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Customer Case Study

~61x Note Growth. 12.7 Appointments per Patient.
Interventional Psychiatry, Powered by Canvas.

This venture-backed interventional psychiatry company delivers advanced brain medicine across a growing multi-clinic network. With 3 custom data pipeline plugins feeding their proprietary clinical decision support platform and ~61x note growth since go-live, they treat Canvas as the clinical engine powering their national expansion.

~61xNote Growth
12.7Appointments per Patient
0.77Rx per Patient
3xRx Growth
The Customer

Advanced Brain Medicine for Treatment-Resistant Mental Health Conditions

This practice delivers interventional psychiatry - rapid-acting treatments like TMS, esketamine nasal spray, neurofeedback, and vagus nerve stimulation - for patients where traditional talk therapy and SSRIs have failed. Their insurance-first model accepts Medicare, Tricare, VA-CCN, and major commercial plans, making advanced brain medicine accessible at scale.

The Care Model

Interventional psychiatry requires a fundamentally different care model than traditional outpatient mental health. Patients receive 30+ TMS sessions, ongoing esketamine administrations, and neurostimulation treatments - each requiring vitals monitoring, structured assessments, and multi-provider coordination. Care teams include psychiatrists, therapists, peer specialists, case managers, and care navigators working together across in-clinic and virtual settings. 12.7 appointments per patient reflects the treatment-intensive nature of the model, with clinical vitals monitoring at every session.

Funding & Growth

Venture-backed by a leading venture capital firm, with participation from multiple healthcare and technology investors. The founding team brings deep operational scaling expertise to behavioral health. The company operates a growing multi-clinic network with national expansion underway.

Platform at Scale

~61x Note Growth. Canvas Scales Across a Multi-Clinic Network.

The practice went live on Canvas and within 9 months, monthly note volume grew ~61x as the team expanded locations, onboarded providers, and built interventional psychiatry workflows on Canvas's plugin SDK.

~61xNote GrowthFrom go-live volume to ~61x in under a year - rapid clinical adoption.
~16%Note Sign RateClinical documentation completed and locked across all locations.
12.7Appointments per PatientTreatment-intensive model with ~30% of patients in active clinical encounters.
0.77Rx per PatientPrescribing providers managing controlled substance workflows across multiple states.
3xRx GrowthPrescribing volume tripled from launch levels as the provider team expanded.
13.5%MDD PrevalenceMajor depressive disorder (recurrent, severe) - the core target population for interventional treatments.
Clinical Profile

Treatment-Resistant Depression Meets Precision Psychiatry

The diagnosis and prescribing profile tells the story of a practice treating the most complex psychiatric patients - the ones for whom first-line treatments have already failed. Every condition is a key cost driver in behavioral health, and every treatment represents a step beyond standard outpatient psychiatry.

Top Conditions

Major depressive disorder, recurrent severe at 13.5% of patients - the core target population for interventional treatments. Generalized anxiety disorder at 8.9%. PTSD at 6.6% combined (chronic and unspecified). OCD at 5.1% combined. ADHD at 3.1%. This is a high-acuity behavioral health panel where traditional first-line treatments have failed - driving the need for TMS, esketamine, and neurostimulation interventions that require intensive clinical monitoring and structured outcome tracking.

Prescribing Complexity

0.77 prescriptions per patient on average, with esketamine as the top identifiable medication - a rapid-acting nasal spray antidepressant administered in-clinic under observation. Multi-state DEA management across multiple states required Canvas to build a dedicated feature supporting controlled substance prescribing to states that require state-specific DEAs. Prescribing volume tripled from launch levels as the provider team expanded.

Plugin Architecture

8 Plugins Powering a Psychiatric Data Platform

The engineering team built a custom data pipeline layer on top of Canvas - 3 fully custom plugins streaming clinical data into their proprietary clinical decision support platform, plus a heavily customized health information exchange integration. Canvas is the clinical engine; their platform is the intelligence layer.

API & Integration
Workflow
Clinical
Clinical Note APIStreams note content with enhanced command data to internal AI platform
Claim APIProvides read-only claim data access for revenue cycle analytics
Event StreamCaptures all platform events and forwards to cloud gateway for real-time processing
HIE IntegrationCustomized health data exchange with automated patient creation and demographics sync
HyperscribeAI-powered ambient documentation - early adopter and clinical champion
DEA HandlerAttaches prescriber DEA and address for multi-state controlled substance prescribing
Encounter ListWorklist view of open encounters across all clinic locations
Provider EnrollmentDashboard managing eRx and EPCS enrollment status across all providers

Real-Time Data Pipeline

Three custom plugins (Clinical Note API, Claim API, Event Stream) create a real-time data pipeline from Canvas to internal services. Every clinical note, claim, and platform event flows through a cloud API gateway to power clinical decision support tools. The customized HIE integration adds automated patient lifecycle protocols - ADT events, demographics syncing, and patient creation. This is a customer that treats Canvas as infrastructure feeding a larger intelligence platform.

AI-Powered Documentation

This practice was one of Canvas's earliest AI documentation adopters and the first customer to receive custom prompt amendments. Their Chief Product Officer - a board-certified psychiatrist who sees patients daily - served as the clinical champion, personally evaluating the tool, providing detailed feedback on attribution accuracy and session workflows, and signing off on each additional provider. The result: rapid adoption across the practice driven by one champion clinician leading product decisions.

From First Clinic to National Scale.
Canvas Powers the Mission.

Canvas Medical's programmable EMR powers everything from day-one go-live to multi-state clinical operations - with the SDK and plugin architecture to build the data pipelines and clinical workflows your care model demands.

Learn More About Canvas Medical