Case Study
Case Study
World's first AI-powered scheduling app
Improving Access to Eye Care Through Long-Term Operational and Technical Support
Executive Summary
About the Client
The Challenge
Problem
Many American Indian and Alaska Native communities face limited access to ophthalmology services, especially for diabetic retinopathy, a major cause of preventable vision loss.
Solution
Estenda has partnered with Joslin Diabetes Center and IHS to provide daily operational support, software development, and data integration for the IHS JVN Teleophthalmology Program.
Impact
Estenda has supported the expansion of the program to over 100 sites nationwide, improving access to retinal screening for underserved diabetes patients and enabling ongoing research efforts.
Executive Summary
About the Client
The Challenge
Problem
Many American Indian and Alaska Native communities face limited access to ophthalmology services, especially for diabetic retinopathy, a major cause of preventable vision loss.
Solution
Estenda has partnered with Joslin Diabetes Center and IHS to provide daily operational support, software development, and data integration for the IHS JVN Teleophthalmology Program.
Impact
Estenda has supported the expansion of the program to over 100 sites nationwide, improving access to retinal screening for underserved diabetes patients and enabling ongoing research efforts.
Executive Summary
About the Client
The Challenge
Problem
Many American Indian and Alaska Native communities face limited access to ophthalmology services, especially for diabetic retinopathy, a major cause of preventable vision loss.
Solution
Estenda has partnered with Joslin Diabetes Center and IHS to provide daily operational support, software development, and data integration for the IHS JVN Teleophthalmology Program.
Impact
Estenda has supported the expansion of the program to over 100 sites nationwide, improving access to retinal screening for underserved diabetes patients and enabling ongoing research efforts.
Our Engagement
01
How We Started
Estenda began supporting the Joslin Vision Network (JVN) Teleophthalmology Program in the early 2000s through an ongoing partnership with Joslin Diabetes Center and Indian Health Services.
01
How We Started
Estenda began supporting the Joslin Vision Network (JVN) Teleophthalmology Program in the early 2000s through an ongoing partnership with Joslin Diabetes Center and Indian Health Services.
01
How We Started
Estenda began supporting the Joslin Vision Network (JVN) Teleophthalmology Program in the early 2000s through an ongoing partnership with Joslin Diabetes Center and Indian Health Services.
02
Project Goals
Provide daily operational support across all active program sites
Develop and enhance teleophthalmology software systems
Assist with data integration across systems
Support research initiatives that aim to improve patient outcomes
02
Project Goals
Provide daily operational support across all active program sites
Develop and enhance teleophthalmology software systems
Assist with data integration across systems
Support research initiatives that aim to improve patient outcomes
02
Project Goals
Provide daily operational support across all active program sites
Develop and enhance teleophthalmology software systems
Assist with data integration across systems
Support research initiatives that aim to improve patient outcomes
03
Collaboration Model
Estenda operates as a long-term technical and operational partner, delivering a comprehensive suite of services including custom software development, system integration, daily operational support, and research infrastructure. Our team works closely with both clinical and administrative stakeholders to ensure that the teleophthalmology platform remains reliable, scalable, and responsive to evolving program requirements. By aligning technology with the unique needs of the Joslin Vision Network and Indian Health Services, Estenda plays a key role in maintaining program continuity, enhancing data-driven insights, and supporting strategic growth across over 100 service sites nationwide.
03
Collaboration Model
Estenda operates as a long-term technical and operational partner, delivering a comprehensive suite of services including custom software development, system integration, daily operational support, and research infrastructure. Our team works closely with both clinical and administrative stakeholders to ensure that the teleophthalmology platform remains reliable, scalable, and responsive to evolving program requirements. By aligning technology with the unique needs of the Joslin Vision Network and Indian Health Services, Estenda plays a key role in maintaining program continuity, enhancing data-driven insights, and supporting strategic growth across over 100 service sites nationwide.
03
Collaboration Model
Estenda operates as a long-term technical and operational partner, delivering a comprehensive suite of services including custom software development, system integration, daily operational support, and research infrastructure. Our team works closely with both clinical and administrative stakeholders to ensure that the teleophthalmology platform remains reliable, scalable, and responsive to evolving program requirements. By aligning technology with the unique needs of the Joslin Vision Network and Indian Health Services, Estenda plays a key role in maintaining program continuity, enhancing data-driven insights, and supporting strategic growth across over 100 service sites nationwide.
The Solution
Technologies Used
Custom software platforms supporting the JVN program
Integration of imaging and clinical data systems
Tools for image review and workflow management
Custom software platforms supporting the JVN program
Integration of imaging and clinical data systems
Tools for image review and workflow management
Custom software platforms supporting the JVN program
Integration of imaging and clinical data systems
Tools for image review and workflow management
Processes implemented
Ongoing system development and maintenance
Support for site operations across over 100 locations
Data infrastructure to enable clinical research
Ongoing system development and maintenance
Support for site operations across over 100 locations
Data infrastructure to enable clinical research
Ongoing system development and maintenance
Support for site operations across over 100 locations
Data infrastructure to enable clinical research
Customization
Solutions are tailored to the infrastructure, workflows, and reporting needs of IHS program sites to ensure consistent service delivery and data capture across the national network.
All software platforms and data systems are developed and maintained in compliance with federal information security and privacy regulations, including FISMA (Federal Information Security Management Act) and NIST 800-53 standards.
Solutions are tailored to the infrastructure, workflows, and reporting needs of IHS program sites to ensure consistent service delivery and data capture across the national network.
All software platforms and data systems are developed and maintained in compliance with federal information security and privacy regulations, including FISMA (Federal Information Security Management Act) and NIST 800-53 standards.
Solutions are tailored to the infrastructure, workflows, and reporting needs of IHS program sites to ensure consistent service delivery and data capture across the national network.
All software platforms and data systems are developed and maintained in compliance with federal information security and privacy regulations, including FISMA (Federal Information Security Management Act) and NIST 800-53 standards.
Challenges Along the Way
Multi-Site Technical Scalability
Supporting a growing number of sites with varying technical capabilities.
Solution
Estenda delivered adaptive software solutions and scalable support models to accommodate diverse technical environments.
Multi-Site Technical Scalability
Supporting a growing number of sites with varying technical capabilities.
Solution
Estenda delivered adaptive software solutions and scalable support models to accommodate diverse technical environments.
Multi-Site Technical Scalability
Supporting a growing number of sites with varying technical capabilities.
Solution
Estenda delivered adaptive software solutions and scalable support models to accommodate diverse technical environments.
System Integration Complexity
Integrating software and data systems across a wide range of different environments and platforms.
Solution
Facilitated seamless data interoperability and comprehensive research data capture across all systems.
System Integration Complexity
Integrating software and data systems across a wide range of different environments and platforms.
Solution
Facilitated seamless data interoperability and comprehensive research data capture across all systems.
System Integration Complexity
Integrating software and data systems across a wide range of different environments and platforms.
Solution
Facilitated seamless data interoperability and comprehensive research data capture across all systems.
Standardized Review Process Implementation
Ensuring reliable and standardized image review processes across multiple locations and stakeholders.
Solution
Worked closely with Joslin and IHS stakeholders to evolve and optimize the program's tools and processes for consistency.
Standardized Review Process Implementation
Ensuring reliable and standardized image review processes across multiple locations and stakeholders.
Solution
Worked closely with Joslin and IHS stakeholders to evolve and optimize the program's tools and processes for consistency.
Standardized Review Process Implementation
Ensuring reliable and standardized image review processes across multiple locations and stakeholders.
Solution
Worked closely with Joslin and IHS stakeholders to evolve and optimize the program's tools and processes for consistency.
Results & Success Metrics
Quantifiable Outcomes
Quantifiable Outcomes
Operational and software support extended to over 100 individual sites across the U.S.
Enabled over 250,000 retinal screenings for diabetes patients in underserved communities across more than 100 sites nationwide, through 20+ years of continuous operation.
Recognized for outstanding service with the 2023 Distinguished Service Award by the American Academy of Ophthalmology.
Operational and software support extended to over 100 individual sites across the U.S.
Enabled over 250,000 retinal screenings for diabetes patients in underserved communities across more than 100 sites nationwide, through 20+ years of continuous operation.
Recognized for outstanding service with the 2023 Distinguished Service Award by the American Academy of Ophthalmology.
Operational and software support extended to over 100 individual sites across the U.S.
Enabled over 250,000 retinal screenings for diabetes patients in underserved communities across more than 100 sites nationwide, through 20+ years of continuous operation.
Recognized for outstanding service with the 2023 Distinguished Service Award by the American Academy of Ophthalmology.
Qualitative Benefits
Qualitative Benefits
Expanded access to screening services that help prevent diabetic-related vision loss
Supported research efforts focused on disease prevalence, treatment adherence, and image review quality
Expanded access to screening services that help prevent diabetic-related vision loss
Supported research efforts focused on disease prevalence, treatment adherence, and image review quality
Expanded access to screening services that help prevent diabetic-related vision loss
Supported research efforts focused on disease prevalence, treatment adherence, and image review quality
Current Status
Where We Are Now
Where We Are Now
Estenda continues to support the IHS Teleophthalmology Program with operational services, system enhancements, and research infrastructure.
Estenda continues to support the IHS Teleophthalmology Program with operational services, system enhancements, and research infrastructure.
Estenda continues to support the IHS Teleophthalmology Program with operational services, system enhancements, and research infrastructure.
Ongoing Relationship
Ongoing Relationship
The collaboration with Joslin Diabetes Center and Indian Health Services is ongoing, with continued efforts to scale and improve the program.
The collaboration with Joslin Diabetes Center and Indian Health Services is ongoing, with continued efforts to scale and improve the program.
The collaboration with Joslin Diabetes Center and Indian Health Services is ongoing, with continued efforts to scale and improve the program.
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
Bring Scalable Care to Underserved Communities with Estenda Solutions
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.