The product
Otti
- In production since October 2026
What it is
Otti is an EMR and family portal for pediatric occupational therapy practices, in daily use by a live practice.
My role
I’m Otti’s founder and product owner. Otti was built by AI coding agents under my direction: I led development with Claude Code, directing agents across build, code review and security testing, and took it from idea to production in about three months.
How it’s governed
Otti runs under a compliance program designed around HIPAA.
- Risk register. I maintain a HIPAA-based risk register for the platform.
- Trust boundaries. Set between practices, families and clinical records, and proven by attack tests that try to cross them and must be refused.
- Proof for every security fix. Required every security fix to be proven by a test that fails if the bug is put back, with attack tests on every privileged server route.
- Release controls. Designed a staging-first CI/CD pipeline that blocks deploys on failed tests or dependency audits.
- AI governance. I maintain an AI touchpoint register and rules based on Microsoft HAX (guidelines for human-AI interaction) and CSA AARM (Autonomous Action Runtime Management). Product AI runs a fixed set of tasks on a HIPAA-covered model; a figure the clinician typed always wins over a suggestion, and every task call is logged without its content.
Built on React, Tailwind CSS, Firebase, Google Cloud, Vertex AI, GitHub and Google Workspace.
No patient data appears on this page.