Enhanced Clinical Decisions
Data-driven insights enabled better, faster treatment changes.
Reduced In-Person Visits
Improved access to care while easing clinic workload.Real-Time Health Data
Accurate tracking of glucose and blood pressure for timely interventions.Enhanced Clinical Decisions
Data-driven insights enabled better, faster treatment changes.
Qualitative Benefits
Qualitative Benefits
Reduced In-Person Visits
Improved access to care while easing clinic workload.Real-Time Health Data
Accurate tracking of glucose and blood pressure for timely interventions.Enhanced Clinical Decisions
Data-driven insights enabled better, faster treatment changes.
Reduced In-Person Visits
Improved access to care while easing clinic workload.Real-Time Health Data
Accurate tracking of glucose and blood pressure for timely interventions.Enhanced Clinical Decisions
Data-driven insights enabled better, faster treatment changes.
Reduced In-Person Visits
Improved access to care while easing clinic workload.Real-Time Health Data
Accurate tracking of glucose and blood pressure for timely interventions.Enhanced Clinical Decisions
Data-driven insights enabled better, faster treatment changes.
Current Status
Where We Are Now
Where We Are Now
LCHC continues to rely on the CDMP platform as a core part of its diabetes care strategy. The solution enables them to deliver more effective care while maximizing limited clinical resources.
LCHC continues to rely on the CDMP platform as a core part of its diabetes care strategy. The solution enables them to deliver more effective care while maximizing limited clinical resources.
LCHC continues to rely on the CDMP platform as a core part of its diabetes care strategy. The solution enables them to deliver more effective care while maximizing limited clinical resources.
Ongoing Relationship
Ongoing Relationship
Estenda and LCHC maintain a strong, collaborative relationship. Together, they continue to evolve the platform—driven by real-world feedback, changing clinical needs, and emerging technologies.
Estenda and LCHC maintain a strong, collaborative relationship. Together, they continue to evolve the platform—driven by real-world feedback, changing clinical needs, and emerging technologies.
Estenda and LCHC maintain a strong, collaborative relationship. Together, they continue to evolve the platform—driven by real-world feedback, changing clinical needs, and emerging technologies.
Testimonials
Testimonials
Testimonials
What Our Clients Say
What Our Clients Say
Hear from the healthcare, MedTech, and Life Sciences partners who trust Estenda. Their testimonials highlight our expertise, responsive communication, and the meaningful results we deliver through collaboration.
Hear from the healthcare, MedTech, and Life Sciences partners who trust Estenda. Their testimonials highlight our expertise, responsive communication, and the meaningful results we deliver through collaboration.
"Estenda works with clients on innovative projects. Not too big and not too small. Committed to innovative software development."
Peter
Coordinated Strategic Vendor
"Our needs are very customized. Estenda is very responsive to them ALL.”
Roy
Goverment Project
"Their speed of responses to requests and openness nature of the collaborations is unparalleled! ”
Joel
F50 Medical Device Company
"Estenda understands the client's needs as perceived, and as exists (sometimes different); they are responsiveness; accountable; take initiative”
Yongjin
Global Medical Device Company
"Estenda Team always makes time to try to solve issues and it is always done in a positive, solution focused manner."
Joseph
Private Medical Device Company
"Adjectives to describe Estenda' s service and response: exceptional (always), professional, knowledgeable, courteous, prompt, respectful, personal!"
Jerry
Academic Medical Center
"Estenda works with clients on innovative projects. Not too big and not too small. Committed to innovative software development."
Peter
Coordinated Strategic Vendor
"Our needs are very customized. Estenda is very responsive to them ALL.”
Roy
Goverment Project
"Their speed of responses to requests and openness nature of the collaborations is unparalleled! ”
Joel
F50 Medical Device Company
"Estenda understands the client's needs as perceived, and as exists (sometimes different); they are responsiveness; accountable; take initiative”
Yongjin
Global Medical Device Company
"Estenda Team always makes time to try to solve issues and it is always done in a positive, solution focused manner."
Joseph
Private Medical Device Company
"Adjectives to describe Estenda' s service and response: exceptional (always), professional, knowledgeable, courteous, prompt, respectful, personal!"
Jerry
Academic Medical Center
"Estenda works with clients on innovative projects. Not too big and not too small. Committed to innovative software development."
Peter
Coordinated Strategic Vendor
"Our needs are very customized. Estenda is very responsive to them ALL.”
Roy
Goverment Project
"Their speed of responses to requests and openness nature of the collaborations is unparalleled! ”
Joel
F50 Medical Device Company
"Estenda understands the client's needs as perceived, and as exists (sometimes different); they are responsiveness; accountable; take initiative”
Yongjin
Global Medical Device Company
"Estenda Team always makes time to try to solve issues and it is always done in a positive, solution focused manner."
Joseph
Private Medical Device Company
"Adjectives to describe Estenda' s service and response: exceptional (always), professional, knowledgeable, courteous, prompt, respectful, personal!"
Jerry
Academic Medical Center
"Estenda works with clients on innovative projects. Not too big and not too small. Committed to innovative software development."
Peter
Coordinated Strategic Vendor
"Our needs are very customized. Estenda is very responsive to them ALL.”
Roy
Goverment Project
"Their speed of responses to requests and openness nature of the collaborations is unparalleled! ”
Joel
F50 Medical Device Company
"Estenda understands the client's needs as perceived, and as exists (sometimes different); they are responsiveness; accountable; take initiative”
Yongjin
Global Medical Device Company
"Estenda Team always makes time to try to solve issues and it is always done in a positive, solution focused manner."
Joseph
Private Medical Device Company
"Adjectives to describe Estenda' s service and response: exceptional (always), professional, knowledgeable, courteous, prompt, respectful, personal!"
Jerry
Academic Medical Center
"Estenda works with clients on innovative projects. Not too big and not too small. Committed to innovative software development."
Peter
Coordinated Strategic Vendor
"Our needs are very customized. Estenda is very responsive to them ALL.”
Roy
Goverment Project
"Their speed of responses to requests and openness nature of the collaborations is unparalleled! ”
Joel
F50 Medical Device Company
"Estenda understands the client's needs as perceived, and as exists (sometimes different); they are responsiveness; accountable; take initiative”
Yongjin
Global Medical Device Company
"Estenda Team always makes time to try to solve issues and it is always done in a positive, solution focused manner."
Joseph
Private Medical Device Company
"Adjectives to describe Estenda' s service and response: exceptional (always), professional, knowledgeable, courteous, prompt, respectful, personal!"
Jerry
Academic Medical Center
"Estenda works with clients on innovative projects. Not too big and not too small. Committed to innovative software development."
Peter
Coordinated Strategic Vendor
"Our needs are very customized. Estenda is very responsive to them ALL.”
Roy
Goverment Project
"Their speed of responses to requests and openness nature of the collaborations is unparalleled! ”
Joel
F50 Medical Device Company
"Estenda understands the client's needs as perceived, and as exists (sometimes different); they are responsiveness; accountable; take initiative”
Yongjin
Global Medical Device Company
"Estenda Team always makes time to try to solve issues and it is always done in a positive, solution focused manner."
Joseph
Private Medical Device Company
"Adjectives to describe Estenda' s service and response: exceptional (always), professional, knowledgeable, courteous, prompt, respectful, personal!"
Jerry
Academic Medical Center
"Estenda works with clients on innovative projects. Not too big and not too small. Committed to innovative software development."
Peter
Coordinated Strategic Vendor
"Our needs are very customized. Estenda is very responsive to them ALL.”
Roy
Goverment Project
"Their speed of responses to requests and openness nature of the collaborations is unparalleled! ”
Joel
F50 Medical Device Company
"Estenda understands the client's needs as perceived, and as exists (sometimes different); they are responsiveness; accountable; take initiative”
Yongjin
Global Medical Device Company
"Estenda Team always makes time to try to solve issues and it is always done in a positive, solution focused manner."
Joseph
Private Medical Device Company
"Adjectives to describe Estenda' s service and response: exceptional (always), professional, knowledgeable, courteous, prompt, respectful, personal!"
Jerry
Academic Medical Center
"Estenda works with clients on innovative projects. Not too big and not too small. Committed to innovative software development."
Peter
Coordinated Strategic Vendor
"Our needs are very customized. Estenda is very responsive to them ALL.”
Roy
Goverment Project
"Their speed of responses to requests and openness nature of the collaborations is unparalleled! ”
Joel
F50 Medical Device Company
"Estenda understands the client's needs as perceived, and as exists (sometimes different); they are responsiveness; accountable; take initiative”
Yongjin
Global Medical Device Company
"Estenda Team always makes time to try to solve issues and it is always done in a positive, solution focused manner."
Joseph
Private Medical Device Company
"Adjectives to describe Estenda' s service and response: exceptional (always), professional, knowledgeable, courteous, prompt, respectful, personal!"
Jerry
Academic Medical Center
"Estenda works with clients on innovative projects. Not too big and not too small. Committed to innovative software development."
Peter
Coordinated Strategic Vendor
"Our needs are very customized. Estenda is very responsive to them ALL.”
Roy
Goverment Project
"Their speed of responses to requests and openness nature of the collaborations is unparalleled! ”
Joel
F50 Medical Device Company
"Estenda understands the client's needs as perceived, and as exists (sometimes different); they are responsiveness; accountable; take initiative”
Yongjin
Global Medical Device Company
"Estenda Team always makes time to try to solve issues and it is always done in a positive, solution focused manner."
Joseph
Private Medical Device Company
"Adjectives to describe Estenda' s service and response: exceptional (always), professional, knowledgeable, courteous, prompt, respectful, personal!"
Jerry
Academic Medical Center
"Estenda works with clients on innovative projects. Not too big and not too small. Committed to innovative software development."
Peter
Coordinated Strategic Vendor
"Our needs are very customized. Estenda is very responsive to them ALL.”
Roy
Goverment Project
"Their speed of responses to requests and openness nature of the collaborations is unparalleled! ”
Joel
F50 Medical Device Company
"Estenda understands the client's needs as perceived, and as exists (sometimes different); they are responsiveness; accountable; take initiative”
Yongjin
Global Medical Device Company
"Estenda Team always makes time to try to solve issues and it is always done in a positive, solution focused manner."
Joseph
Private Medical Device Company
"Adjectives to describe Estenda' s service and response: exceptional (always), professional, knowledgeable, courteous, prompt, respectful, personal!"
Jerry
Academic Medical Center
"Estenda works with clients on innovative projects. Not too big and not too small. Committed to innovative software development."
Peter
Coordinated Strategic Vendor
"Our needs are very customized. Estenda is very responsive to them ALL.”
Roy
Goverment Project
"Their speed of responses to requests and openness nature of the collaborations is unparalleled! ”
Joel
F50 Medical Device Company
"Estenda understands the client's needs as perceived, and as exists (sometimes different); they are responsiveness; accountable; take initiative”
Yongjin
Global Medical Device Company
"Estenda Team always makes time to try to solve issues and it is always done in a positive, solution focused manner."
Joseph
Private Medical Device Company
"Adjectives to describe Estenda' s service and response: exceptional (always), professional, knowledgeable, courteous, prompt, respectful, personal!"
Jerry
Academic Medical Center
"Estenda works with clients on innovative projects. Not too big and not too small. Committed to innovative software development."
Peter
Coordinated Strategic Vendor
"Our needs are very customized. Estenda is very responsive to them ALL.”
Roy
Goverment Project
"Their speed of responses to requests and openness nature of the collaborations is unparalleled! ”
Joel
F50 Medical Device Company
"Estenda understands the client's needs as perceived, and as exists (sometimes different); they are responsiveness; accountable; take initiative”
Yongjin
Global Medical Device Company
"Estenda Team always makes time to try to solve issues and it is always done in a positive, solution focused manner."
Joseph
Private Medical Device Company
"Adjectives to describe Estenda' s service and response: exceptional (always), professional, knowledgeable, courteous, prompt, respectful, personal!"
Jerry
Academic Medical Center

Partner with Estenda Solutions to Transform Healthcare Technology
At Estenda Solutions, we specialize in custom software development, AI-driven data analytics, and advanced telehealth solutions tailored to the needs of MedTech, life sciences, and healthcare providers.