Next Home Health
An operations and clinical platform for US home health agencies: patients and OASIS workflows, scheduling, PDGM billing, CMS exports, reports and HR, built on about 19 Node.js microservices.
Client
Home health agencies in the USA care for patients at home and have to manage clinicians, visits, clinical documentation, Medicare billing and compliance with CMS requirements every day.
Business needs
Replace scattered tools with one platform that covers the whole agency: patient intake and care, OASIS assessments, visit scheduling and compliance, billing, reporting and staff management, with live numbers for the management team.
Our solution
gHost Services built Next Home Health as a web platform with a live agency dashboard (census, revenue and margin, days to start of care, visit compliance, 30-day readmissions) and a task workflow that moves every patient through admission, OASIS, recertification, resumption of care and discharge.
Key features
- Patient list, intake wizard, visit compliance and therapy tracking
- Group task workflow for OASIS, orders, visit notes and follow-ups
- Batch PDGM billing, private billing and payroll processing
- OASIS export for CMS submission and HHCAHPS survey export
- EDI send/receive, fax history and call recordings
- Care staff calendar and scheduling
- A report library in 11 categories, including clinical, financial, staff, ALIRTS and HHVBP
- HR: recruitment, onboarding, credential compliance and e-signed offer letters
- Admin configuration with 36 sections: roles, payers, HCPCS codes, care plan templates, clinical pathways and more
Architecture
Microservices
About 19 Node.js and TypeScript services talk to each other over gRPC with Protocol Buffers, and every request comes in through one API gateway.
Data
PostgreSQL with PostGIS and Sequelize, Redis, MongoDB and AWS S3 for files. Joi validation and JWT authentication.
Frontend
A React 19 single-page app on Vite with Redux Toolkit, React Router and Tailwind CSS, talking to the gateway through about 800 API methods, with live updates over Socket.IO, e-signatures, PDF viewing and Google Maps.
Documents and messaging
Puppeteer, PDFKit, ExcelJS and docx generate clinical documents and exports; Nodemailer and Firebase send email and push notifications.
Reports and HR
Reports are grouped by patient, clinical, financial, marketing, employee, visit and schedule, and the HR module tracks hiring and credentials across the agency.
Results
Technologies
Node.js
TypeScript
Express
Microservices
Socket.io
Sequelize
JWT
PostgreSQL
Redis
MongoDB
AWS
React
Vite
Redux
React Router
Tailwind CSS
Sass
Cypress
Puppeteer
Firebase
Stripe
USPS
Google Maps
Docker
GitHub Actions
ESLint