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Customer Case Study

34x Growth in 11 Months.
Value-Based Oncology Care, Built on Canvas.

A venture-backed value-based oncology company went live on Canvas and scaled note volume 34x in under a year. With 18 custom plugins, a cloud event bus integration, and a growing provider team delivering in-home cancer care, they run their entire clinical operation on Canvas.

34xNote Growth
34xGrowth in 11 Months
74%Note Sign Rate
18Custom Plugins
The Customer

In-Home Cancer Care That Wraps Around the Oncologist

This value-based oncology company partners with health plans to deliver in-home and virtual supportive care to cancer patients - working alongside their existing oncologists, not replacing them. Their care teams include nurse practitioners, nurses, social workers, and community health partners managing symptoms, medications, mental health, and social needs for patients undergoing active treatment.

The Care Model

Value-based, total cost of care risk contracts with health plans. The company takes financial responsibility for a plan's cancer patients and delivers wraparound services at no cost to the patient - care navigation, 24/7 clinical support, mental health, symptom management, and in-home nursing. Place of service is home (POS 12), with field-based clinicians supported by Canvas as their system of record. The clinical profile spans oncology diagnoses (prostate cancer, bone metastases, lymph node metastases) alongside chronic comorbidities (hypertension, diabetes, COPD) - 7.2 conditions per patient on average.

Backing & Growth

Venture-backed by leading healthcare investors, including a fund representing major health plans. A health plan partnership brought a large cancer patient population onto the platform, validating the value-based model. A Clinical Advisory Board with nationally recognized oncology and policy leaders was established to guide expansion. Currently growing into new markets.

Platform at Scale

34x Note Growth in 11 Months. Canvas Scales with the Mission.

The company went live on Canvas and within 11 months, monthly note volume grew 34x - as the team onboarded providers, enrolled patients from health plan partnerships, and built oncology-specific workflows on Canvas's plugin SDK.

74%Note Sign RateThorough clinical documentation with a high sign-through rate across all providers.
34xNote GrowthFrom go-live volume to 34x in under a year.
12%Active Encounter Rate12% of the patient panel with active clinical encounters and growing rapidly.
~2xVitals-to-Notes RatioNearly 2x the note count - in-home visits capture vitals at every encounter.
POS 12Place of ServiceField-based clinical team delivering care in the home, supported by operational and engineering staff.
8.4Meds per PatientActive e-prescribing ramping monthly - medication management is core to the care model.
Clinical Profile

Cancer Care Meets Chronic Disease Management

The diagnosis profile tells the story of a practice managing the whole patient, not just the cancer. Cancer diagnoses drive the core care model, while chronic comorbidities represent the high-cost conditions where value-based contracts generate downstream savings for health plan partners.

Top Conditions

7.2 conditions per patient on average - reflecting comprehensive clinical documentation for risk adjustment. The top diagnoses span two categories: oncology (malignant neoplasm of prostate at 11.5% of patients, secondary bone metastases at 7.5%, intrathoracic lymph node metastases at 5.2%) and chronic comorbidities that drive total cost of care (essential hypertension at 28.5%, hyperlipidemia at 15.2%, type 2 diabetes at 9.8%, COPD at 7.4%). Each condition is an HCC code contributing to risk adjustment accuracy.

Medication Depth

8.4 medications per patient on average - cancer patients on complex multi-drug regimens plus chronic disease management. E-prescribing volume is ramping monthly as the practice grows. The medication load reflects the reality of oncology supportive care: symptom management, pain control, chronic disease medications, and interaction monitoring across complex drug profiles.

Plugin Architecture

18 Plugins Powering an Oncology Operating System

The engineering team built a custom platform layer on top of Canvas - 13 fully custom plugins plus a customized health data exchange integration. The result is an oncology-specific operating system with its own API surface, event streaming, risk scoring, and clinical safety workflows.

API & Integration
Workflow
Clinical
SDK APICustom API layer exposing note commands, clipboard, questionnaire responses, and finalization
Event EmitterStreams record change events to a cloud event bus for a real-time data pipeline
Banner APIAPI-driven clinical banner management for external application control
Patient TelecomRetrieves patient contact data for care coordination outreach
Health Data ExchangeInteroperability integration with custom ADT and demographics sync for payer reporting
Worry ScoreCancer journey questionnaires, review of systems, and patient risk scoring badge
HCC AnnotationAnnotates conditions with HCC codes for risk adjustment accuracy
Condition GroupingSeparates refreshable diagnoses from assessed conditions for coding workflows
Custom Patient FieldsExtended patient profile with oncology-specific metadata
Lookout SidebarPatient activity feed, calendar events, and scheduling in a branded sidebar
Safety BannersSame-name alerts, missing consent warnings, and point-of-contact identification
Address BannerDisplays patient home address for field-based home visit teams
Billing Line ItemsAdds CPT codes to claims for revenue cycle management
Appointment Check-InOne-click patient check-in at the top of appointment notes

Custom API Layer

Four API plugins (SDK API, Banner API, Patient Telecom, Event Emitter) create a programmable surface that the company's external platform uses to orchestrate Canvas. The Event Emitter streams every record change to a cloud event bus in real time - powering analytics, care gap detection, and downstream integrations. This is a customer that treats Canvas as infrastructure, not just a UI.

Oncology-Specific Workflows

The Worry Score Tracker powers cancer journey questionnaires, review of systems, and patient risk scoring - the clinical backbone of their proactive care model. HCC Annotation and Condition Grouping automate risk adjustment coding. Three banner plugins ensure clinical safety for field teams: same-name alerts, missing consents, and home address display for in-home visits.

From Launch to Scale.
Canvas Grows with Your Care Model.

Canvas Medical's programmable EMR powers everything from day-one go-live to thousands of patients - with the SDK and plugin architecture to build exactly the workflows your care model demands.

Learn More About Canvas Medical