Accessibility Testing and Compliance Reporting for a Healthcare Network

We delivered accessibility testing and compliance reporting for a multi-hospital network: every patient journey tested to WCAG 2.2 AA, and one live dashboard that compliance, legal and IT teams all trust.

  • 14,600Issues Tracked
  • 83%Critical Fixed in 90 Days
  • 12 of 12Journeys Passing

About the Client

A Healthcare Network Serving Every Patient

Eleven hospitals and 120 clinics, with patients who book, pay and get results online.

Patients use the network's websites, portal and apps for almost everything, from finding a doctor to paying a bill.

Many of those patients rely on screen readers, keyboard navigation or magnification. The network needed to know where its digital services were failing them, and it needed proof it could show to leadership and auditors.

3Public Websites
1Patient Portal
2Mobile Apps
9,000Patient Documents
Client
U.S. Healthcare Network
Size
11 Hospitals and 120 Clinics
Standards
WCAG 2.2 AA and Section 504
Solution
Limina by SDLC Corp

The Challenge

No Single View of Accessibility Risk

Healthcare providers that receive federal funding have accessibility obligations under Section 504, but the network could not see where it stood.

Reports No One Could Use

A free scanner returned thousands of raw errors with no priority, owner or fix guidance.

Booking and Payment Blocked

Keyboard users could not book appointments or pay bills, and no scanner flagged it.

Patient Documents Never Tested

Intake forms, discharge instructions and billing statements had never been checked.

Vendor Tools Were a Blind Spot

Third-party scheduling and telehealth tools had no verified accessibility evidence.

No Proof for Leadership

Compliance officers had nothing to show the board, auditors or legal counsel.

41%

of high-severity issues were only found through manual testing, not automated scans.

Not sure where your patient journeys fail? Start with an audit of your top five.

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Our Approach

A Six-Step Test Plan

Test like a patient, report like an auditor. Every step ended with something the network could use.

  1. 01Step 1 of 6

    Map Patient Journeys

    We started with the tasks patients cannot afford to fail, from finding a doctor to starting a telehealth visit.

    Deliverable12 critical journeys
  2. 02Step 2 of 6

    Scan at Scale

    Limina crawled every website and patient document, grouping repeated template issues so one fix closes many errors.

    Deliverable3 websites and 9,000 PDFs
  3. 03Step 3 of 6

    Test Like a Patient

    Certified testers used screen readers, keyboard-only navigation and zoom on every critical journey.

    DeliverableNVDA, JAWS, VoiceOver and TalkBack
  4. 04Step 4 of 6

    Prioritize by Impact

    Each issue was scored by severity, the journey it blocks and traffic, then given an owner and a due date.

    Deliverable1,900 unique fixes with owners
  5. 05Step 5 of 6

    Report and Prove

    Results flowed into a live dashboard, conformance reports and a published accessibility statement.

    DeliverableDashboard, ACRs and statement
  6. 06Step 6 of 6

    Monitor Every Release

    Weekly scans and release pipeline checks catch regressions before patients do.

    DeliverableContinuous monitoring

Want a test plan built around your patients? We will map your critical journeys first.

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Our Solution

What We Delivered With Limina

Limina, our accessibility compliance platform, combined with expert testers and a reporting process leadership could trust.

Journey-Based Testing

Tests follow real patient tasks, so results show what patients can and cannot do.

Scanning at Scale

Websites, portal and patient PDFs scanned against WCAG 2.2 AA and PDF/UA.

Impact-Based Priorities

Issues ranked by severity, blocked journey and traffic, each with an owner.

Live Dashboard

Conformance by site, department, journey and success criterion over time.

VPAT and ACR Reporting

Conformance reports for the portal and app, plus vendor report reviews.

Continuous Monitoring

Weekly scans and release checks flag regressions before patients see them.

See the dashboard with your own data. We will scan one site and walk you through it.

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Technology

Tools We Used at Every Layer

Automation for coverage, real assistive technology for accuracy and reporting tools for proof.

Limina ScannerAutomated testing
WCAG 2.2 AA RulesAutomated testing
PDF/UA ChecksAutomated testing
NVDA and JAWSManual testing
VoiceOverManual testing
TalkBackManual testing
Keyboard OnlyManual testing
Zoom and ReflowManual testing
Compliance DashboardReporting
VPAT 2.5 ACRsReporting
Jira IntegrationWorkflow
Release Pipeline ChecksWorkflow

Testing was led by our software testing services team, using the same QA discipline we apply to every release.

Results

Accessibility Became Measurable

From unknown risk to a tracked, prioritized and reported program in 90 days.

14,600Issues FoundGrouped into 1,900 unique fixes with owners.
83%Critical Issues FixedResolved within 90 days of the first report.
12 of 12Patient Journeys PassKeyboard and screen reader tests.
2,400Forms RemediatedFrom 9,000 patient documents tested.
1Live DashboardReplaced 6 spreadsheets and feeds board reports.
3 + 8Conformance Reports3 ACRs delivered, 8 vendor ACRs reviewed.

Want this kind of visibility? Get a live dashboard preview in two weeks.

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Before and After

What Changed for the Network

Six gaps the network started with, and where each one stands now.

Before and after the project
BeforeAfter
Thousands of raw errors with no owner1,900 prioritized fixes, each with an owner
Keyboard users could not book or payAll 12 patient journeys pass
Patient documents never tested9,000 PDFs tested and 2,400 forms fixed
No evidence for vendor tools8 vendor ACRs reviewed
Six separate spreadsheetsOne live compliance dashboard
Nothing to show the boardA quarterly board report from the dashboard

Why SDLC Corp

Why Healthcare Teams Choose Us

The same rigor behind our government PDF accessibility remediation and AI document accessibility remediation projects.

Test Like a Patient

We test the tasks patients actually do, with the tools they actually use.

Fix What Matters First

Clear priorities and owners, so teams know exactly what to fix next.

Proof That Holds Up

Dated evidence, reports and ACRs ready for auditors, counsel and procurement.

Compliant After Launch

Monitoring and release checks keep new barriers from reaching patients.

FAQ

Frequently Asked Questions

Quick answers for healthcare teams planning accessibility testing and reporting.

What Is Accessibility Testing and Compliance Reporting?

It is the process of testing websites, apps and documents against standards like WCAG 2.2 AA, then turning the findings into prioritized, trackable reports that show progress and proof of compliance.

Is Automated Accessibility Testing Enough?

No. Automated tools catch many technical issues but miss problems like broken keyboard flows, confusing focus order and unclear form errors. Manual testing with assistive technology is essential.

What Is the Difference Between a VPAT and an ACR?

A VPAT is the blank template. Once it is completed with real test results for a product, it becomes an Accessibility Conformance Report (ACR). See the official VPAT templates from ITI.

How Often Should Accessibility Testing Be Done?

Run automated scans weekly or on every release, and manual testing on critical user journeys at least quarterly or after major changes.

What Should an Accessibility Compliance Report Include?

Scope, standards tested, testing methods, issues by severity and success criterion, owners, fix status, trends over time and a dated evidence log.

Do Healthcare Providers Need Accessible Websites?

Yes. Healthcare providers that receive federal funding have accessibility obligations under Section 504, and patient-facing websites and apps can also face ADA complaints.

Free Accessibility Audit

Know Your Accessibility Risk in Two Weeks

We will test your most important patient journeys and show you exactly what to fix first.

How It Works

  1. 1
    Share Your Top JourneysTell us the patient tasks that matter most.
  2. 2
    We Test and PrioritizeScreen reader, keyboard and automated testing.
  3. 3
    Get Your ReportA prioritized issue list and a live dashboard preview.

Results in about two weeks

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Get expert guidance on scope, architecture, timelines, and delivery approach so you can move forward with confidence.

What happens next?