Creating Operational Efficiency Through Modernization

This engagement exemplifies how Unista modernizes mission-critical systems, transforming legacy processes into secure, operational platforms designed for real-world use.

Context

A leading U.S. nonprofit healthcare provider operates a large, complex network of hospitals, medical centers, and physician practices, supporting over 1,200 physicians across 40+ specialties and more than 30,000 employees.

A critical internal function involved managing appointment requests between pharmaceutical representatives and physicians. This process was supported by a Microsoft Access database stored on a shared drive, creating growing operational risk as usage scaled.

Challenge

The legacy system introduced multiple constraints:

  • Data concurrency issues from simultaneous access

  • Limited accessibility and reliance on offline workflows

  • Phone-based coordination with external representatives

  • No centralized visibility into activity or performance

  • Lack of backups and operational safeguards

The system had become a bottleneck—slowing coordination, increasing risk, and limiting accountability.

Solution

Unista designed and deployed a modern, cloud-based system that replaced the legacy database while preserving existing business rules and workflows.

Key elements included:

  • Secure migration of data and schema into a cloud environment

  • A web-based portal for external representatives to submit and manage appointment requests

  • Authentication and role-based access controls

  • Workflow automation to streamline request handling

  • A real-time dashboard providing visibility into request volume, physician participation, and activity trends

The system was built to operate reliably at scale and integrate cleanly into the organization’s existing processes.

Impact

The new platform delivered immediate operational improvements:

  • Faster, more reliable appointment coordination

  • Reduced manual effort and phone-based interactions

  • Clear visibility into demand, participation, and usage patterns

  • Improved accountability across teams

  • A secure, maintainable foundation for future enhancements

By modernizing a critical internal workflow, the organization gained a durable system that improved efficiency without disrupting day-to-day operations.

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