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Case Study: Health System Intake Modernization | Envision360
Case study — health system intake (anonymized)

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

Multi-site outpatient and specialty clinics across the U.S. and Canada. The starting point was paper packets, re-keying, and fragmented portals. We delivered a digital intake layer that ops can run: mobile forms, eligibility checks, reminders, routing, and audit-ready governance.

Client at a glance

  • Type: multi-site healthcare network
  • Regions: U.S. and Canada
  • Starting point: paper packets, re-keying, siloed portals, long queues
  • Goal: reduce friction while tightening privacy, consent, and auditability

The main issue was not “forms.” It was reliability: missing fields, missing consents, disconnected teams, and PHI travelling through too many hands.

Before check-in: paper forms Patient mobile intake flow Admin console snapshot Clinic dashboard

The problem

Patients were filling long packets at the wrong time (often in the lobby), and staff were re-entering the same information across systems. That created delays, data quality issues, and avoidable privacy risk.

  • Manual intake: paper packets, then re-keying into EHR and billing tools
  • Fragmented systems: scheduling, eligibility, referrals in separate portals, no unified view
  • Delays and risk: missing signatures/consents, unreadable fields, PHI drifting across desks and email
  • Ops strain: high call volume for reminders/updates and unpredictable lobby times
Before swimlane: patient to paper to staff re-key to EHR
What we delivered

A digital intake layer the ops team controls.

We built a mobile-first intake experience that can adapt by clinic, visit type, and eligibility. It routes the right information to the right team, with a full audit trail behind every step.

Patient-facing forms

Mobile-first, ADA-aware, multilingual, conditional logic, and e-sign.

  • ID and insurance capture via camera or file upload
  • Consent and attestation captured with timestamps

Eligibility and benefits

Automated checks before the visit with clear exception flags.

  • Pre-visit issues surfaced early, not at check-in

Scheduling and reminders

Two-way SMS/email within consent-aware windows.

  • Confirmation flows reduce no-shows without extra calls

Referrals and eDocs

Uploads routed to the right clinic with acknowledgements.

  • Missing documents flagged before staff chase them

Admin portal

Ops edits questions, languages, content, and banners without code.

  • Clinic-level control with role-based access

Audit and reporting

Time-stamped trails and exports with reason codes.

  • Clear “who did what, when, and why”

Security and compliance (plain English)

Healthcare teams do not need marketing language here. They need predictable controls: access boundaries, encryption, audit trails, and disciplined retention.

  • Regulatory alignment: HIPAA (U.S.), PIPEDA and PHIPA-ON (Canada/Ontario) best-practice posture
  • Data minimization: collect what is needed; optional fields gated by purpose
  • Access control: role and location-based; SSO (SAML/OIDC) + MFA; least-privilege
  • Encryption: TLS 1.2+ in transit; AES-256 at rest; keys via KMS/HSM
  • Network posture: private subnets, WAF, allow-lists, admin audit
  • Logging: immutable logs, break-glass with reason, anomaly alerts
  • Vendors: DPAs/BAAs, SOC 2/HITRUST review, data residency pinning where required
  • Retention: policy-driven, export on request, verified deletes, quarterly reviews
Security diagram: intake rules engine to EHR/billing with audit logging
How we work

Measured rollouts, low risk.

Rollout was staged clinic by clinic, with de-identified testing and clear exception handling, so operations could trust the system before expanding scope.

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

Illustrative outcomes (12 clinics)

This is what a good intake layer changes: less typing, fewer missing items, fewer avoidable calls, and cleaner data entering downstream systems.

  • Intake time: ↓ 61% median (12:40 → 4:57)
  • Digital completion: 89% pre-completed
  • Re-keying: ↓ 95% (near-eliminated)
  • No-show rate: ↓ 18% with consented reminders
  • Form errors: ↓ 72% (missing signatures/fields)
  • Compliance: 0 reportable incidents in first 9 months

Note: outcomes shown are illustrative from a 12-clinic rollout and depend on workflow and change management.

KPI cards for time saved, completion rate, and error reduction
Why it mattered

Better experience, cleaner data.

  • Patient experience: fewer queues, fewer repeat questions, mobile-first completion
  • Staff capacity: less typing and chasing documents, more time supporting patients
  • Cleaner data: structured intake reduced claim delays and rework
  • Governance: clear logs, role boundaries, disciplined retention
Deliverables

What we hand over.

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