The question

After years and a six-figure budget with an agency, why is there still no product we can launch?

CEO · mental health tech startup

Live with patients

A mental health tech startup spent years and a six-figure budget with a software agency and had nothing launchable. An audit, a rebuilt in-house team and a reset delivery process took it live with patients.

Context

A mental health tech company built around a neurological therapeutic approach that shortens trauma recovery. After several years with an outside software agency and a six-figure budget spent, the product still was not ready for patients.

What we did

  1. Audited the process, the team and the codebase to find exactly where delivery was breaking down.
  2. Replaced the agency with a dedicated team: a team lead, two engineers, a UX/UI lead, a UX/UI designer and a DevOps engineer, plus a fractional CMO.
  3. Moved existing staff into business analyst and product owner roles, so the business side owned what got built.
  4. Coached the CEO on how software is scoped, built and shipped, so decisions stopped depending on the vendor.
  5. Delivered a working product and a rebuilt website.

What changed

Product
Before: Not launchable after years of agency work
After: Live and onboarding patients
Delivery
Before: Outsourced agency
After: In-house team of six, plus a fractional CMO
Business
Before: No product to sell or report on
After: Investor and grant milestones met, revenue started

The platform went live and started onboarding patients. The company met its investor and grant targets and began doing business.

Lessons

  1. If you cannot see working software every few weeks, the agency is managing you, not the project.
  2. Someone on your side must own the product decisions, or the vendor will make them for you.
  3. Before replacing a team, audit the process. Often the people are not the problem; the way work is handed over is.

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