Cara

Enterprise

When the workflow is
too important for a platform.

Enterprise is for the work that nothing off-the-shelf can handle. Senior engineers embed with your team, build against your data, inside your compliance envelope. And hand the system over when it’s done.

The engagement

The Enablement Sprint.

A defined engagement. Six to twelve weeks. Senior engineering from the first day. A working system at the end, not a pilot.

W00W02W04W06W08W10W12KICKOFFWORKFLOW MAPPEDFIRST MERGEMID-SPRINT DEMOSYSTEM LIVEOWNERSHIP HAND-OFFONGOING RETAINER · OPTIONALIWEEKS 1–2EmbedIIWEEKS 2–6BuildIIIWEEKS 6–12TransferENGAGEMENT TIMELINE · 12 WEEKS MAXSENIOR ENGINEERING THROUGHOUT
Phase I

We sit with your team. Workflow mapped in situ.

Phase II

We ship on your data, inside your compliance envelope.

Phase III

Your team takes ownership. Continued retainer is optional — and many partners keep us on.

I

Weeks 1-2

Embed

Our engineers and clinical informaticists sit with your team. We map the workflow in situ. Inside your EHR, your claims system, your chart reviews. Observation before slides.

  • On-site or embedded-remote, at your preference
  • Full access to the workflow, not just the stakeholders
  • Daily written notes shared with your leadership
II

Weeks 2-6

Build

We deploy a working system against your real data. EHR-integrated, HIPAA-audited, measurable. Every pull request is reviewed by both teams. Your engineers hold merge rights.

  • Inside your compliance envelope from commit one
  • Weekly demos to clinical and executive stakeholders
  • Instrumented for before-and-after measurement
III

Weeks 6-12

Transfer

We hand over the codebase, the documentation, the runbook, and the model weights where relevant. More importantly, we hand over the ability to run the system without us.

  • Full source transfer under your chosen license
  • Named engineering lead on your team, trained to own it
  • Open-ended retainer if you want one. Not required.

“A Sprint is scoped to a workflow, not to a vendor deliverable. We build what the partner actually needs, and measure it the way they measure it.”

What makes it different

A consultancy that ships code.

We embed. We don't pitch.

Our senior engineers sit inside your workflow for the duration. We write code against your data, in your environment, with your people.

We leave something that keeps running.

The engagement produces production software, not a pilot with a ninety-day shelf life. Your team owns it when we go.

Senior from day one.

Founders and principal engineers are in the room. The first call is never with a junior AE. The last call is never with a handoff.

Honest about fit.

We only take engagements where the work will genuinely move clinical or operational outcomes. If it won't, we say so. Often we refer elsewhere.

“We are the team you would build if you could hire perfectly. For exactly as long as you need us.”

Who it’s for

Health systems, payers, pharma, and scaled digital health companies with workflows no platform can fit. Five verticals, one standard of rigor.

Have a workflow in mind?

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