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Case Study: Multi-Clinic EHR & Operations Platform (Vision Care) | Envision360
Case study

Multi-Clinic EHR & Operations Platform for Vision Care Network

Client: U.S.-based optometry group operating three clinics across two states.

2–3 daysclaim processing (from 7–9)
< 15 secrecord lookup (from >2 min)
0double bookings
−40%admin overhead

Challenge

The network grew to three clinics serving urban and suburban patients. Each location used separate legacy EHR systems that didn’t communicate, creating daily friction in scheduling, patient data management, and insurance processing.

  • Fragmented records: no unified visibility or shared history.
  • Scheduling conflicts: when patients visited different locations.
  • Insurance variance: inconsistent processes causing delays/denials.
  • No patient portal: for forms, recalls, or secure messaging.
  • Compliance gaps: HIPAA audit logging and access policies.

The organization needed a centralized web-based EHR and practice operations platform that unified all clinics under one system while ensuring U.S. healthcare privacy compliance.

Our solution

Unified EHR and operations across all locations.

Unified patient records

Shared database accessible across all locations with role-based permissions.

  • Real-time updates
  • Cross-location chart access
  • Provider and staff roles

Centralized scheduling

Cross-location calendar preventing double booking with provider availability.

  • Multi-clinic views
  • Conflict detection
  • Smart slotting

Insurance & intake automation

Digital forms, eligibility checks, and electronic claims via clearinghouse.

  • Online history & consent
  • Real-time eligibility
  • E-claim submissions

Core features

  • Unified Patient Records: Shared database with proper RBAC.
  • Centralized Scheduling: Cross-location provider availability.
  • Digital Forms & Intake: Pre-visit forms sync to the chart.
  • Automated Insurance Workflow: Eligibility + e-claims.
  • Secure Patient Portal: Insurance updates, prescriptions, messages.
  • Audit & Compliance Dashboard: HIPAA logging, access reports, anomalies.
Technology

Engineered for scale, security, and interoperability.

Frontend

  • React.js web interface
  • Optimized for workstations and tablets

Backend

  • Node.js microservices
  • PostgreSQL + Redis cache

APIs & auth

  • HL7-FHIR interoperability
  • OAuth2 SSO + MFA

Hosting

  • AWS US-East (HIPAA-eligible)
  • Encrypted RDS + CloudTrail

Encryption

  • AES-256 at rest
  • TLS 1.3 in transit

Compliance

  • HIPAA, HITECH
  • ONC interoperability

Architecture supports isolated data partitions per clinic while maintaining a shared patient record layer—balancing autonomy with central oversight.

Delivery

Implementation timeline

Phase 1 (Weeks 1–5)

  • Migrated 25,000+ patient records from three legacy systems
  • Normalized inconsistent data formats
  • Mapped legacy claim codes and prescriptions

Phase 2 (Weeks 6–12)

  • Built core EHR modules and clearinghouse integrations
  • Real-time dashboard for three clinics
  • Security + compliance audits

Phase 3 (Weeks 13–18)

  • Pilot clinic rollout
  • Staff feedback & workflow adjustments
  • Zero-downtime rollout network-wide
Impact

Results

Metric Before After
Average claim processing time7–9 days2–3 days
Patient record lookup>2 minutes<15 seconds
Appointment double-bookingCommonEliminated
Compliance audit readinessManual prepInstant dashboard
Inter-location data syncNoneReal-time
  • Administrative overhead decreased by 40%.
  • Insurance claim resubmissions dropped by 50%.
  • Patient satisfaction improved via faster service and digital convenience.
Roadmap

Next phase

  • Voice AI: Automated confirmations and reminders via phone.
  • SMS AI: Real-time responses to basic patient queries.
  • Predictive Scheduling: Forecast demand and adjust availability.
Why it matters

Enterprise-grade efficiency without proprietary lock-in.

A mid-sized healthcare provider achieved secure, compliant, web-based operations across multiple clinics—combining speed, usability, and HIPAA-grade controls.

Client: Name Withheld – U.S. Vision Care Network.

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