6,500+
inbound referrals handled by Saha across the procedure center in 2026.
1,200+ hours of coordinator time, recovered.
A multispecialty clinic in the Pacific Northwest, anchored by a high-volume in-house endoscopy procedure center, brought Saha in to run the operational tail of every screening colonoscopy and surveillance recall - gaps the team couldn't close, not for lack of urgency, but for lack of hours.
25,000+
documents parsed and routed automatically - work the front office stopped doing by hand.
6 → 1
coordinator touchpoints per colonoscopy - the rest run as a background workflow.
At a glance
A multispecialty clinic running cardiology and gastroenterology under one roof, with its own procedure center handling diagnostic and advanced endoscopy.
Each provider has a dedicated nurse who owns the entire administrative tail of their patients - pre-clearance, scheduling, prep, follow-up. When the volume scaled, the model didn't. The cardiology side had effectively stopped closing care loops. The GI side, despite the urgency of cancer screening, was getting behind on the same kinds of administrative closures.
The before state
A six-step gauntlet between "colonoscopy ordered" and "patient on the table".
Every step in the colonoscopy workflow was a place to lose the patient. The nurse assigned to each provider was running the entire sequence by hand.
Pre-procedure sequence
Six touchpoints, single-threaded.
Outreach for screening → result analysis → prep protocol selection → prep-instruction communication → prep-compliance check → schedule. One nurse per provider running all of it manually, in order, for every patient.
Order-loop closure
The cardiology team had stopped closing loops entirely.
Thousands of outstanding orders had been opened and never administratively closed. Not because anyone forgot - because there were no hours left to chase results, document follow-through, and tag the chart appropriately.
Anticoagulant management
The riskiest call in colonoscopy prep, made over the phone.
Confirming a patient has held the right anticoagulant for the right number of days is the highest-stakes operational task in the whole flow. Coordinators were doing it by phone, the day before, on top of every other call they had to make.
Surveillance recall
Patients due back never coming back.
Patients with adenoma or polyp history were supposed to be recalled at 3, 5, or 10 years depending on findings. The team had no systematic way to re-surface them at the right interval - so a meaningful share were aging out of recall windows entirely.
What Saha runs
The whole tail of the procedure, run as a workflow instead of a phone tree.
Saha encoded the practice's actual prep protocols - the same ones the nurses were following - and runs them across every patient at the speed of software.
1
Colonoscopy readiness orchestration
Order to procedure
Saha picks up every screening order, sequences the prep protocol selection, sends prep instructions, confirms anticoagulant hold three days before the procedure, and rebooks if the patient hasn't filled the prep kit. The nurse only gets pulled in for exceptions.
2
Surveillance recall
3 / 5 / 10-year intervals
Patients with prior adenoma, polyp, or surveillance findings are tracked against the right interval and outreached at the right time - automatically. The recall list is no longer something a coordinator has to remember to pull.
3
Document and outside-records retrieval
DRS integration
Coordinators stopped chasing outside records by phone. Saha pulls the documents the team needs to clear a procedure - and surfaces the gaps when something is missing.
4
Order-loop closure
Cardiology side
The thousands of open orders the cardiology team had stopped closing? Saha works that backlog as a queue - running follow-up, surfacing what's still outstanding, and closing loops that were sitting in the chart for months.
5
EGD and advanced endoscopy
Same engine, different protocol
EGD prep, capsule endoscopy intake, and ERCP coordination ride the same workflow engine - encoded once, run across every provider in the procedure center.
What changed
The procedure center stopped losing patients to administrative drop-off.
Coordinators recovered hours per week. Patients stopped slipping through prep gaps. Surveillance recall capture climbed.
6,500+
Inbound referrals handled - spanning 25,000+ documents parsed and routed automatically.
6→1
Touchpoints per colonoscopy actually requiring a coordinator on the phone.
~92%
Anticoagulant-hold confirmation captured 3 days before procedure.
1,000+
Stale outstanding orders re-surfaced and worked down on the cardiology side.
↓ day-of
Cancellations driven by prep noncompliance falling, freeing procedure-suite time.
Hrs/wk
Recovered per coordinator - reallocated to the patients who actually need a person.
We didn't change how we practice gastroenterology. We just stopped letting patients fall off the prep sequence because we ran out of hours in the day.
- Operations leadership, anonymized at the customer's request
What's next
From procedure readiness to chronic GI care.
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