The electronic health record (EHR) system is the most sensitive application in a hospital. Access to it is granular, spread across thousands of individual permissions, and it changes constantly as clinicians, residents, and staff join, rotate, and leave.
The medical center’s IGA platform could integrate with the EHR, but only with a license increase of about $100,000. Even with that license, the integration could not handle the EHR’s multi-response fields, which hold several values in one field separated by a special control character.
The EHR was also only part of the job. A new employee needs the right Active Directory groups, and the teams who support that person need to know they are coming.
The team built its own role-based access layer using READI Bot Studio and database tables. Five attributes drive it: company, vendor, location, department, and job code. Together they map each person to an EHR template.
Each template acts as an access profile. Assigning one template grants thousands of granular EHR permissions at once, multi-response fields included.
Every use case runs on three bots: one to view the mappings, one to add rows, and one to update them. Changing who gets what is a matter of updating a row.
The team then applied the same formula beyond the EHR:
- Active Directory: role-based group assignment.
- Email notifications: role-based onboarding instructions sent to the right people.
- ServiceNow: tickets routed to the right team.
A new employee now triggers the AD group assignment and the right team notification at the same time. Assigning the group is half the job; making sure the people who support the new hire know what to do is the other half.
Because READI is priced per human identity with unlimited connectors and automations, none of this added to the existing READI license.