.jpg/:/rs=h:1000,cg:true,m)
In nearly every clinic, patients wait. They wait because the clinic has no system to track wait times from check-in to check out. They wait in the exam rooms as care team members look for each other to pass along critical information. And they wait as the doctor deals with a complicated patient that takes up the time of two or three scheduled visits. The result is frustrated and burned-out staff and disengaged, dissatisfied patients.
We built eSynchrony, a real-time patient flow platform now used across 35+ specialties. In one pediatric orthopedic program, it generated an estimated $748K to $1.38 million in annual value per surgeon — from added visit capacity, reduced overtime, and increased surgical volume — while cutting wait times 25–50% and raising patient satisfaction scores 25%.
On the eSynchrony board, the care team instantly communicates patient status by moving patient tiles, eliminating the need to look for flags, Post-it Notes, staff, and/or knocking on exam room doors. Every movement is captured as structured, time-stamped data on wait times, provider-patient interaction times, and room usage. This AI-ready data foundation empowers providers, staff, and administrators to make informed decisions today, while enabling AI to identify emerging patterns, forecast bottlenecks, and optimize clinic operations tomorrow.

Rooming delays start immediately after check-in, and as clinics get busier, patient tracking gets difficult. Who's ready to be seen? Which exam room is open? How long has each patient been waiting, and where is the staff or provider? EMR dots require staff to walk to a workstation, log in, and interpret the current state; RFID tracks location but not readiness and needs badges and readers; and flags break down once a clinic gets busy. None solve the coordination challenge — so eSynchrony was designed by the frontlines, for the frontlines: a cost-efficient, high-value solution with minimal hardware beyond a touchscreen, getting staff to the next patient without unnecessary delays.

Broken communication systems leave staff absorbing angry, waiting patients while providers apologize and try to manage flow alone. Without a shared view, delays get misread as someone's fault instead of a system problem, creating a toxic, blame-driven culture that surfaces as staff complaints, provider complaints, and patient complaints alike. eSynchrony changes that culture at its root — replacing assumptions with a shared, real-time picture the whole team can see, so staff and providers work from the same facts instead of guessing at blame. The result: clearer handoffs, less blame, and a true team-based culture — and for the people doing the work, that often means simply getting home on time.

"Our patient satisfaction has gone up dramatically. We're now consistently getting 9s and 10s on our patient exit surveys on a 10-point scale. eSynchrony helps us take better care of our patients and reduce their wait times from check-in to checkout." — A Clinic Coordinator

"The best feature about the eSynchrony board is that at one glance, I know whether my clinic is running on time, which patients are waiting for me and where my staff members are. One glance gives me a snapshot of my entire clinic in live time." A Provider

"The eSynchrony board forces us all to think about what the other people are doing and how it is affecting the whole patient experience. Before, we only focused on finishing our own responsibilities. Now, we can see everything that is going on in the clinic, and we are better able to communicate and work together as a team to improve clinic flow, reduce delays, and improve the patients' overall experience." A Staff Member

"We used to struggle to see my volume of patients in a half-day, but now I can comfortably see 3 more people in that same half-day, and our patient satisfaction has gone up." Kimberly Stepien, MD.

"Unpredictable appointment durations, missed appointments, and late arrivals make it challenging to manage flow — but eSynchrony lets us quickly assess and reallocate space, using the data to optimize it for both our current and new providers." — Executive, Ambulatory Services

"Using the real-time data that is collected allows us to use the metrics to analyze where the bottlenecks are and determine how to prevent them, eliminate waste in the system for our patients and improve the patient's overall experience." Terri L. Young, MD, MBA.
Patient visit lengths reduced by 22.5 % within 3 months, achieved by visualizing hand-offs, accelerating communication, and making informed decisions.
Increased patient satisfaction scores by 25% by improving scheduling templates based on data. Enhanced ability to manage complex and add-on patients contributed to a smoother, more predictable clinic experience.
Clinics end 30-60 minutes earlier, leading to a better work-life balance for the providers and the staff.
Data insights revealed underutilized exam rooms in an outpatient clinic, allowing the space to be repurposed for a new specialty clinic.
Estimated annual value of $748K–$1.38 million per surgeon in a pediatric orthopedic program, driven by added visit capacity, reduced overtime, and increased surgical volume.

PROVIDERS AND STAFF COMMUNICATE USING A COLORFUL / INTUITIVE INTERFACE - FAST, FLUID, EASY!

UTILIZE CUSTOMIZED LABELS, SHORTCUTS, AND COMMENTS TO COMMUNICATE WITH EACH OTHER, WITHOUT WAITING.

FRONTLINES OFTEN GUIDE US WITH FRESH IDEAS FOR ENHANCING ESYNCHRONY.




eSynchrony tracks each patient's progress through the clinic and communicates patient type, status, and requirements in real time to every member of the team. As it tracks patient flow, eSynchrony collects trusted, AI-ready data about wait times, bottlenecks, and room utilization—data care providers and leaders alike can use today to make informed decisions, and tomorrow to create improved schedules/templates and optimize resource needs.
The columns on the eSynchrony board represent each step in the care process; the rows represent exam rooms or other spaces. The patient schedule is imported directly from the EMR to create patient tiles, which can be color-coded by patient type, flagged with alarms for late arrivals or excessive wait times, and labeled by the care team as needed. The board can be customized on the spot to match how each physician or clinic works. As each step of the visit is completed, the care team moves the patient tile to the next column in real time, keeping the whole team aligned. Behind the scenes, eSynchrony records the time spent at each step, generating reports on wait times, provider face time, room utilization, clinic end times, and visit length.
Adoption starts small and builds trust — most clinics pilot a single board with one provider before expanding, so buy-in is earned through results rather than mandated top-down. The board can also be customized on the spot to match how each physician or clinic actually works, rather than forcing a rigid, one-size-fits-all process. Once one provider sees the impact, others typically follow on their own, as happened when a single pilot surgeon's results led five more surgeons to adopt the tool before it became an organization-wide initiative. Staff and providers report that shared visibility reduces blame and builds trust across the team, turning clinic flow into a problem they solve together rather than a source of finger-pointing.
eSynchrony's cost typically represents a small fraction — often under 2% — of the annual value it generates through expanded capacity, reduced overtime, and increased surgical volume. Pricing varies by clinic size and configuration; contact us for a quote specific to your organization.
Piloting eSynchrony is straightforward. It's cloud-based, so there's no complicated software installation. The FlowOne team creates a profile for your clinic and installs the touch-screen board, with the rest of the setup handled within the cloud-based software on secure, HIPAA-compliant infrastructure. eSynchrony uploads the clinic schedule directly from your existing EMR to automatically create patient tiles. The main organizational requirement is a champion physician or department willing to pilot first — since that early win is what builds the trust and results other providers follow.
eSynchrony is already used across 35+ specialties — orthopedics, ophthalmology, cardiology, dermatology, neurology, ENT, and more — so it's proven to extend well beyond a single pilot clinic. Healthcare leaders have to constantly navigate one disruption after another, and strategic executives keep expanding eSynchrony whenever the window opens, because they've seen it work. New clinic spaces have included eSynchrony by design as they've expanded. The proven path is a single pilot that builds physician buy-in organically, then scales department by department — but for leaders ready to move faster, eSynchrony can also be deployed organization-wide from day one, much like an EMR rollout, once leadership commits.
eSynchrony runs on HIPAA-compliant Azure infrastructure — the same infrastructure used, for example, for Microsoft Teams. Data is encrypted both in transit and at rest.
eSynchrony isn't a new idea chasing a trend. It's grown out of 20 years of hands-on work in healthcare operations, with the last decade spent refining eSynchrony itself alongside health systems like Children's Wisconsin, UW Health, and the Froedtert & MCW Eye Institute. That long-term partnership model allowed the platform to evolve from a simple whiteboard concept into a data-rich digital system built on real frontline feedback. It runs on enterprise-grade Microsoft Azure infrastructure and is designed to be HIPAA compliant, and it's featured in Microsoft Innovation Hubs across the country as a Healthcare Frontier Product. FlowOne continues to actively develop the platform today, now applying that same operational data to build AI-driven capabilities — turning two decades of listening to healthcare into a foundation for what comes next.