[ 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.
Waiting
In consult
Discharged
City Orthopaedics & Sports Medicine is a progressive orthopaedic practice with board-certified surgeons across several New York and New Jersey locations, offering same-day and video appointments.
- Sector
- Orthopaedics & sports medicine
- Locations
- Multiple NY & NJ branches
- Users
- Surgeons, clinical & admin staff
What Stood in the Way
- 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.
- +22%Utilizationmore provider hours booked across branches
- -9 hrsAdmin timesaved per coordinator every week
- 0Protocol errorsoutdated protocol versions in circulation
- 6Tools replacedseparate systems consolidated into one portal
Figures reflect internal reporting in the first six months after rollout across branches.
A single hub for clinical and administrative work
- 01
Cross-branch scheduling
Provider calendars, rooms and appointment types across every location, bookable from any front desk.
- 02
Patient flow board
Live status from check-in to discharge so managers can rebalance load between branches during the day.
- 03
Protocol library
Versioned surgical and rehab protocols with approvals, so every clinician works from the current standard.
- 04
Staff intranet
Announcements, rosters, documents and role-based access for surgeons, nurses and admin in one secure portal.
How a patient day runs now
The same workflow at every location.
- 1
Booked anywhere
Front desk or online booking sees capacity across all branches.
- 2
Checked in
Intake status appears on the patient flow board for the whole team.
- 3
Treated to protocol
Clinicians pull the approved protocol and record the visit.
- 4
Reported centrally
Visit, utilization and branch metrics roll up to leadership dashboards.
Built with
- React
- Node.js
- PostgreSQL
- Role-based Access
- HIPAA-ready Hosting
- EHR Integration
- Audit Logging
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.
- Multi-branch hospital management system
- Staff intranet
- Protocol management module
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