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Healthcare / Multi-Site Operations

SmartForms — Enterprise Workflow Automation

~9,000 employees, ~370 clinics

Thousands of manual hours saved

The Challenge

  • Manual, email-based organizational change management across 370+ clinics with no structured intake process
  • No audit trail for approval decisions — requests lost in email threads and shared mailboxes
  • Error-prone approval chains requiring multiple manual handoffs between departments
  • Password reset tickets consuming disproportionate helpdesk resources with no self-service option
  • No test environment for form workflows — changes deployed directly to production affecting all clinics

The Approach

Our Approach

The engagement began with a comprehensive process audit across the organization's administrative workflows. We mapped every form type, approval chain, and manual handoff — discovering that 9 core form types consumed thousands of hours annually in email-based back-and-forth between clinic managers, regional leads, and corporate departments.

Phase 1: Platform Architecture & Core Forms

We built the SmartForms Portal on a Next.js frontend with a Python backend, integrating Azure AD SSO for seamless authentication. The architecture was designed around a key insight: every form type shares a common lifecycle (intake, validation, routing, approval, execution, audit) but each has unique business rules.

The first forms deployed were the highest-volume types:

  • Password resets — self-service portal reducing helpdesk tickets by 80%
  • Practice Manager (PM) changes — automated notifications to all dependent systems when a clinic's PM changes
  • Hours of operation updates — propagation to the clinic map, SharePoint, and public-facing directories

Phase 2: Integration Layer & Email Approvals

The critical differentiator was the email-based approval system. Rather than requiring managers to log into a portal, approval requests were sent as structured emails with one-click approve/deny buttons. This single design decision increased approval response times by 3x.

We built deep integrations with:

  • Dayforce for HR data synchronization (new hires, terminations, role changes)
  • Azure AD for identity management and group membership updates
  • SQL Server for the clinic map database powering location-based routing
  • SharePoint and Office 365 via Microsoft Graph for document generation and distribution

Phase 3: Test Mode, Audit Trail & Rollout

Each form type was deployed with a dual test/production mode — a critical feature in healthcare where an incorrect clinic map update could disrupt patient routing. New form workflows were validated by designated testers before being activated for the full organization.

The platform now processes all 9 form types with a complete audit trail, saving the organization an estimated $59,310 annually in labor costs and eliminating thousands of hours of manual administrative work.

System Architecture

Technology Stack

Next.jsPython BackendAzure ADDayforceSQL ServerSharePointOffice 365Microsoft Graph

Key Outcomes

Thousands

Manual Hours Saved

Manual administrative tasks replaced by automated workflows across all form types

$0

Annual Labor Savings

Estimated cost savings from eliminated manual processing and reduced error remediation

0%

Password Reset Reduction

Self-service password reset portal eliminated 80% of password-related helpdesk tickets

0

Form Types Automated

PM changes, RL changes, OD realignment, district changes, hours of operation, password resets, and more

What Made It Different

  • Dual test/production mode per service request type — new workflows validated in isolation before going live
  • Email-based approval processing enabling managers to approve requests directly from their inbox without logging into a portal
  • Comprehensive documentation suite generated automatically for audit compliance and operational continuity
  • Integration with Dayforce HR system ensuring organizational changes propagate to payroll and benefits automatically

Lessons & Transferable Patterns

  • Email-based approvals dramatically increase adoption — managers respond 3x faster via email than portal logins
  • Test mode per form type is essential in healthcare — incorrect clinic map updates can disrupt patient routing
  • Integrating with the HR system (Dayforce) from day one prevents data synchronization issues that compound over time
  • Starting with the highest-volume form types (password resets, PM changes) delivers visible ROI within the first month

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