How we Innovate in a Regulated Environment
summary
Care Message operates under HIPAA TCPA CCPA and shifting carrier rules and sends about 6–7 million messages per month with a 20‑person engineering team, using a six‑week on / two‑week off cycle that yields three to four projects per cycle. Rigor comes from PRDs shaped into a Shape Up–style process, a weekly compliance working group, 99% code coverage, a CI threshold of 20 minutes (now ~11), a one‑engineer fix rotation (~10% capacity), a GCP labs sandbox, and hackathons that cut AI pilot timelines by 6–12 months.
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chapters (16)
- 0:00Introduction
- 2:24Regulated environments beyond healthcare
- 3:34CareMessage mission
- 7:46Healthcare regulation challenges
- 10:19Why innovate in regulated spaces
- 11:04Strengthen R&D with research
- 13:41CareMessage product process
- 16:40Focus on engineering fundamentals
- 21:11Accelerate innovation with hackathons
- 23:03Breaking barriers with partners
- 25:24Top learnings and call to action
- 26:09Q&A
- 26:52CI pipeline optimization
- 27:16Tools for compliance
- 28:22Hackathon energy in daily work
- 30:12Closing remarks
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