Built in Detroit. Designed For Safety First.
I partner with healthcare teams to design real, testable controls that satisfy HIPAA, SOC 2, and HITRUST so you pass audits, ship safely, and can bring AI in with confidence.
Book a Call with Me
I was impressed with how quickly Opreto understood our industry, spoke our language, and became involved as if they were always part of our team. Opreto's leadership all have a solid engineering background, which translates to their ability to hire talented engineers, direct projects, overcome technical issues, and deliver quality products. Ultimately, what makes them unique is that they care about doing a good job, they care about their client, they care about their engineers, and they care about delivering pristine, perfect products.
The Opreto team will show up in person. Learn how your team works. We'll walk the floor in your clinics in Midtown. Southfield. Ann Arbor. Macomb and beyond. Find out what's working and what's not. Then we'll rebuild it.
Built by our engineers, who'll be working directly alongside you to build a system that fits.
Whether you're running multiple campuses, coordinating cross-district delivery, or untangling years of legacy, here's what you likely care about:
If that sounds familiar, your team isn't the problem. The system is.
AI is improving processes everywhere, but it also poses a large risk. It expands the attack surface and changes how data moves. Without guardrails, it becomes a ticking time bomb.
We'll help you adopt AI safely. Data boundaries, model access controls, and logging. Threat modeling for AI paths. Controls in code that hold up in an audit.
| Problem | Opreto's Fix |
|---|---|
| After-hours EHR time is still out of control. Over 22% of physicians in the U.S. are logging 8 or more hours of EHR work outside of clinic hours every week. | Learn the language first. Shadow the floor (Midtown to Macomb), run discovery interviews + event storming, rebuild the backlog from the domain map. Design to match how clinicians actually work. |
| Per-visit after-hours drag. Primary care physicians still spend more than 6 minutes per visit doing EHR work after hours. | Cut the clutter. Tighten forms, prune fields, fix navigation, kill needless hand-offs. Measure clicks and rework; remove both. |
| Bad usability is driving burnout. A single-point increase in usability scores is linked to a 3% drop in physician burnout. | Design for human load. We co-design the interface with your clinicians. We'll test it live and instrument it with real data to make it easier to use, safer to deploy, and not a source of frustration. |
| Safety and usability are now linked. Hospitals with better frontline usability also score higher in EHR safety performance. | Codify in architecture. Boundaries, data contracts, audit trails, and IaC/DevSecOps so UI fixes ride on safe, repeatable releases. |
| Alert fatigue is numbing decision-making. Alerts are consistently rated lowest in usability by family doctors; they're overwhelming, often ignored, and mentally draining. | Right-size decision support. Retune thresholds, de-duplicate, batch non-critical alerts, and redesign how tasks show up so alerts become useful, not frustrating. |
| Care in Detroit is hybrid now; software isn't. Telehealth still accounts for more than 12% of Medicare visits, yet handoffs between virtual and in-person care often break the workflow. | Make hybrid work end-to-end. Map events across modalities, stabilize EHR/API integrations, and design hand-offs that don't punish clinicians. Desktop where required; mobile where it fits. |
| Patients now expect software to just work. 94% of patients who tried virtual care are open to using it again — UX is table stakes. | Ship adoption, not just features. Translate bedside reality into software, measure task success and time-on-task, and iterate until the experience sticks. |
You won't find hand-off documents and offshore project managers here. Our senior engineers are the ones doing the work, alongside your team, every step of the way.
We sit with your team, walk the floor, and audit your systems to know exactly what we're working with.
We recommend the right setup—desktop or mobile—with interoperability and compliance built in.
We clean up APIs, stabilize integrations, and migrate without downtime or care disruption.
We track metrics and use that data to smooth the experience and eliminate friction.
We automate pipelines, bake in compliance, and lock in performance for the long term.
Most vendors show up with a spec sheet and walk away when things get hard. We don't. We embed with your team, shadow clinicians, map workflows, data flows, and co-design with the people doing the work in mind.
We'll add guardrails for data movement and model access, log the right events, and threat-model AI paths so innovation does not create new risk.
When you work with Opreto, you get software your team adopts on day one. Built around your constraints. Supported by principal engineers and measured by outcomes, not slides.
We start with clinicians, not code by shadowing care, event-storming workflows, and naming work the way your teams do. Principal engineers embed from day one to ship usable, compliant software that actually gets adopted.
Compliance is engineered in: least-privilege access, audit trails, data-flow mapping, Infrastructure as Code, and DevSecOps. Releases are repeatable, monitored, and built for PHI protection with no "bolt-on" security later.
Yes. We design interoperability around your clinical language and APIs, stabilize integrations, and support desktop where hospitals require it and mobile where it fits, so care doesn't fight the software.
We measure real work: clicks, time-on-task, errors. Then we simplify forms, right-size alerts, and redesign navigation to match clinical reality. Fewer clicks. Fewer rollbacks. First-release adoption.
We use a Statement of Objectives (SOO), not a straitjacket SOW. Scope can evolve as we learn. Kickoff is a 2-week Discovery + Architecture Sprint that maps domain, risks, compliance, and a pilot you can evaluate.
We track startup time, failure/defect rates, support tickets, and user satisfaction. Dashboards show progress, and every release is instrumented so improvements are visible, not "felt" months later.
Absolutely. We build for clinical reality: secure desktop apps where mandated, lean mobile where appropriate, and hardened deployment pipelines that respect device, network, and policy constraints.
Health systems, telehealth, and healthtech teams with complex workflows, strict HIPAA needs, and legacy friction especially in Southeast Michigan/Detroit. If adoption stalls or releases feel risky, it's time to talk.
Yes. We've worked with major EHRs and know how to build around the reality of clinical APIs and workflows. Our goal isn't to replace the EHR. It's to make it actually work for your team.
Yes. I'm based in Windsor and can come across as needed to work directly with providers in Detroit. Whether you're in Midtown, Novi, or Grosse Pointe, we'll meet you on your turf.
Xavier is a consummate agile software architect, enamored with elegant solutions and constantly looking to apply design principles to solving the most challenging problems – whether these are business systems or training for a triathlon.
He has been developing software for two decades, continuously at the forefront of best practices in the field, constantly absorbing the latest innovations and applying them. He holds a B.C.S. in Computer Science from the University of Windsor.
He is an epicurean gourmet with a soft spot for sweets and enjoys dedicating his energy to continual self-improvement. He loves to cook and enjoy and share the best things he loves with his family and friends.
Get in touch with us to chat about your idea and explore how we can assist.
Contact Us