Software built
at the bedside.

Pragmatic web platforms for healthcare teams — staffing, messaging, compliance, and the hundred small workflows in between. Designed, coded, and shipped by the same person working the shift.

10+ years shipping tools 2 ICUs running daily 60+ clinicians served Zero vendors harmed

Selected projects

Internal platforms built for real teams — private by design, described here in broad strokes.

🏥

ICU Operations Platform

A full staffing & communications suite running daily in two hospital intensive-care units: drag-and-drop assignment building, on-call boards, automated shift messaging, recognition programs, event planning, and printable everything.

PHPMySQLTwo live deployments
📟

Team Messaging Engine

Carrier-registered (A2P 10DLC) text + email delivery: scheduled reminders, instant team blasts with live audience analysis, inbound message logging with picture support, and self-healing fallbacks when carriers misbehave.

TwilioResendCompliance-vetted
📋

Compliance & Audit Tooling

Weekly controlled-substance count tracking with streaks and audit trails, missed-meal reporting from raw timekeeping exports, safety rounds, and respirator fit-test wizards — receipts for every regulator, zero binders.

AutomationAudit trails
🐾

Veterinary Check-In Portal

Built in a single day when COVID ended walk-in lobbies: a contactless client check-in flow for a busy animal hospital, integrated with the clinic's practice-management system, and used through years of curbside operations.

Rapid buildPMS integration
🧪

Lab Instrument Integration

Desktop software talking directly to a Tosoh immunoassay analyzer in a high-volume veterinary reproduction practice: patient samples scanned in, results captured automatically the moment a run finished, and actionable messages sent to pet owners — no transcription, no phone tag, no missed timing.

Visual StudioInstrument I/OAuto-messaging
🧰

Applets & Utilities

Kiosks, QR & barcode tools, photo galleries, sign-up applets with printable QR flyers, provider directories, cash counters — small sharp tools that quietly remove daily friction.

Many, many
🛡️

Infrastructure

The unglamorous spine: multi-site deployments, shared configuration, scheduled job runners, edge-proxied DNS, and monitoring — kept simple enough for a team of one to run forever.

DNS/CDNCronOps

Who builds this

I'm Javier Avalos — a computer nerd who became a veterinary technician, then a critical-care charge nurse in a cardiovascular ICU, and never stopped shipping software along the way. At the animal hospital, that meant building the practice's communication tooling on top of its management system — and when COVID shut the lobby doors, standing up a remote client check-in page before "remote check-in" was a thing. In the CVICU, it became a full operations platform: staffing, messaging, compliance, recognition — everything my unit reaches for daily.

The method has never changed: I don't study workflows from the outside — I work inside them. I hold the clipboard, take the phone calls, and feel exactly where the shift loses its minutes. Then I replace the manual and the tedious with digital workflows that give that time back to what actually matters — the patients, the team, the results. It's the same instinct that automates my house: if a task is repetitive, it's a bug.

01 · Immerse

Work the shift. Live the workflow. Find where the friction really is — not where a meeting thinks it is.

02 · Build

Ship the smallest tool that removes the friction, integrated with whatever crusty system already holds the data.

03 · Results

Measure in minutes returned and steps deleted. Iterate at the speed of the next shift's feedback.

Get in touch

Questions, ideas, or a workflow that deserves better software — the form lands straight in my inbox.