EMR & Patient Portals That Make Care Frictionless.
Patient portals and infrastructure. Connected by design.
Patient portal infrastructure needs a connected portal experience, secure clinical workflow, and operational foundation. We build all three.
House of Karma combines EMR integration, custom patient portal development, and HIPAA-compliant systems architecture. Studio Escrow powers the CRM and automation layer, with compliance requirements scoped to each organization.
One system.
Every stage.
Custom patient portal UX

Replace generic EHR templates with a custom patient portal that feels like a modern consumer app. We bring together UX strategy, branded interface design, intuitive scheduling, and conversion-focused workflows.
Every screen is designed around patient needs, your clinical services, and the next meaningful action — not just administrative utility.
Patient portal UX strategy and interface design
Branded portal theming and visual identity
Online scheduling and self-service booking flows
Digital intake forms and consent workflows
Patient education and service-line content
Accessibility and mobile-first experience planning
EHR & EMR API integration

Architect systems around the way your team delivers care: custom EMR workflows, patient dashboards, secure intake, referral portals, and virtual care experiences.
We scope EHR integrations, permissions, data migration, and clinical requirements before development. Studio Escrow complements your clinical record system rather than replacing it.
Custom EMR architecture and EHR integrations
Secure patient dashboards and referral portals
Telehealth scheduling, consent, and intake
Role-based access and data migration planning
HIPAA-compliant infrastructure

Plan HIPAA responsibilities, vendor agreements, access controls, audit logging, and data handling before systems go live. Your organization retains responsibility for its compliance program.
We also support BAA coordination, penetration testing, and PHI data handling reviews. Certification and compliance determinations are made by the relevant organizations, never guaranteed by us.
HIPAA scoping, BAA coordination, and access controls
Encryption, audit logging, and security hardening
Penetration testing and vulnerability remediation
Telehealth & virtual care

Integrate HIPAA-compliant video consultations, async messaging, and virtual visit scheduling directly into the patient portal. Connect remote care to your EHR for a unified patient journey.
Patient communication is designed around privacy boundaries. We do not expose PHI to third-party platforms or use sensitive health data for prohibited purposes.
HIPAA-compliant telehealth video and messaging
Virtual visit scheduling and EHR synchronization
Privacy-conscious patient communication workflows
Patient engagement & automation

Studio Escrow powers CRM pipelines, secure communication workflows, scheduling, referral tracking, and automation in an appropriately configured Medical Suite environment.
We provide ongoing reporting, optimization, maintenance, and support. BAAs and configuration are reviewed for the specific tools and workflows in scope.
Automated appointment reminders and follow-up sequences
Secure patient messaging and referral workflows
Reputation management and retention systems
Reporting, maintenance, and long-term support
Build portals patients trust. Not just EMR templates.
House of Karma connects EMR integration, patient portal UX, and the HIPAA-compliant infrastructure that powers them.
From discovery
to lasting trust.
Explore dedicated strategy, design, and content capabilities for healthcare organizations.



