The Challenges of Developing Healthcare Software Without Healthcare Experience
Creating impactful healthcare technology requires more than just coding skillsโit demands a deep understanding of clinical workflows, patient needs, and the realities of working in a medical environment. Having spent three years working in a hospital, Iโve observed firsthand the disconnect that can occur when developers design solutions without direct healthcare experience.
A common scenario involves vendors presenting seemingly “game-changing” systems that overlook the intricacies of hospital operations. For example, I once observed a startup demo a patient intake platform that, ironically, would have increased appointment times by 20 minutesโsimply because they hadn’t engaged with front desk staff, who have refined their workflows over years to ensure efficiency. It became clear that assuming to disrupt healthcare without understanding its nuances is a frequent mistake. Front desk personnel, often undervalued outsiders, possess invaluable insights into day-to-day operations that no amount of coding can replace.
Reflecting on my own past, I admit I was once guilty of designing systems based on assumptions rather than real-world knowledge. I developed a straightforward patient scheduling application, only to discover I lacked understanding of insurance authorizations, provider credentialing, and appointment types. It wasnโt until I spent months consulting with clinic staff that I managed to create a solution that was truly functional and respectful of existing workflows.
The truth is, many developers approach healthcare projects remotely, often from their homes, without spending time in a clinicโespecially during busy seasons like flu outbreaks. In healthcare, you can’t simply “move fast and break things,” because the consequences of mistakes can directly impact patient care. Missing an insulin dose due to a flawed system isnโt just a bug; itโs a serious risk.
Has anyone else found themselves humbled by working in healthcare, or is it just me realizing that digitizing everything isnโt a reliable strategy without proper healthcare insight? Building truly effective health technology means partnering with those on the front lines and understanding their day-to-day realities.

