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Customer Case Study

14x Growth in Two Years.
The Virtual Sleep Clinic Scaling Nationwide on Canvas.

A virtual sleep clinic scaled from a few hundred notes per month to tens of thousands on Canvas. With more than 30,000 patients across all 50 states, 100+ credentialed sleep specialists, and an automated diagnosis-to-therapy workflow, the clinic delivers end-to-end sleep apnea care at a scale no traditional sleep lab could match.

14xNote Growth
30K+Patients Served
50States Covered
100+Active Providers
The Customer

A Virtual Sleep Clinic - Sleep Medicine from Diagnosis to Therapy

A virtual sleep clinic delivering at-home diagnosis and treatment across the full spectrum of sleep disorders - sleep apnea, insomnia, hypersomnia, and restless legs. Patients are tested, diagnosed, and treated entirely from home, with care covered by insurance across all 50 states.

The Care Model

Virtual-first sleep medicine spanning at-home diagnostic testing, licensed sleep specialists, and CPAP therapy management. Patients move from an at-home sleep test through diagnosis and into device-based therapy without ever visiting a sleep lab. Canvas is the clinical backbone - documentation, scheduling, intake questionnaires, and e-prescribing - powering a high-throughput intake-to-therapy pipeline that runs entirely remotely across all 50 states.

Growth & Payer Coverage

The clinic is scaling nationwide - recruiting providers and expanding payer coverage to contracts spanning a majority of insured lives, including a major national payer. The growth shows up directly in Canvas: thousands of new patients per month, and note volume still climbing.

Platform at Scale

From a Few Hundred to Tens of Thousands of Notes per Month. Canvas Runs the Clinic.

The clinic built one of the platform's highest-volume production instances on Canvas. Nearly a quarter of all notes are generated programmatically through Canvas automation - intake, questionnaire, and workflow documentation - while licensed sleep specialists review, sign, and prescribe.

14x in Two Years

Note volume climbed from a few hundred per month at launch to tens of thousands at peak - a 14x increase - while the clinic served more than 30,000 patients and delivered over 80,000 telehealth appointments end to end through Canvas. The practice operates at 14x its launch volume without adding proportional clinical headcount.

Automation at the Core

About a quarter of notes are generated programmatically - Canvas automation handles intake and questionnaire documentation so clinicians focus on care. Custom workflows auto-trigger the CPAP questionnaire when a care plan is validated and flag CPAP-eligible patients on the chart, turning a multi-step diagnosis-to-device process into a guided, mostly automated pathway.

Clinical Profile

Sleep Apnea, Hypersomnia, and the Comorbidities That Ride With Them

The clinical profile is pure sleep medicine - the highest-prevalence, most under-diagnosed sleep disorders, plus the cardiometabolic and behavioral comorbidities that travel with them. Untreated sleep apnea is a major driver of hypertension, cardiovascular events, and metabolic disease; catching and treating it virtually removes downstream cost for payer partners.

Top Conditions

Snoring is documented in roughly three-quarters of patients, obstructive sleep apnea in more than 40%, and hypersomnia at a similar rate. Behavioral comorbidities follow closely - generalized anxiety and depression each in the mid-thirties - alongside the cardiometabolic drivers tied to poor sleep: hypertension around 30% and asthma in the teens. The distribution reflects a dedicated sleep practice screening for the full disorder spectrum, not a general clinic.

Therapy Over Pharmacy

The care model centers on CPAP therapy rather than medication, reflected in a very low prescriptions-per-patient rate. Custom Canvas workflows auto-trigger the CPAP questionnaire when a plan is validated and flag CPAP-eligible patients on the chart, making the device-therapy pathway - not the pharmacy - the throughput engine. For the specialists who do prescribe, e-prescribing and controlled-substance enrollment is tracked directly in Canvas.

Plugin Architecture

Custom Plugins Purpose-Built for the CPAP Therapy Pathway

The plugin portfolio is built around one goal: moving patients efficiently from sleep diagnosis into CPAP therapy. Custom plugins flag CPAP-eligible patients, auto-trigger the CPAP questionnaire when a care plan is validated, verify insurance benefits before therapy begins, and surface the full care team on the chart - turning a multi-step diagnosis-to-device process into a guided workflow.

Workflow
Clinical
Care Management
CPAP EligibilityFlags patients eligible for the CPAP therapy program on the chart
CPAP QuestionnaireAuto-adds and commits the CPAP prescription questionnaire when the care plan is validated
Verification of BenefitsAlerts staff when a patient's insurance benefit verification isn't complete
Care ProvidersSurfaces the patient's care-team information on the chart
Results

Scaling Fast on Canvas

One of the highest-volume production instances on the platform - a nationwide virtual sleep network running an automated diagnosis-to-therapy pipeline entirely on Canvas.

10K+Notes / MonthHigh-volume charting, a 14x increase from launch and still climbing.
30K+Patients on CanvasA nationwide virtual sleep network delivering care across all 50 states.
80K+AppointmentsTelehealth visits scheduled and delivered through Canvas end to end.
100+Active ProvidersCredentialed sleep specialists, all with NPI, charting across the network.
~1 in 4Notes AutomatedAutomation handles intake and questionnaire documentation so clinicians focus on care.
2,500+New Patients / MonthSustained acquisition pace as payer coverage expands.
Programmable Backbone

Canvas as Programmable Clinical Infrastructure

With nearly a quarter of notes generated programmatically and custom plugins driving the CPAP therapy pathway, the clinic treats Canvas as programmable infrastructure - the clinical core of a larger sleep-care platform spanning at-home diagnostic devices, insurance verification, and patient engagement.

The Therapy Engine

Three plugins form the therapy engine - CPAP eligibility flagging, an auto-triggered CPAP questionnaire, and benefit-verification alerts - turning a multi-step diagnosis-to-device process into a guided, mostly automated workflow. This is how a focused specialist team moves tens of thousands of patients from at-home test to active therapy.

The Clinical Core

Canvas handles scheduling, encounters, e-prescribing, and documentation natively so the engineering team builds only what makes the care model unique. The clinical record stays in step with the broader platform - at-home diagnostic devices, insurance verification, and patient engagement.

From At-Home Test to Active Therapy.
Canvas Scales Sleep Care Nationwide.

Canvas Medical's programmable EMR powers specialty care delivery at scale - so your diagnostic workflow, your therapy pathway, and your clinical model can reach every patient, everywhere. Go live in weeks, not years.

Learn More About Canvas Medical