How Valletta helped healthcare SaaS to transform QA and compliance to grow with confidence.pptx
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This case study explores how we partnered with a mid-sized U.S. healthcare SaaS provider to help them scale from a successful pilot phase to supporting over 10,000 users—while meeting strict HIPAA compliance requirements. Faced with slow, manual testing cycles, frequent regression bugs, and looming audit risks, their growth was at risk. Their existing QA processes couldn’t keep up with the complexity of real-time biometric data handling, and earlier automation attempts had failed due to unreliable tools and fragmented workflows. We stepped in to deliver a full QA and DevOps transformation. Our team replaced their fragile legacy tests with Testim’s self-healing automation, integrated Postman and OWASP ZAP into Jenkins pipelines for continuous API and security validation, and leveraged AWS Device Farm for real-device, region-specific compliance testing. Custom deployment scripts gave them control over rollouts without relying on heavy CI/CD infrastructure. The result? Test cycle times were reduced from 3 days to just 8 hours, regression bugs dropped by 40%, and they passed their first HIPAA audit without issue—unlocking faster contract signings and enabling them to expand confidently. More than just a technical upgrade, this project embedded compliance into every phase of development, proving that SaaS providers in regulated industries can scale fast and stay secure.
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How Valletta helped healthcare SaaS to transform QA and compliance to grow with confidence.pptx
- 1. HOW VALLETTA HELPED CASE STUDY: HEALTHCARE SAAS TO TRANSFORM QA AND COMPLIANCE TO GROW WITH CONFIDENCE © 2025
- 2. A fast-growing healthcare SaaS provider faced a critical turning point. After a successful pilot, the company was preparing to expand their SaaS platform to serve more than 10,000 users. But as their user base grew, so did the strain on their systems. Manual, fragmented testing processes couldn’t keep up with the platform’s complexity, especially when handling sensitive biometric data in real time. Several key challenges stood in their way: • Slow test cycles, often taking up to three days to complete, delayed releases and limited agility. • Rising bug rates in production damaged user trust and overloaded support teams. • Compliance risks loomed, with an upcoming HIPAA audit and gaps in documentation and traceability. Without immediate improvements to their QA and DevOps workflows, the client risked not only missing market opportunities but also falling short of regulatory standards essential for long-term success. 2. INITIAL SITUATION
- 3. 3. MEET THE CLIENT The client is a U.S.-based healthcare SaaS provider specializing in remote patient monitoring (RPM) and chronic care management. Their platform connects custom biometric devices to a secure, HIPAA-compliant cloud infrastructure, allowing healthcare providers to track patient health data in real time. • Industry: Healthcare IT / Remote Monitoring • Company size: 500–1,000 employees • Market focus: U.S. healthcare providers, insurers, and regulatory bodies • Compliance needs: Strict HIPAA adherence, with plans to expand into regions requiring additional compliance validations Their platform had already shown strong results during its pilot phase. However, scaling to full production meant higher stakes: greater demand for reliability, faster deployment cycles, and tighter compliance controls. The upcoming expansion required more than incremental improvements. It called for a fundamental shift in how testing, automation, and deployment were handled.
- 4. 4. KEY CHALLENGES 1. Laggy and inefficient testing cycles Regression testing regularly took up to three days, creating significant delays in the release pipeline. With rapid feature development underway, this bottleneck became unsustainable, threatening time-to-market goals. 2. High rate of regression bugs in production Despite a heavy reliance on manual testing, bugs continued to escape into production. These issues often involved UI inconsistencies, API failures, and device-cloud synchronization errors, all of which eroded user trust. 3. Compliance risks ahead of a HIPAA audit With a formal HIPAA audit approaching, the client identified serious gaps in Audit trail documentation, test traceability, and security validation processes, resulting in legal and business risk, potentially hindering future partnerships with healthcare providers. 4. Fragmented tools and unreliable automation Previous attempts at test automation had failed. The existing frameworks were fragile, unable to handle the platform’s evolving workflows. Tools were poorly integrated, and the team lacked a self-healing, resilient test infrastructure that could support ongoing growth.
- 5. 5. COMPLIANCE FIRST In regulated SaaS, speed and compliance must go hand in hand. Both need to be built into the process from the beginning. What we believe • Compliance is the foundation of sustainable growth. • Automation builds trust through consistent, reliable processes. • Defensible quality supports long-term success. What we proved The healthcare provider maintained speed while meeting compliance standards. With the right automation, releases accelerated and the healthcare provider passed the HIPAA audit on the first attempt.
- 6. 6. THE SOLUTION OVERVIEW The client needed a QA and DevOps solution that could keep up with their growth and “hold the liquor” in the compliance-heavy environment. So, we focused on building something that was fast, reliable, and compliant at its core. Replacing fragile tests with resilient automation The company had automation before, but it didn’t work. We replaced their old scripts with Testim, a self-healing test framework that adjusted automatically to changes in their UI and API. This meant: • Tests that ran consistently, even as the product evolved. • Less time spent fixing scripts, more time delivering value. • Full coverage across critical workflows, from login to real-time data sync. Making compliance automatic, not manual Every release needed to meet strict HIPAA standards, and manual checks weren’t cutting it. We built a Jenkins-based pipeline that automated both functional and security testing. Now, every build they shipped was compliant by default.
- 7. 7. TECHNOLOGIES USED QA and automation • Testim’s self-healing capabilities allowed tests to adapt as the product evolved. This meant less maintenance and more reliable results. • Postman was integrated into the pipeline to automatically test every endpoint, eliminating guesswork and delivering trustworthy results. • OWASP ZAP scanned every build for vulnerabilities, offering continuous protection and helping the startup meet HIPAA security standards without manual effort. CI and deployment • Jenkins triggered Postman tests, ZAP scans, and delivered clear, traceable feedback for every build. • Custom lightweight scripts were created to deploy reliably and roll back quickly when needed.
- 8. 8. TECHNOLOGIES USED Device testing and environment • Testim’s self-healing capabilities allowed tests to the product changes. • Postman was integrated into the pipeline to auto-test every endpoint. • OWASP ZAP scanned every build for vulnerabilities, offering continuous protection and helping the startup meet HIPAA security standards. CI and deployment • AWS Device Farm enabled testing on real devices across U.S. regions for strong, secure, and compliant communication. • Docker and Kubernetes supported containerized services, offering scalability and fault tolerance. Development and tracking tools • Custom scripts and API integrations were built using JavaScript and Node.js. • Python handled compliance simulations and integrated testing tools. • JIRA kept tasks and milestones visible, while Confluence stored detailed documentation.
- 9. 9. THE AGILE COLLAB We followed 2-week sprints • Daily stand-ups kept the team aligned and ready to respond. • Weekly demos gave stakeholders a clear view of progress. • Compliance was integrated from the first sprint. A complex CI/CD setup wasn’t needed, custom scripts matched • Fast, reliable rollouts to staging and production. • Built-in rollback logic allowed quick issue resolution. • We used only necessary tools. Scope changes were expected during healthcare scaling • Changes were triaged quickly by the startup’s PM and our Tech Lead. • Sprint goals were adjusted to balance regulatory needs with delivery speed. • Regular feedback loops kept priorities clear. A trusted process as the result
- 10. 10. SOLVING CHALLENGES 1. Overlapping test ownership In the initial sprint, unclear responsibilities between functional testers and API test engineers led to duplicate efforts and slowed progress. Coordination gaps in multi-layered test environments needed quick resolution. 2. Device Farm latency issues Running tests through AWS Device Farm introduced latency variability across regions. This unpredictability in test result timing created friction in the feedback loop and impacted sprint timelines. 3. Compliance logging adjustments Late-stage changes to regulatory requirements required the team to rebuild parts of the audit trail logging. This work was essential for HIPAA readiness but added unexpected rework close to delivery.
- 11. 11. RESULTS ACHIEVED Key outcomes • 40% fewer regression bugs, improving stability and reducing support demands. • Test cycle time reduced by 73%, from 3 days to 8 hours. • Passed HIPAA audit on the first attempt, with full traceability in every test and deployment. Meaning for the business • Fewer bugs led to happier users and fewer complaints. • Faster testing allowed more frequent releases without delays. • Being audit-ready enabled new contracts to be signed 2 months earlier.
- 12. 12. BUSINESS IMPACT Beyond the numbers • The client gained control over releases, avoiding slow or complex pipelines. • The team focused on innovation rather than fixing bugs or preparing for audits. • Compliance became an integrated part of daily operations. Where the healthcare provider stands now • Ready to scale to over 10,000 users without overwhelming QA resources. • Confident in launching new features and device integrations. • Positioned for growth in additional regulated markets. The big win The healthcare provider did more than meet goals. A system and mindset were established to support secure, efficient growth into the future.
- 13. 13. THANK YOU! Valletta Software Development LTD A Maltese Limited Liability Company No. C88523 Cospicua Boutique Offices, Sqaq Cordina, Cospicua (Bormla), BML19000, Malta 📧 [email protected] 🌐 www.vallettasoftware.com 📞 +356 9944 4876 Your personal manager: Valeriia Sierikova 📧 [email protected] © 2025 created by Egor Kaleynik