Case Study2019-2025

Acquire Learning

Healthcare | Education

Acquire Learning clinical platform

For Acquire Learning (Behavior Span), Evolve Blue designed and deployed a unified clinical ecosystem that scaled ABA therapy operations across 500+ students and multiple clinics — replacing 15-hour manual programming workflows with a 2-hour visual interface and closing the data loop between field execution and clinical planning.

Technology Stack

ReactMaterial UIMongoDBRealmAWSiOSABA Therapy PlatformHIPAA ComplianceRole-Based UXClinical AnalyticsOffshore Staffing
Client
Acquire Learning
Industry
Healthcare | Education
Focus
Clinical platform engineering, ABA therapy operations, behavioral data architecture, role-based UX, mobile field execution, offshore staffing, HIPAA compliance
Service
Digital Product Engineering & Offshore Staffing
Published
2019-2025
Outcome
A clinical web and mobile platform that replaced fragmented ABA therapy operations with structured data and real-time analytics.

01  Overview

Acquire Learning Digital Product Engineering & Offshore Staffing engagement context.

Acquire Learning (Behavior Span) operates a multi-location applied behavioral analysis (ABA) therapy practice serving 500+ students. The organization needed a centralized clinical ecosystem to replace a fragmented, manual-first operation that was limiting clinical fidelity and preventing scale.

Evolve Blue designed and engineered three purpose-built applications: the Acquire Learning Web App for BCBAs (clinical programming and analytics), the iPad RBT Native App for field technicians (distraction-free session execution), and the Scheduling Web App for operations admins (multi-clinic scheduling and coordination).

The engagement was delivered through an offshore staffing model — Evolve Blue provided a dedicated offshore development team embedded with Acquire Learning over the full engagement lifecycle. BCBAs were spending 15+ hours weekly on manual programming using spreadsheets and paper tools. RBTs had no standardized digital interface for live sessions, and clinical data was collected inconsistently across therapists and locations. The three-app ecosystem replaced all of this with a unified, role-specific platform backed by real-time data synchronization.

02  The Challenge

Operational constraints the solution needed to address.

  • BCBAs spending 15+ hours weekly building and maintaining therapy programs through manual, spreadsheet-based processes.
  • Fragmented and delayed data tracking with no reliable synchronization between web and mobile environments.
  • Inconsistent programming quality across therapists due to the absence of a standardized clinical library.
  • No real-time visibility into student progress, target mastery rates, or trial data at the organizational level.
  • Field technicians lacked a distraction-free mobile interface designed for the cognitive demands of live ABA therapy sessions.
  • Scaling to 500+ students across multiple clinics required an architecture that could maintain clinical fidelity without adding operational overhead.

03  The Solution

A digital experience layer that unifies services, trust, and access.

Evolve Blue approached the Acquire platform as a unified operational engine rather than a set of isolated software tools. The architecture was built around three principles: role-based UX, workflow automation, and data-driven infrastructure.

Each user type — Clinical Director (BCBA), Field Technician (RBT), and Operations Admin — received an interface designed explicitly for their cognitive load and operational responsibilities. The web platform handled programming and analytics while the iPad interface handled real-time field execution.

The data layer was engineered for 100% real-time synchronization using MongoDB Realm, ensuring that every trial data point collected in the field instantly informed clinical planning and predictive analytics.

01

BCBA Programming Engine

Visual drag-and-drop BCBA programming interface with Gantt-style skill trees, automated prompt levels, and complex target chain management — reducing program build time from 15 hours to 2 hours weekly.

02

Standardized Program Library

Centralized library of 299+ standardized, evidence-based programs and targets with consistent parameters (Type, Definition, Intervention) eliminating bespoke therapist variations.

03

RBT Mobile Interface

iPad-optimized RBT session interface with distraction-free target instruction layouts, one-tap error correction, behavioral input logging, and offline data caching for uninterrupted session flow.

Data CoreAcquire EcosystemRole-based UX · Real-time sync · Predictive analytics
04

Real-Time Analytics Engine

Real-time analytics engine aggregating 10,000+ daily trial data points with automated tracking of target mastery rates, trial counts, and performance metrics across students and therapists.

05

HIPAA-Compliant Infrastructure

AWS-hosted infrastructure with HIPAA-compliant security, advanced load balancers, and the capacity to process 10,000+ daily data points across 500+ active student records.

06

Workflow Automation

Workflow automation eliminating manual scheduling, reporting bottlenecks, and cross-role communication gaps between clinical planning and field execution.

04  What We Built

Modules that work together as one case-study system.

01

Build the Acquire Learning Web App — a BCBA clinical programming platform with visual drag-and-drop program creation, a 299+ program library, and real-time analytics.

02

Build the iPad RBT Native App — a distraction-free iOS session interface with offline caching, one-tap error correction, and live behavioral input logging for field technicians.

03

Build the Scheduling Web App — an operations admin tool for multi-clinic scheduling, student coordination, and session management.

04

Implement 100% real-time data synchronization across all three apps via MongoDB Realm.

05

Deliver a real-time analytics engine aggregating 10,000+ daily trial data points to support predictive clinical decision-making.

06

Architect the platform on AWS with HIPAA-compliant security and the capacity to support 500+ concurrent student records.

06  Implementation Journey

Structured delivery from discovery through rollout.

01

Architecture & Role Mapping

Defined the multi-role data model and user permission structure across Clinical Directors, Field Technicians, and Operations Admins to ensure each interface surface was aligned to clinical responsibility.

02

BCBA Programming Engine

Built the visual drag-and-drop programming interface with Gantt-style skill trees, automated prompt levels, a 299+ program library, and complex target chain management for clinical directors.

03

RBT Mobile Environment

Engineered the iPad-optimized field interface with distraction-free target instruction layouts, one-tap error correction, offline caching, and direct behavioral input logging.

04

Data Layer & Synchronization

Implemented MongoDB Realm for 100% real-time synchronization between field sessions and the central clinical database, with offline reliability for uninterrupted clinic sessions.

05

Analytics Engine

Developed the real-time analytics module aggregating trial data, mastery rates, performance metrics, and technician statistics to power predictive clinical decisions for BCBAs.

06

Infrastructure & Compliance

Deployed the platform on AWS with HIPAA-compliant security controls, scalable load balancers, and automated backup protocols supporting 500+ concurrent student records.

07  Before / After

From manual operations to a unified clinical engine.

Replacing fragmented spreadsheet workflows with an integrated ecosystem that maintains clinical fidelity as therapy operations scale.

Before

Manual clinical operations

BCBAs spent 15+ hours weekly on programming across spreadsheets and paper tools with no real-time data visibility.

After

Unified clinical engine.

Role-based platform with real-time sync across BCBA programming, field execution, and multi-clinic scheduling.

ProgramsAnalyticsMobileSync

Before

  • BCBAs spending 15+ hours weekly on manual programming across spreadsheets and paper tools.
  • Fragmented, delayed data tracking with web and mobile environments disconnected.
  • Inconsistent programming quality and clinical standards across therapists.
  • Reactive monitoring with no automated report generation or mastery tracking.

After

  • Visual drag-and-drop interface reducing BCBA programming time to 2 hours weekly.
  • 100% real-time data synchronization between field sessions and the central clinical database.
  • 299+ standardized, evidence-based programs ensuring consistent clinical quality.
  • Predictive analytics driving personalized learning paths for 500+ students.

08  Impact

Outcomes achieved through the implementation.

01

85% reduction in programming time

The visual drag-and-drop BCBA interface reduced weekly programming time from 15 hours to 2 hours, freeing clinical directors to focus on student outcomes.

02

67% improvement in student target mastery rates

Standardized program libraries and real-time data synchronization drove a measurable improvement in the clinical outcomes achieved across the student population.

03

$450K annual savings in administrative overhead

Replacing manual processes with automated workflows and centralized data architecture eliminated the administrative burden that had constrained operational scale.

04

4x ROI within the first 6 months

The combination of reduced labor costs, improved clinical efficiency, and accelerated student progress delivered a 4x return on the platform investment within six months of deployment.

09  Capability Mapping

Where this engagement maps to Evolve Blue capabilities.

Build & Modernize

Primary

End-to-end platform engineering across web (React/Material UI) and mobile (iOS/iPad) surfaces, with a modular component architecture designed for long-term maintainability and clinic scale.

Connect Data & Platforms

Primary

MongoDB Realm-powered real-time data synchronization connecting field execution to the central clinical database, with offline caching ensuring continuity during low-connectivity sessions.

Automate Workflows

Primary

Automated scheduling, report generation, prompt level management, and target mastery tracking replaced manual clinical administration across all user roles.

Run Cloud & Operations

Primary

AWS infrastructure with HIPAA-compliant security, advanced load balancing, and automated backups supporting 10,000+ daily data points and 500+ active student records.

Staff & Augment

Primary

The entire engagement was delivered through an offshore staffing model. Evolve Blue provided a dedicated offshore development team — engineers, mobile developers, and QA — embedded with Acquire Learning across the full 2019–2025 lifecycle.

10  Conclusion

Why the engagement mattered to the business.

Acquire Learning needed more than software — it needed a clinical operating system capable of scaling ABA therapy without sacrificing the fidelity that defines quality behavioral care.

Delivered through a dedicated offshore staffing model, Evolve Blue provided the full engineering team — embedded with Acquire Learning from 2019 through 2025 — to design, build, and continuously evolve all three applications as clinical operations scaled.

The 85% reduction in programming time, 67% improvement in student target mastery, and 4x ROI within six months demonstrate what happens when offshore staffing is structured as a long-term delivery partnership rather than a transactional resource arrangement.

Clinical Platform Engineering

Scale your clinical operations without losing fidelity.

Evolve Blue builds role-based clinical platforms, behavioral data architectures, and mobile field tools for healthcare and education technology organizations that need to operate at scale.