Case Study — Health System Intake Modernization (anonymized sample)

From clipboards to a secure, digital intake with real-time routing

CASE STUDY: HS

Client at a Glance

  • Type: Multi-site healthcare network (outpatient + specialty clinics)
  • Regions: U.S. & Canada
  • Starting point: Manual intake packets, front-desk re-keying, siloed systems, long queues
Before check-in: paper forms Patient mobile intake flow Admin console snapshot Clinic dashboard

The problem (before)

  • Manual intake: Patients completed paper packets; staff re-entered data into the EHR and billing tools.
  • Fragmented systems: Scheduling, eligibility, and referrals lived in separate portals—no unified view.
  • Delays & risk: Missing signatures/consents, unreadable fields, and handling of PHI across desks and email.
  • Ops strain: High call volume for reminders/updates and unpredictable lobby times.
Before swimlane: patient → paper → staff re-key → EHR Image slot — Manual process

What we delivered (after)

A secure, mobile-friendly intake and routing layer the operations team controls—no developer tickets required.

Forms

Patient-facing forms

  • ADA-aware, multilingual (EN/FR/ES), conditional logic, e-sign
  • ID & insurance upload from camera or file

Eligibility

Eligibility & benefits checks

  • Automated lookups before visit
  • Flag exceptions to staff for action

Scheduling

Scheduling & reminders

  • Two-way SMS/email
  • Consent-aware messaging windows

Referrals

Referrals & eDocs

  • Uploads routed to the right clinic
  • Traceable acknowledgements

Admin

Admin portal

  • Edit questions, languages, content, banners
  • Configure clinics, rules—without code

Compliance

Audit & reporting

  • Time-stamped trails (who/what/when/where)
  • Export with reason codes for reviews

Security & compliance posture (plain-English)

  • Regulatory alignment: HIPAA (U.S.), PIPEDA and PHIPA-ON (Canada/Ontario) best-practice alignment.
  • Data minimization: Collect only what’s needed; optional fields gated by purpose.
  • Access control: Role/location-based; SSO (SAML/OIDC) + MFA; least-privilege by default.
  • Encryption: TLS 1.2+ in transit; AES-256 at rest; keys via KMS/HSM.
  • Network posture: Private subnets, WAF, staff console allow-lists, admin audit.
  • Logging & audits: Immutable logs, PHI journaling, break-glass with reason, anomaly alerts.
  • Vendor governance: DPAs/BAAs; subprocessors reviewed (SOC 2/HITRUST/SIG); residency pinning.
  • Retention & deletion: Policy-driven retention, export on request, verified deletes, quarterly reviews.
Security diagram: patient → intake → rules engine → EHR/billing with audit/logs Image slot — Security

How we work (measurable, low-risk)

  • Discover — map users/flows/constraints, data catalog of PHI/PII
  • Design — prototypes, consent language, error-proofing, language packs
  • Build — small slices behind feature flags; test with de-identified data
  • Integrate — EHR/billing/scheduling APIs, eligibility, identity provider
  • Launch — readiness checklist, staff playbooks, observability
  • Evolve — metrics → roadmap, quarterly security/retention reviews

Illustrative outcomes (sample metrics for a network of 12 clinics)

  • Intake time: ↓ 61% median (12:40 → 4:57)
  • Digital completion rate: ↑ 89% of visits pre-completed
  • Front-desk re-keying: ↓ 95% (almost eliminated)
  • No-show rate: ↓ 18% with consented reminders
  • Form errors returned: ↓ 72% (missing signatures/fields)
  • Compliance findings: 0 reportable incidents in first 9 months
KPI cards — time saved, completion rate, errors down Image slot — KPIs

Why this mattered

  • Better patient experience: fewer queues, fewer repeat questions, mobile-first options.
  • Staff capacity: front-desk time moved from typing to patient help.
  • Cleaner data: structured intake reduces downstream claim delays.
  • Provable governance: clear logs, role boundaries, and retention discipline.

What we hand over

  • Admin control: edit form content, languages, and logic without code.
  • Playbooks: intake SOPs, exception handling, and escalation trees.
  • Compliance bundle: data maps, access matrices, retention schedules, and vendor inventory.
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Talk to us

Whether you manage clinics, claims, routes, or orders, if your intake is still paper-heavy or spread across portals, we can help you simplify, secure, and measure—using what you already have. DM us or visit envision360.co.