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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

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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

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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.
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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
Therapist Dashboard

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
Parent Portal

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
Supper Admin

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

Figma

Design & prototyping

React.JS

React.JS

Frontend development

Shadcn/UI

Shadcn/UI

UI component library

Laravel

Laravel

Backend development

MySQL

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