HealthTech7 months engagement

Telehealth & Patient Portal

QA for a telehealth platform enabling virtual consultations, prescription management, and patient health record access across web and mobile. Patients used the platform to book appointments, have video consultations with their doctors, receive prescriptions, and access their health records from anywhere. QA was critical because a failed video call meant a missed medical consultation, and any error in the prescription workflow could have direct patient safety consequences.

WebiOSAndroidAPIMobile TestingSecurity TestingFunctional QA

99.5%

Call success rate

Data breaches

100%

HIPAA compliant

The Challenge

Network-Resilient Video

Video consultations had to be reliable across broadband to rural cellular data. Patients in underserved areas were a key demographic.

Multi-Jurisdiction Compliance

HIPAA plus state-level telehealth regulations that varied by jurisdiction, all applied to sensitive patient data.

Scheduling Complexity

Timezone logic across provider hours, patient zones, buffer time, DST transitions, and last-minute cancellations.

Senior Accessibility

A senior-focused app version meant accessibility was a core requirement for users with vision, hearing, or motor impairments.

Tools Used

Appium

Cypress

Postman

BrowserStack

Espresso

Appium

Cypress

Postman

BrowserStack

Espresso

Our Approach

How We Tested This Project

Video Infrastructure Testing

Set up network simulation environments that replicated real-world conditions including bandwidth throttling, packet loss, and jitter. We tested video calls under progressively degraded conditions to find the exact thresholds where quality became unacceptable and verified that the fallback to audio-only worked smoothly.

Scheduling Logic Validation

Built test scenarios covering every timezone edge case we could think of: DST transitions, half-hour offset timezones, providers spanning multiple time zones, and patients booking across date boundaries. We also tested concurrent booking conflicts and cancellation cascade effects.

Accessibility Audit

Conducted a full WCAG 2.1 AA audit with screen readers (VoiceOver, TalkBack), keyboard-only navigation, and high contrast mode. We recruited three testers over 60 to run through core patient flows and documented every friction point, not just technical accessibility violations.

Prescription Safety Testing

Tested the prescription workflow end-to-end from provider order through pharmacy network transmission to patient notification. We validated drug interaction checks against a known database of contraindications, tested dosage boundary warnings, and verified that insurance eligibility failures were handled without blocking urgent prescriptions.

Scope

What We Tested

01Video call quality under bandwidth constraints from 500kbps to 50mbps with adaptive bitrate behavior

02Appointment scheduling across timezones including DST transitions and edge cases around midnight boundaries

03Prescription workflow and pharmacy integration including drug interaction alerts and insurance eligibility checks

04Patient data encryption and granular access controls with role-based PHI visibility

05Push notification reliability for appointment reminders, prescription ready alerts, and provider messages

06Accessibility testing for elderly patients covering screen readers, large text mode, and simplified navigation

07Waiting room functionality with accurate queue position updates and provider join notifications

08File attachment handling for lab results, imaging reports, and referral documents

09Multi-provider scheduling for patients who see multiple specialists through the same platform

10Session recovery after network interruption during an active video consultation

Impact

Results & Business Impact

99.5% Call Success

Identified issues with the adaptive bitrate algorithm that was too aggressively downgrading quality on briefly unstable connections.

Zero Accessibility Blockers

Senior-focused app launched with zero blockers. Patient satisfaction for users over 65 scored 4.7 out of 5.

Zero Data Breaches

No breaches during the engagement. The platform passed two separate security audits.

500 → 2,000 Providers

Average patient wait time dropped to under 3 minutes after identifying provider notification bottlenecks.

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