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Case study · Cognifraxis Medical Center · Private practice, 22 clinicians

Revenue up 28% in the first year, with the same team.

Cognifraxis is a private practice with 22 clinicians across three centres. We replaced five tools, twenty spreadsheets and paper diaries with one platform that feels like the spreadsheets they already used.

+28%annual revenue, from €1.08m to €1.39m
65% to 83%of appointment capacity used
14% to 7%of patients not turning up
450+admin hours a month released

The challenge

Five tools, twenty spreadsheets and paper diaries.

A booking took ten to twenty minutes, moving between files. Capacity planning, clinician pay splits and absences were all managed by hand, and nothing reminded patients to turn up.

  • Around twenty spreadsheets for weekly capacity planning.
  • A separate booking app, a finance app, a bookkeeping tool and paper clinical records.
  • Clinician revenue splits reconciled by hand every month.
  • A 14% no-show rate, with no reminders.

What we did

Map how the practice ran, build one platform, and train the team on it.

Map

How the practice ran

We followed bookings, planning, finance and patient records across all three centres.

  • Every tool and spreadsheet listed
  • The clinicians’ condition recorded: it had to feel like a spreadsheet
Build

One platform

We built a single platform covering the whole practice.

  • Dashboard of capacity, revenue and new patients
  • Drag-and-drop weekly planner across all centres
  • Digital patient records
  • Payments split between clinic and clinician automatically
  • Holidays and sickness visible to everyone, with patients reassigned
  • Reminders by WhatsApp, Viber and SMS
Train

Adopted by the clinicians

Because it looked like what they already used, the clinicians took it up. The reminder module followed in month four.

  • Roles for clinicians, office managers and finance
  • A full record of every change

The result

More patients seen, with the same team.

Capacity use rose from 65% to 83%, adding about 1,560 chargeable hours a month at no extra clinician cost. Annual revenue rose from €1.08m to €1.39m.

Reminders halved no-shows within ninety days. Weekly planning fell from two hours to fifteen minutes, and each booking from up to twenty minutes to under two.

The build paid for itself in month six, and the existing team absorbed all of the growth.

Dashboard

Capacity, revenue and patients, readable in a minute.

Planner

Every clinician, room and centre in one diary.

Patient records

Paper retired.

Automatic pay splits

Calculated at the moment of payment.

Patient reminders

WhatsApp, Viber and SMS.

Owned by the practice

The platform and its code belong to Cognifraxis.

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