All work
Case study · Hospital operations

Every branch,
one operating system.

A private intranet and hospital management system for a multi-location orthopaedic practice in New York and New Jersey. Scheduling, patient flow, protocols and staff communication now run from one place instead of a dozen.

City Orthopaedics & Sports MedicineNew York & New JerseyIntranet + Hospital management
cityorthosports.com
City Orthopaedics & Sports Medicine desktop homepage
City Orthopaedics & Sports Medicine mobile view

Utilisation

+22%

more provider hours booked across branches

Admin time

-9 hrs

saved per coordinator every week

Protocol errors

0

outdated protocol versions in circulation

Tools replaced

6

separate systems consolidated into one portal

Figures reflect internal reporting in the first six months after rollout across branches.

The starting point

The challenge

01

Each branch ran its own way

Schedules, forms and protocols differed by location. Staff moving between branches had to relearn the basics.

02

Patient flow was invisible

Front desks could not see provider availability across locations, so patients were turned away while other rooms sat empty.

03

Protocols lived in binders and inboxes

Post-op and rehab protocols were emailed as attachments, and nobody was sure which version was current.

04

Too many disconnected tools

Chat, file shares, rosters and reporting all lived in separate systems with separate logins.

What we built

A single hub for clinical and administrative work

Cross-branch scheduling

Provider calendars, rooms and appointment types across every location, bookable from any front desk.

Patient flow board

Live status from check-in to discharge so managers can rebalance load between branches during the day.

Protocol library

Versioned surgical and rehab protocols with approvals, so every clinician works from the current standard.

Staff intranet

Announcements, rosters, documents and role-based access for surgeons, nurses and admin in one secure portal.

How it works

How a patient day runs now

The same workflow at every location.

  1. 01

    Booked anywhere

    Front desk or online booking sees capacity across all branches.

  2. 02

    Checked in

    Intake status appears on the patient flow board for the whole team.

  3. 03

    Treated to protocol

    Clinicians pull the approved protocol and record the visit.

  4. 04

    Reported centrally

    Visit, utilisation and branch metrics roll up to leadership dashboards.

cityorthosports.com
City Orthopaedics & Sports Medicine product screen

Stack

ReactNode.jsPostgreSQLRole-based AccessHIPAA-ready HostingEHR IntegrationAudit Logging
Results & impact

What changed after launch

Before

Every branch had its own calendars, binders and chat groups, and nobody could see capacity across the practice.

After

One secure portal runs scheduling, patient flow, protocols and staff communication for every location.

Let's build your next
healthcare operations platform.

Tell us what you are building. You will get a clear plan, a fixed estimate and a team that has shipped this kind of product before, usually within 3 hours of the call.

Delivered in this engagement

  • Multi-branch hospital management system
  • Staff intranet
  • Protocol management module
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