Case Study
Most practices are locked into a cloud EHR/EMR. We don't ask you to rip it out. We wrap your shelf around it, take back everything else, and give you an exit ramp for when you're ready.
The scenario
This is what we see when we walk in the door. A practice running on a cloud EHR/EMR, paying monthly fees on a dozen different services, with no ownership of anything.
Four physicians, twelve staff. Running a cloud-hosted EHR with a two-year contract. Separate vendors for phones, billing software, patient scheduling, document storage, email, backups, and IT support. Monthly spend across all services: over $8,500.
The office manager knows something is wrong. Costs keep going up. Every vendor points fingers at each other when something breaks. Nobody owns the data. And the last HIPAA audit raised three findings they still haven't resolved.
What we found
Locked into a 2-year contract. Patient data lives on someone else's server in another state. No local backups.
Third-party hosted phones. Call recordings stored off-site with no encryption verification. No HIPAA BAA on file.
Separate cloud billing platform. Financial data passes through three different vendors before reaching the clearinghouse.
Break-fix IT company with no proactive monitoring. Backups running to a consumer-grade cloud drive. No disaster recovery plan.
Scanned records and faxes stored in a generic cloud file service. No access controls. No audit trail.
Appointment reminders and messaging through yet another SaaS platform. Per-message fees adding up every month.
What we did
The shelf doesn't replace your cloud EHR/EMR on day one. It wraps around it, takes back everything else, and creates a secure bridge to whatever stays in the cloud.
We mapped every system, vendor, and data flow in the practice. Identified what could move to the shelf immediately and what needed to stay in the cloud short-term.
Private server, enterprise storage, and managed switch installed in the office. All network traffic rerouted through the shelf's secure infrastructure. Completed in one weekend with zero downtime.
Phones, billing, document storage, backups, staff access, and patient communications all moved on-premise. Five vendor contracts eliminated in the first month.
Secure, encrypted connection between the shelf and the cloud EHR/EMR. All data passing through hardware the practice owns. Local caching so records are accessible even if the internet drops. Full audit logging on every transaction.
When the cloud EHR/EMR contract comes up for renewal, the infrastructure is already in place to bring it home. No rush. No pressure. The shelf is ready when they are.
The results
Within 30 days, the practice owned their infrastructure, cut their vendor count, and reduced monthly costs. The cloud EHR/EMR kept running without interruption.
The takeaway
Your EHR might live in the cloud. That's fine. But everything else doesn't have to. Your phones, your billing data, your patient records backups, your internal communications, your staff access, your device network.
All of that is sitting on someone else's server right now, and you're paying rent on every piece of it. The shelf takes back everything around your EHR. And when your cloud contract is up, you have the infrastructure ready to bring that home too.
Book a free 30-minute consultation. We'll map your current setup and show you exactly what your shelf would look like.
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