A venture-backed virtual specialty care company used Canvas, left to build their own EMR on an open-source framework, and came back. They migrated their own data in weeks using Canvas's self-service tools. Today they're scaling with a CMS value-based care program, an academic medical center ACO partnership, and 18 custom plugins.
This virtual specialty care company treats both the patient and their family as a unit - the family member is often the primary point of contact, similar to pediatrics where a parent manages the child's care. Their model is especially valuable for rural families who may drive hours for in-person appointments.
A multi-disciplinary clinical team of specialists, social workers, nurses, and care navigators. Peer support through a nationwide family network. Their care model relies heavily on standardized clinical assessments - averaging 24 per patient - creating longitudinal baselines that track condition progression over time.
Venture-backed by early-stage healthcare investors. Led by a physician-CEO. Selected for a CMS value-based care program. HITRUST certified. Partnered with a top academic medical center Medicare ACO. National nonprofit partnership. Featured panelist at a major healthcare conference.
The company originally onboarded Canvas and used it actively for months. Then they left to build their own EMR on an open-source FHIR platform. After going through what the team described as "the gauntlet of building our own," they returned to Canvas.
Building a clinical EMR on an open-source FHIR data layer meant owning every feature: note templates, questionnaire engines, care plans, billing, e-prescribing, and compliance. For a specialty requiring standardized clinical scoring, family-linked charting, and value-based billing - the maintenance burden outpaced the team's capacity.
The re-implementation went from kickoff to go-live in weeks. Canvas handled scheduling, encounters, billing, e-prescribing, and care plans natively. The engineering team focused on what made their care model unique: 18 custom plugins for specialty-specific assessments, family workflows, and analytics.
The engineering team ran the entire data migration themselves - using Canvas's self-service tools, not a months-long professional services engagement. The migration was on the critical path, and they hit their 3.5-week timeline.
Patient records, conditions, medications, and historical notes - all migrated via Canvas API and CSV imports. The team used Canvas's self-service migration tools to map and transfer data. Historical patients were inactivated rather than deleted, preserving the full clinical record while keeping active workflows clean.
3.5 weeks from migration kickoff to go-live target. Vendor dependencies were mapped and transitioned in parallel: RCM, labs, e-prescribing (included at no additional cost), and consent workflows. The engineering team ran the migration themselves, proving Canvas's API-first architecture enables customer-owned migrations at clinical-grade quality.
Canvas provided the clinical infrastructure natively. The engineering team built 11 fully custom plugins and customized 7 standard plugins - creating a comprehensive specialty care toolkit covering clinical scoring, family workflows, care plan automation, and third-party integrations.
Within two months of re-launching on Canvas, this practice was approaching peak clinical volume - with a multi-disciplinary care team and a deep library of specialty-specific plugins powering every encounter.
This practice's billing distribution reflects a team operating at the frontier of specialty-focused value-based care - delivering care across clinical assessments, care management, prolonged services, and behavioral health - the clinical activities that drive the greatest downstream cost savings.
Canvas Medical's programmable EMR gives you everything out of the box - and the SDK to build everything that makes your care model unique. Go live in weeks, not years.