Engineering & Consultancy

Integrated engineering pods, a team that owns the outcome.

Not staff augmentation, not a black-box agency. We embed a cross-functional pod — product, engineering, QA, DevOps and design — that takes ownership of delivery and ships alongside your team.

The model

One pod, every discipline delivery needs

A pod isn't a pile of contractors — it's a complete, cross-functional team that can take a problem from idea to production without waiting on anyone outside it.

A single AST pod

Product

Owns: The why

Owns the backlog, priorities and the problem being solved.

Tech lead

Owns: Direction

Owns the architecture and the technical calls.

Engineers

Owns: The build

Frontend and backend, shipping the actual product.

QA

Owns: Quality

Owns testing, automation and release confidence.

DevOps

Owns: Reliability

Owns CI/CD, infrastructure and uptime.

Design

Owns: Experience

Owns UX and clinical usability.

Why AST

A pod that already speaks healthcare

The difference between a generic dev shop and a pod that knows PHI, FHIR and clinical workflows before the first standup.

17+
years shipping healthcare software

Pods that already know the domain, the standards and the failure modes of clinical systems.

6
disciplines in a pod

Product, tech lead, engineering, QA, DevOps and design — a complete team, not a pile of contractors.

0
hand-offs to other vendors

One team owns the work end to end, so nothing falls into the gap between suppliers.

1
team accountable for the outcome

Not bodies you manage — a pod that owns delivery and answers for the result.

What a pod does

From shaping the work to running it

A pod doesn't just take tickets — it shapes the work, ships it, owns its quality and stays with it in production.

Start a conversation
An engineering pod at work
01Discovery & shaping

The pod starts by understanding the problem and shaping the work — not just taking a backlog and typing. You get options and a plan, not just velocity.

  • Problem framing
  • Solution shaping
  • Roadmap & estimates
  • Risk surfacing
02Build & ship

The pod owns the backlog and delivers in iterations, with working software in front of you continuously rather than a big reveal at the end.

  • Iterative delivery
  • Backlog ownership
  • Continuous demos
  • Working software
03Quality & release

Quality and release engineering are inside the pod, not a separate gate — so what ships is tested, observable and safe to deploy.

  • Automated testing
  • CI/CD pipelines
  • Release management
  • Observability
04Run & evolve

The pod stays with the product — supporting it in production, learning from real usage, and evolving it as your needs change.

  • Production support
  • Iteration on feedback
  • Scaling
  • Technical health
What pods build

The full range, from one team

Clinical platforms

EMR/EHR, post-acute and specialty clinical software, built to real workflows.

  • Clinical workflows
  • Charting & orders
  • Compliance built in
  • Go-live support

Integrations

HL7, FHIR and API integration with the systems care teams already run.

  • HL7 v2 & FHIR
  • EHR connectivity
  • Interface engines
  • Monitoring

Mobile & web apps

Clinician- and patient-facing apps that people actually want to use.

  • iOS & Android
  • Responsive web
  • Offline-capable
  • Accessible

Data & AI

Pipelines, analytics and applied AI on top of clinical and operational data.

  • Data pipelines
  • Analytics
  • Applied AI / NLP
  • Reporting

Cloud & infrastructure

HIPAA-eligible cloud, infrastructure-as-code and the platform underneath.

  • AWS / Azure / GCP
  • Infrastructure-as-code
  • Platform engineering
  • Cost control

Modernization

Bringing legacy clinical systems forward without a risky big-bang rewrite.

  • Incremental migration
  • Re-architecture
  • Tech-debt paydown
  • Re-platforming
Who it's for

When you need a team, not just hands

No engineering org yet, a team that's maxed out, or an initiative that's stalled — the common need is one team that owns delivery.

A team planning together

Startups that need to ship

You have a clinical product to build and no engineering org to build it. A pod gives you a complete team that ships from day one, without the year it takes to hire one.

  • Complete team, fast
  • No hiring lag
  • Senior from the start
  • Healthcare-native

Teams that need capacity that owns outcomes

Your engineers are at capacity and a new initiative is waiting. A pod takes a whole stream of work off your plate and owns it — not extra bodies you have to manage.

  • Own a workstream
  • No management overhead
  • Parallel delivery
  • Flex up or down

A project that needs a team to take it

An important project has stalled between teams or vendors. A pod takes ownership end to end and gets it moving again — with one team accountable for the result.

  • Single ownership
  • Unblock & deliver
  • Clear accountability
  • Momentum restored
The difference

Bodies to manage, or a team that delivers

The word “contractors” covers two very different things. One adds to your management load; the other takes work off it.

The usual model
Staff augmentation
Individuals you manage

Contractors slotted into your team one by one. You own the coordination, the quality and the gaps between them — and when one leaves, their context leaves too.

  • You manage everyone
  • You own coordination
  • Quality is on you
  • Knowledge walks out
With AST
An integrated pod
A team that owns delivery

A complete, self-managing pod that takes a problem and owns it to production — with its own lead, its own quality bar, and accountability for the outcome.

  • Self-managing team
  • Owns coordination
  • Quality built in
  • Accountable for outcomes
How we deliver

From scope to a pod that's shipping

01
Scope

Understand the work and shape the pod to it.

02
Assemble

Stand up the right cross-functional mix.

03
Onboard

Plug into your stack, tools and ceremonies.

04
Deliver

Ship working software in iterations.

05
Iterate

Learn from real usage and adjust.

06
Scale

Flex the pod up or down as needs change.

How we work

Pod principles we work by

The convictions that make a pod feel like your best team — one that owns outcomes instead of clocking hours.

A team planning at a whiteboard

Own the outcome

A pod is measured by what ships and works, not hours logged. Accountability sits with the team, not with you.

Cross-functional by default

Every discipline delivery needs is inside the pod, so it never stalls waiting on someone outside it.

Ship continuously

Working software in front of you every iteration — no big-bang reveal, no surprises at the end.

Healthcare-native

The pod already knows HIPAA, PHI and clinical workflows, so compliance isn't something it learns on your dime.

Integrate, don't silo

The pod works in your tools, your repo and your ceremonies — an extension of your team, not a walled-off vendor.

Senior, not staffed-up

Pods are built from people who've shipped this before, not padded with juniors to hit a headcount.

Questions

Engineering pods FAQ

How is a pod different from staff augmentation?

Staff augmentation gives you individuals you manage and coordinate; a pod gives you a complete, self-managing team that owns a stream of work end to end. With staff aug, the integration risk and quality are on you. With a pod, the team owns the outcome — including the parts between people.

How big is a pod?

Typically four to eight people, sized to the work rather than a fixed template. A small pod might be a tech lead, a couple of engineers and shared QA/DevOps; a larger one carries dedicated design, product and more engineering. We right-size it and flex as the work changes.

Do they work in our tools and process?

Yes. A pod embeds in your repo, your stack, your ticketing and your ceremonies — standups, sprints, reviews. It operates as an extension of your team, not a separate vendor lobbing deliverables over a wall.

Can we scale the pod up or down?

Yes. Pods are designed to flex — add capacity for a push, trim back when a phase ends — without the friction of hiring and firing. The team's shared context stays intact as it changes size.

Who manages the pod?

The pod is self-managing, with its own tech lead and delivery cadence, and it integrates with your product owner or PM. You set direction and priorities; the pod owns how the work gets done and answers for delivery.

Let's build a team

Need a team that ships, not just sits in standup?

Tell us what you're trying to build. We'll shape a pod around it — and give you one team that owns getting it to production.

Talk to our team
Engineers pairing on a problem