Juno Health Accelerates Modular EHR Delivery by 25% with Rhapsody  

Juno Health delivers a modern, electronic health record (EHR) solution tailored for healthcare organizations that need more flexibility than traditional, monolithic systems can provide. Juno Health’s mission is to empower healthcare teams with modular tools that fit into existing workflows rather than replacing them, enabling faster innovation, stronger interoperability, and better patient outcomes. With deep roots in supporting public health and government healthcare systems, Juno Health is reimagining how technology serves providers across acute, behavioral health, and state-run facilities. 

Realizing EHRs of the past were no longer meeting the needs of the modern clinician, Juno Health sought out a new vision: to transform from a monolithic, VA-centric EHR application into a flexible, modular platform capable of meeting the complex and varied needs of healthcare organizations. These organizations ranged from small hospitals and public-health departments to behavioral-health and state-run psychiatric facilities, each with unique workflows, systems, and legacy infrastructure. 

As Juno Health’s leadership looked ahead, they realized the challenge was two-fold: not only did they need to build modules quickly and reliably, but they also needed to replace their existing integration solution with an integration layer that could interact with legacy applications, enhance connectivity methods and messaging structures, support the diverse standards their customers expected them to integrate with, and onboard new customers without disrupting live operations. 

The company’s ambition hinged on interoperability, but their early connectivity attempts struggled to keep up. The existing integration platform was too rigid, lacked developer friendliness, and wasn’t designed for the modular architecture they envisioned.  

To deliver on their vision, they wanted to give healthcare organizations the flexibility to configure their technology stack by selecting the components they need, thus enabling cost-effective, phased implementations that reduce financial risk and minimize workflow disruption. Achieving this level of modularity and interoperability revealed several key challenges: 

• Supporting many standards required more staff, hours, and complex workflows than available: Teams needed support for FHIR, HL7 v2.x, CDA, and API-based integrations across many customer environments. 

• Inability to integrate without replacement: Customers didn’t always want full system replacements; they preferred to integrate Juno EHR with existing lab, billing, departmental, and eRx systems. They were unable to do this without a more robust integration solution in place.  

• Long and unpredictable go-lives: Migrations and launch schedules demanded fewer surprises, less rework, and rapid deployment. 

• Lack of seamless communication across internal modules: The EHR modules within Juno EHR  had to talk to each other cleanly, keeping data consistent and orchestration simple. 

They needed something that could both empower developers and support enterprise scale. The team set out to find a modern, flexible integration solution that would power their EHR vision, adapt with them as data needs evolve, and scale alongside their customers’ evolving needs. 

After a review of leading alternatives such as Mirth, Ensemble, and Cloverleaf, Juno Health selected Rhapsody for reasons that blended operational, technical, and business needs: 

• Developer experience: Rhapsody Integration’s intuitive UI and integrated development environment gave Juno EHR’s engineers a faster, more flexible way to design and test interfaces across multiple systems. 

• Standards breadth: Comprehensive support for FHIR, HL7 v2.x, CDA, and API-based integrations ensured Juno EHR could serve a wide range of customer environments without compromise. 

• Multi-tenant governance: Rhapsody’s secure locker framework provides granular access controls and centralized governance across multiple environments. This design supports multiple single-tenant Juno EHR instances on a single Rhapsody deployment while keeping each customer’s data fully isolated and secure.  

• Deployment flexibility: With client-hosted, cloud-hosted, and hybrid options, Rhapsody aligned perfectly with Juno EHR’s evolving architecture and future FedRAMP/GovRamp readiness. 

• Operational visibility: The Management Console and Integrated Development Environment (IDE) offered real-time monitoring, troubleshooting, and route management, critical for uptime and performance. 

• Support and partnership: Rhapsody responsive support and collaborative approach gave Juno confidence they had a long-term partner, not just a vendor. 

Here’s how the partnership translated into measurable outcomes for Juno Health: 

• Scale and performance: Over 45 million messages processed within internal environments, with data delivered in just seconds. 

• Reduced rework: On-the-fly route adjustments and data replays helped speed project go-lives and decrease troubleshooting time. 

• Increased agility: Juno Health accelerated their ability to deliver modular EHR components, fitting them into diverse customer ecosystems smoothly. 

• Improved governance: Rhapsody’s permission-based lockers securely managed multi-tenant operations. 

• Efficiency gains: GUI-driven builds and reusable patterns reduced dependence on specialized integration developers. 

Juno Health is expanding its hosted footprint with Rhapsody to support new FedRAMP-certified environments and upcoming state health department pilots. These initiatives will further demonstrate how Juno Health’s modular, interoperable EHR can drive modernization and data connectivity at scale across public health systems. 

By embedding Rhapsody, Juno Health didn’t just solve a technical requirement, they turned interoperability into a strategic differentiator. Together, Juno Health and Rhapsody are shaping a more connected, modular, and scalable future for healthcare IT.