Case Study - OCA Aspire Remediates Structural Blind Spots to Unlock $1M+ in Annualized Savings
We partnered with Aligned to assess our technology stack and co-create a strategic roadmap aimed at maintaining Aspire as the leading EHR solution for chiropractors and allied health professionals. They swiftly identified critical areas for improvement and designed an ambitious plan to accelerate innovation while enhancing performance, scalability, and cost efficiency - achievements many other providers dismissed as unattainable or overly complex.
Remarkably, Aligned delivered results in under six months and within budget, all without disrupting our ongoing operations. Their expertise not only transformed our platform but also positioned us for sustainable growth. Today, they continue to support us as we fulfill our commitment to clients with a modernized foundation built for the future.
OCA Aspire is a leading electronic health record (EHR) and practice management solution designed for Ontario chiropractors and allied health professionals. Developed by the Ontario Chiropractic Association, OCA Aspire improves patient care and simplifies administrative tasks through online booking, scheduling, billing, payments, and integrated accounting, while ensuring compliance with evolving healthcare standards.
The Situation
OCA Aspire's platform served a large share of the chiropractic community, but systemic technical constraints were eroding margins and limiting scalability, threatening their ability to expand across Canada. These structural blind spots included:
- High Scaling Costs: Onboarding new clinics required time-consuming manual processes with inefficient resource allocation that would have compounded as the platform expanded.
- Legacy Technology: An outdated technology stack created performance bottlenecks and increased maintenance overhead, diverting engineering resources from innovation.
- Missed Monetization Opportunities: Lack of centralized clinical data aggregation slowed insight generation, limiting platform value for research and advocacy.
- Strategic Misalignment: No clear plan connected technical execution with business goals like cost optimization and multi-clinic expansion.
- Reduced Pace of Innovation: Legacy architecture hindered agility in developing new features, causing delays in addressing evolving market needs.
- Reduced Developer Velocity: A bloated codebase and outdated tools slowed development cycles, extending time-to-market for essential enhancements.
Our Approach
Aligned partnered with OCA Aspire to perform a comprehensive diagnostic of these systemic constraints and remediate them through targeted architectural improvements:
Multi-Tenant Architecture for Cost-Effective Growth
Implemented a multi-tenant architecture with automated provisioning to streamline clinic onboarding and reduce operational overhead, creating isolated yet scalable environments that optimize costs while ensuring compliance.
Technology Stack Modernization to Accelerate Innovation
Upgraded to latest stable versions, boosting performance and cloud-native compatibility while refactoring the codebase to eliminate outdated libraries and accelerate development cycles.
Security & Compliance Reinforcement for Proactive Risk Mitigation
Deployed robust role-based access controls, tenant isolation frameworks, and privileged identity management, designing infrastructure to be PIPEDA/PHIPA-ready with comprehensive audit trails.
Centralized Data Aggregation for Professional Insights and AI-Readiness
Built a new data platform that securely aggregates anonymized clinical data across all clinics, enabling dynamic reporting and laying groundwork for AI-driven insights to fuel research and advocacy.
Value Delivered
By remediating these structural blind spots, Aligned unlocked significant value:
- $1M+ in Annualized Cost Savings.
Reduced reliance on legacy technology and optimized cloud resource allocation.
- 90% Reduction in Incremental Hosting & Operating Costs.
Slashed per-instance costs through automated capacity adjustments.
- Doubled Throughput & Halved Response Times.
Achieved significant performance gains, enabling seamless Canada-wide expansion.
- 75% Reduction in Codebase Size.
Drastically increased developer productivity and streamlined feature delivery.
The diagnostic & remediation effort eliminated systemic technical constraints that were limiting OCA Aspire's scalability and eroding margins. By partnering with Aligned, OCA Aspire transformed their platform into a cost-efficient, high-performance asset that enables rapid response to market demands.
With resolved developer velocity constraints and re-ignited innovation, OCA Aspire now operates a platform that serves as a sustainable competitive advantage in the Canadian MedTech market.
If your platform's technical constraints are limiting growth, or you don't yet know what's causing margin erosion behind the scenes, let's talk.
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