Case Study - OCA Aspire Modernizes Practice Management, Unlocking $1M+ in Annualized Savings

OCA Aspire is a leading electronic health record (EHR) and practice management solution designed specifically for Ontario chiropractors and allied health professionals. Developed by the Ontario Chiropractic Association, OCA Aspire improves patient care and simplifies administrative tasks by providing features such as online booking, scheduling, billing, payments, and integrated accounting, all while ensuring compliance with evolving healthcare standards.

The Challenge

OCA Aspire partnered with Aligned Software Solutions to modernize its systems and operations, aiming to continue providing a best-in-class solution. Its outdated infrastructure posed significant barriers to scaling and profitability, creating a series of critical challenges:

  • High Scaling Costs: Onboarding new clinics required time-consuming manual processes with inefficient resource allocation.
  • Legacy Technology: Running on an outdated technology stack led to performance bottlenecks and increased maintenance overhead.
  • Missed Monetization Opportunities: The lack of centralized clinical data aggregation slowed insight generation, which limited the platform's value for research and advocacy.
  • Strategic Misalignment: There was no clear plan that aligned technical efforts with business goals, such as cost optimization and expanding to multiple clinics.
  • Reduced Pace of Innovation: Legacy architecture hindered the agility in developing new features, causing delays in updates to address evolving market needs.
  • Reduced Developer Velocity: A bloated codebase and outdated tools slowed development cycles, leading to longer time-to-market for essential enhancements.

Our Solution

We collaborated closely with OCA Aspire to implement a comprehensive modernization strategy, focusing on critical areas to build a robust, scalable, and future-ready platform.

Multi-Tenant Architecture for Cost-Effective Growth

We implemented a multi-tenant architecture with automated provisioning to streamline onboarding for new clinics and reduce operational overhead. By modifying the architecture, we created isolated yet scalable environments that optimized costs while ensuring compliance.

Technology Stack Modernization to Accelerate Innovation

Our knowledgeable team upgraded the technology stack to the latest stable versions, boosting performance and cloud-native compatibility. We also refactored the codebase, which enabled us to eliminate outdated libraries and speed up development cycles.

Security & Compliance Reinforcement for Proactive Risk Mitigation

We deployed robust role-based access controls, tenant isolation frameworks, and privileged identity management to strengthen security postures. The infrastructure was designed to be PIPEDA/PHIPA-ready, leveraging Azure's managed services for comprehensive audit trails and continuous compliance monitoring.

Centralized Data Aggregation for Professional Insights and AI-Readiness

A new centralized data architecture securely aggregates anonymized clinical data across all clinics. By integrating scalable analytics frameworks, we enabled dynamic reporting and laid the groundwork for AI-driven insights. Our changes directly empowered stakeholders with actionable data for research, advocacy, and operational improvements.

“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.”

Jim Wright - COO, OCA Aspire

The Results

By transforming OCA Aspire's legacy system into a secure, cloud-native SaaS solution, Aligned.net unlocked significant value for their business and positioned the platform for sustained success.

  • $1M+ in Annualized Cost Savings.

    By reducing reliance on legacy systems and optimizing 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 modernization effort addressed OCA Aspire's lack of progress, which was caused by outdated architecture. By partnering with our experienced team, OCA Aspire was able to scale efficiently and respond rapidly to market demands.

With reduced developer velocity and stalled innovation now resolved, OCA Aspire is well-positioned as a scalable, future-ready solution for Canada's chiropractic community.

Looking to partner with a tech team that focuses on solutions for your unique business? Contact Aligned.net and let's ensure you can scale your platform with confidence!

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Learn more about how Aligned can help turn your legacy systems into a growth driver.

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