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Little Legacy EMR — Electronic Medical Records for a Pediatric Occupational and Speech Therapy Company
80%
Less Manual Work
100%
Billing Accuracy
2x Faster
Therapist Onboarding
Project Description
Little Legacy CRM/EMR is a custom-designed platform built for The Little Legacy, a pediatric therapy provider in San Diego, to replace their manual, spreadsheet-based workflow. The solution streamlines patient onboarding, therapist management, scheduling, documentation, billing, and HIPAA-compliant compliance tracking—tailored specifically to meet the policies of California’s Regional Centers. Developed in close collaboration with the client, the platform aligns seamlessly with their day-to-day operations.
Client Overview
Client
The Little Legacy
San Diego, USA
Industry
Occupational &
Speech Therapy
Platform Type
On Premise EMR -
Electronic Medical Records
Problem Overview
The client’s previous system was fully manual and Google Docs/Sheets dependent, leading to:
Complex client and therapist onboarding.
Manual billing with risk of error.
Complex coordination for scheduling and therapist management.
Inconsistent patient progress tracking.
Data inconsistency and inefficient reporting.
Time-consuming and error-prone payroll handling.
Inefficient therapist performance monitoring.
Non-user-friendly previous EMR system.
Project Goals
Patient intake & therapist onboarding
Streamlined registration, credential verification, and therapist assignment.
Scheduling with session caps
Calendar system with built-in limits, alerts, and approval workflows.
Therapy note documentation
Supports SOAP notes, evaluations, progress tracking, and discharges.
Streamline treatment follow-up and progress tracking
Easy patient monitoring and progress updates through a centralized dashboard.
Monitor therapist performance and activities
Track therapist engagement, session logs, schedules for supervision.
Automated billing & payroll
Integrated billing system and separate payroll logic for W-2 and contractors.
Admin automation & compliance
Tracks session types, documentation timelines, and HIPAA compliance.
Technical Challenges and Solutions
Challenge
The client couldn't provide a structured UI/UX brief, and our team had limited prior experience with therapy-specific healthcare platforms. Understanding real-life user flows was critical.
Solutions
Our product design team maintained close communication with the client, studied real therapy notes, IFSP onboarding forms, and other documents to map out the application flow. This collaborative approach enabled us to design an intuitive and purpose-built UX that aligned with real-world use cases.
Challenge
The client couldn't provide a structured UI/UX brief, and our team had limited prior experience with therapy-specific healthcare platforms. Understanding real-life user flows was critical.
Solutions
Our product design team maintained close communication with the client, studied real therapy notes, IFSP onboarding forms, and other documents to map out the application flow. This collaborative approach enabled us to design an intuitive and purpose-built UX that aligned with real-world use cases.
User Flows & Dashboards
Therapist Dashboard
Streamlined workflow for healthcare professionals
Calendar with session types auto-tagged
Clock-in/out with cap alerts
Built-in SOAP/Evaluation/Discharge notes
Timesheet & payroll visibility
Parent Portal
Transparent communication and engagement
View upcoming and past therapy sessions
Access therapist profiles and credentials
Read session notes and download homework
Request session reschedules securely
Supper Admin
Comprehensive oversight and management
Manage patient intake, therapist onboarding, and scheduling
Monitor compliance alerts and session limits
Access real-time reporting and performance dashboards
Verify completed sessions and generate invoices automatically
Core Features at a Glance
Role-based dashboards
Admin / Therapist / Parent
Calendar-based session management
Streamlined scheduling system
Custom note editor
For therapy types
Automated billing & timesheets
Efficient financial management
Approval flows
For over-limit scheduling
Fully HIPAA-compliant architecture
Complete security & privacy
Tech Stack
Technologies powering our solution
Figma
Design & prototyping
React.JS
Frontend development
Shadcn/UI
UI component library
Laravel
Backend development
MySQL
Database
Results & Outcome
Measurable improvements across all key performance indicators
70%
reduction in manual paperwork
90%
improvement in billing accuracy
2x
automation of billing process
70%
scalable for multiple Regional Centers
What Makes It Unique?
Specialized features designed for therapy practice management
California Regional Center Compliance
Built specifically for California Regional Center workflows and requirements
Dual Therapist Model Support
Seamlessly handles both W-2 employees and contractor therapists
Smart Scheduling System
Advanced scheduling with automatic enforcement and conflict resolution
Custom SOAP/Progress Notes
Purpose-built documentation modules for therapy session tracking
Parent-Friendly Interface
Clean, secure, and intuitive design focused on user experience
Working with Nukta Solutions has been a seamless and wonderful experience. Nukta Solutions have very gifted engineers that truly help customize and create a program based on the needs of your company. They are flexible, professional, talented, patient, and wonderful individuals to work with. My employees have all complemented the EMR that they created, saying that it is 'easy' to use. I am already out of characters otherwise I would write more! HIGHLY recommended!!!
Jessica Lontayo, M.S. OTR/L, CBIS
Registered & Licensed Occupational Therapist; Certified Brain Injury Specialist
Owner of Little Legacy
Owner of Little Legacy