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What’s blocking your growth? Run the
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Made for telemedicine teams: 3-minute audit to check if your product can scale, stay compliant, and keep users.
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The audit is free. 3-Minute Check: Architecture, Processes, Flow From Alexander Kiselov CTO from Team Work Spirit
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Why Partners Choose Team Work Spirit:
5 Key Reasons
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Alexander Kiselov
CTO of Team Work Spirit
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Why Partners Choose Team Work Spirit:
5 Key Reasons
Run a quick diagnostic
:
find what’s
blocking
your
growth?
The audit is free
Made for telemedicine teams: 3-minute audit to check if your product can scale, stay compliant, and keep users.
Shareable. Actionable. No fluff.
📊 3-Minute Check:
Architecture, Processes, Flow
From Alexander Kiselov CTO from
Team Work Spirit
Get a free audit in 3 minutes
Why Partners Choose Team Work Spirit:
5 Key Reasons
Survival Mode: Telemedicine Growth Checklist
What’s your role in the company?
Alex
Kiselov
Every role sees the product differently. We want to speak your language—whether it's growth, UX, stability, or release speed.
CEO / Co-Founder
COO / Operations
CPO / Head of Product
CTO / VP of Engineering
Product Manager
What’s holding your product back right now?
📉 43% of telehealth startups lose momentum not because of the market — but due to internal bottlenecks (McKinsey Digital Health, 2023).
Alex
Kiselov
Even strong teams stall when every other release is firefighting, and devs drown in support. That’s 20–40% of potential revenue lost — just because nothing ships.
Everything depends on CTO
Team is buried in support
Bugs / crashes / instability
UX / funnel issues
No real product velocity
Hard to say
Your option
*Select one or more options
How long does it take to turn business ideas into product features?
⏱ According to Code Climate, delivery delays reduce potential revenue by 15-30% in telemed (2022).
Alex
Kiselov
When the roadmap drifts, it’s your growth metric.
Features meant to boost Retention, DAU, or partner conversion go live
2 months late.
We had a case where that delay cost the founder
$40k+ in one quarter
— and pushed back their fundraising round.
Less than a week
1–3 weeks
About a month
Over 2 months
We don’t even measure it
Your option
What would break first if your MAU suddenly grew 10x?
💥 Scale isn’t growth. It’s a stress test for DevOps, architecture, and retention — and most teams fail it.
Alex
Kiselov
When stress hits, it’s not just code — it’s the whole business. One outage in a peak week = $50–100k down the drain. And no, Twilio won’t save you.
Video calls / Twilio
Payments / integrations
Backend / database / architecture
Support
Retention: patients won’t come back
We’re good — bring it on
Your option
*Select one or more options
Which product decisions are blocked right now because your tech team is overloaded?
🛑 Even a brilliant strategy stalls when the dev team is drowning in bugs and firefighting.
Alex
Kiselov
It’s not about team size — it’s about priorities. We’ve seen $100k+ ARR vanish just because 4 features were “on hold” for 6 months while the team barely kept up.
Can’t ship features fast enough
No bandwidth for R&D
Support and bugs eat all time
Strategy exists, execution doesn’t
We lack process / delivery manager
We’re fine — things are moving
Your option
*Select one or more options
How solid is your control over platform stability and bugs?
📊 63% of healthtech teams lack structured monitoring — they only react after users complain (Digital Health Pulse, 2023).
Alex
Kiselov
If patients are the first to report issues — you’re already losing revenue and trust.
On one project, failed video calls were silently
burning $12k/month
— all because there were no alerts.
We have full monitoring + alerts
We catch bugs manually
Users tell us — that’s how we know
We know it needs work, but no time
No idea how this is handled
Your option
*Select one or more options
Which part of your operations fails you most often, seemingly out of nowhere?
🧯 71% of telehealth teams deal with recurring failures in video, notifications, or payments — and 62% lack proper automation or recovery (HIPAA Tech Survey, 2023).
Alex
Kiselov
These aren’t bugs — they’re operational leaks.
If a call fails → $0 revenue.
If a reminder doesn’t send → no-show and one less visit.
At scale, it’s $20–80k/month in silent losses you never even see in dashboards.
Video calls / Twilio
Reminders and notifications
Scheduling / time slot
Payments and integration
Support can’t keep up
Random chaos, no pattern
Your option
*Select one or more options
Where are you losing money right now in your operations?
💸 Payment failed? No-show from a glitch? 83% of telehealth platforms lose revenue to “invisible” breakpoints across UX → Ops → Billing (Rock Health, 2023).
Alex
Kiselov
If you're running 500+ visits a week and even 5% fail on payments or calls — that’s
$10–25k/month gone.
A COO who doesn’t track those leaks isn’t really managing revenue.
Patients drop before payment
Video calls fail
Reminders don’t send
Stripe / EMR break randomly
All of the above
Haven’t tracked it yet
Your option
*Select one or more options
What happens after incidents or critical failures?
🛠 Only 12% of healthtech teams run proper postmortems. The rest just “fix it and move on” (State of DevOps in Healthcare, 2023).
Alex
Kiselov
If no one reflects after a failure — it’s bound to repeat.
One project had the same video call bug for 4 straight months. They just fixed it each time —
until a $40k ARR client walked away.
We run structured postmortems
Sometimes we reflect
We just fix and move on
We know we need this, no time
We don’t have critical incidents
Your option
*Select one or more options
What blocks you from launching, testing, and scaling features quickly?
🧨 62% of digital health CPOs lose budget due to undercooked MVPs and broken product flow (First Round Health Product Study, 2023).
Alex
Kiselov
The slower your
“hypothesis → launch → learn”
loop, the more marketing budget goes to waste.
An unvalidated product is just noise — and that noise kills retention and trust every single day.
Prototype ready, but prod is slow
Launching without proper analytics
Can’t test hypotheses fast
Users don’t get the flow
Dev team is the bottleneck
All of the above
Your option
*Select one or more options
Where does your key user flow break down right now?
🚨 68% of digital health CPOs lose up to 35% of users due to UX issues in onboarding, login, or video calls (Amplitude Health UX Report, 2023).
Alex
Kiselov
One client lost 29% of users before their first visit.
Just because the flow was clunky and broken on mobile.
Fixing it boosted early
Retention by 18% — no extra marketing needed.
Complex signup / login
Users drop before appointment
Crashes during video calls
Lost after first visit
All of the above
We’re not sure where exactly
Your option
*Select one or more options
What product limitations are holding you back from growing faster?
📉 56% of healthtech products fail to scale due to monolithic architecture, manual ops, and rigid integrations (Telehealth Scalability Report, 2023).
Alex
Kiselov
You can’t grow fast if every release fights your architecture.
Scalability needs flexibility — modular systems, clean processes, and resilient integrations.
Everything depends on one dev team
Legacy code, hard to refacto
No modularity — scaling is riskyEMR/Stripe/Twilio integrations are fragil
Every feature = 3-week nightmar
All of the above
Your option
*Select one or more options
How do you make product decisions today?
📊 74% of digital health CPOs don’t use real user behavior to guide the roadmap — and 9 out of 10 features flop because of it (ProductData Benchmark, 2023).
Alex
Kiselov
When your roadmap is driven by gut, not data — you’re not testing, you’re wasting time and budget.
We rolled out a behavioral metrics layer for one team — in 6 weeks, they reprioritized roadmap, launched 2 features, postponed others — and
gained +14% MAU with $40k in saved spend.
Based on analytics and metrics
Based on user calls and feedback
Rely on experience and gut
Team decides on the go
No structured process
A mix of everything
Your option
*Select one or more options
What most often breaks your platform’s stability?
⚠️ 47% of telehealth CTOs say stability and uptime are their top growth blockers — and architecture, not the team, is usually to blame (Rock Health Infrastructure Study, 2023).
Alex
Kiselov
It’s not your team — it’s what they’re working with.
Too often, healthtech platforms collapse under pressure: monoliths, messy code, no monitoring or alerting.
Crashes under load
Data leaks / security issues
Bugs after every release
Unstable third-party integrations
Hard to trace root issues
All of the above
Your option
*Select one or more options
Where do your integrations usually break?
🔌 A telehealth platform lost $120k during scaling when Twilio failed under load. The switch took 8 weeks and froze new patient acquisition.
Alex
Kiselov
Integrations seem simple — until they crash.
On one real case, a Twilio failure blocked growth, ads, and CRM ops for 2 months.
In healthtech, every broken API = money lost and patients gone.
Video / calls (Twilio, Daily)
EMR / EHR / HL7
Payments (Stripe, Klarna, etc.)
Third-party CRM / BI tools
All of the above
Haven’t faced this yet
Your option
*Select one or more options
How do you manage your tech debt today?
💸 McKinsey estimates average tech debt in healthtech costs ~$3.5M annually.
Alex
Kiselov
When tech debt’s buried deep — you’re not building, you’re firefighting.
One team
lost 40+ hours/week to bugfixing
until we split the core architecture.
After the refactor:
+37% delivery speed, -41% bugs.
We have a process and metrics
We patch things along the way
We avoid touching it to stay stable
We just fix bugs as they come
All of the above
I want to get a handle on this
Your option
*Select one or more options
Where does your user flow break most often?
📉 68% of telehealth platforms lose up to 30% of users between signup and first visit. Onboarding and video are the usual suspects (Amplitude Health UX Benchmark, 2023).
Alex
Kiselov
If you don’t know where users drop — you’re not managing a product, just guessing.
One case: we added segmented analytics and found 42% drop before booking.
UX fixes + push reminders brought back 19%.
Drop off during signup
Don’t make it to the first visit
Fail during video call
No repeat visits
A bit of everything
No idea — no data
Your option
*Select one or more options
How long does it take you to launch and validate a product hypothesis?
⏱ PMs often admit: “from idea to first metric takes 3–5 weeks — if we’re lucky.” The issue isn’t the feature — it’s bugs, chaos, and broken pipelines.
Alex
Kiselov
If a hypothesis takes 3 weeks to move — that’s not “craftsmanship,” that’s burned marketing budget.
We implemented feature-tracking and auto-analysis:
team tested 2.4× faster.
1–2 weeks
3–4 weeks
5+ weeks
Ships to prod, but no metrics
Doesn’t reach metrics at all
We don’t track this
Your option
*Select one or more options
What data do you actually use for product decisions?
📊 Mixpanel reports that 72% of PMs in healthtech lack access to real-time behavior data. Most rely on bug reports and user feedback — not product analytics.
Alex
Kiselov
Without numbers, you're not managing — you're reacting.
We launched MAU/Retention/Conversion dashboards on one platform — within a month, they killed 3 features that “felt important.”
Result: –12% churn, +$18k LTV.
Behavioral analytics / BI / retention
Only bugs and support tickets
Monthly GA check
Ask the analyst for insights
No systematic approach
No data at all
Your option
*Select one or more options
Where are you losing money in your product?
💸 Bain & Company reports telehealth platforms lose up to 28% of revenue due to low retention, bugs, and support that’s never automated.
Alex
Kiselov
You can keep building features, but if retention is weak and support’s drowning — you're bleeding money.
In one case, we automated support and deployed 2 key UX fixes.3 weeks later: –24% support load, +$22k in payments.
Low patient retention
Bugs and instability
Support eats too many resources
UX doesn’t convert to payments
All of the above
We haven’t calculated it
Your option
*Select one or more options
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