A complete platform for internal tools and workflows — deployed in your environment, governed by rules your reviewers can read, with a permanent record covering every person and every AI.
A practice of ESPO Engineering · Since 1965
Custody is the first question in healthcare software, and the industry answers it badly: your data in a vendor's cloud, your workflows behind a vendor's renewal. Every system we deliver runs on machines your organization controls, sealed to a master key only you hold — no escrow, no vendor copy. Who can change what is decided by the system itself, not a policy memo, and every change is a permanent, named entry. When the engagement ends, we delete our access. The platform doesn't notice.
Records, documents, tools, and the systems that build them run on machines your organization controls. The master key is minted on your hardware during the install, and there is no second copy anywhere.
One optional outside connection in the entire platform.
Operations staff direct the work and can pause the AI at any moment — the machinery itself refuses anything beyond their role. Proposing, approving, and viewing are separate permissions, for people and AI alike.
Every change walks the same six steps, and the approver is never the proposer.
A department manager writes a request in plain language. The build crew delivers a private working copy to approve, and an independent inspector attacks it before anything goes live.
AI works on temporary badges that expire in hours — master keys never reach it.
ESPO has engineered for organizations whose systems cannot fail since 1965. This practice brings that discipline to healthcare software.
Delivered as documents your review team can read on day one — and verifiable against the platform's public source, not against our word.
Scoped per project and deployed inside your environment — weeks, not quarters. We verify the platform end to end, hand over the only key, and delete our access. It arrives whole, and it runs without us.
Senior hours at $250 an hour — rolling, for steady counsel, or batched for a defined build. Nothing renews on its own, and any team you choose can pick up where we leave off.
Every engagement is structured so you can walk away with everything — the code, the keys, the knowledge. That is precisely why clients stay.
Plain language is exactly right — the workflows you have, the teams involved, the tool you wish existed. Your note goes straight to the practice, and a person replies within one business day.
Prefer email? hello@espodev.com