The short version

HubSpot becomes the engagement and workflow layer. Clinical care and patient operations remain in the clinical system of record.

01 — The opportunity

One operating view across every path to care

LAJH serves multiple senior-care programs and locations. Today, Maximizer, spreadsheets, paper forms, notes, emails, reminders, and manual pivot tables fragment the journey from inquiry to enrollment.

01

Follow-up is hard to trust

Paper forms and manual handoffs can leave older inquiries invisible until someone remembers to look.

02

Intake is cumbersome

The PACE intake can include roughly 91 questions across self, family/guardian, physician, and staff-assisted submissions.

03

Repeat submissions overwrite context

Context is lost unless every intake is preserved as its own record tied to the right person and submitter.

04

Referral performance is labor-intensive

Teams rely on manual spreadsheets and pivot tables to assess which sources actually produce enrollments.

05

Views don't match how teams work

Service lines and locations need different operational views, while leadership needs one consolidated picture.

06

Systems need clear boundaries

Clinical and financial work must stay in the right systems, with governed handoffs into and out of HubSpot.

  1. Capture
  2. Qualify
  3. Coordinate
  4. Enroll
  5. Engage
  6. Measure

02 — Recommended foundation

Start with PACE. Build for the enterprise.

We recommend PACE referral-to-enrollment as the initial operating model, designed so additional admissions and residential workflows can be added later without rebuilding the foundation.

03 — Solution flow

Where the work happens, and where it hands off

One direction of travel from inquiry to enrollment, with only approved clinical and status data flowing back.

  1. 01

    Sources

    Website · Phone · Event · Physician · Partner

  2. 02

    HubSpot intake

    Forms, guided phone intake, routing

  3. 03

    Qualification & enrollment

    Screening, eligibility, approval, documentation

  4. 04

    Enrolled participant handoff

    Governed push of the enrolled participant

  5. 05

    Clinical system of record

    Care delivery and clinical operations

HubSpot

Engagement, workflow, attribution

Clinical system

Care delivery, clinical operations

Approved clinical and status data returns to HubSpot— used only for reminders, engagement, and reporting.

05 — Future options

Designed to expand without rebuilding

Each of these builds on the Phase 1 foundation rather than replacing it.

Future phase / separately scoped

Short-term rehab and residential admissions

Admissions workflow design including a one-hour decision SLA.

Future phase / separately scoped

Additional PACE locations

Enterprise-wide rollout across remaining service lines and sites.

Future phase / separately scoped

Advanced census and BI

Census, occupancy, revenue, and business-intelligence integration.

Future phase / separately scoped

Transactional communications

Appointment reminders and broader service communications.

Future phase / separately scoped

Production AI-assisted intake

Document extraction moved to production after feasibility testing.

Future phase / separately scoped

Expanded clinical-system sync

Broader bidirectional exchange with the clinical system of record.

Future phase / separately scoped

Predictive scoring

Advanced lead scoring and workflow optimization.

06 — Scope boundaries

Clear lines between systems

Every handoff is deliberate, and nothing regulated moves without an approved integration.

HubSpot will

  • Manage referral sources and prospects
  • Hold intake records as discrete, associated history
  • Own communications and workflow tasks
  • Run the enrollment pipeline and stage governance
  • Provide attribution and dashboards
  • Store approved engagement data

Clinical & operational systems will

  • Remain the source for clinical care documentation
  • Own appointments and scheduling
  • Own eligibility adjudication
  • Own insurance authorization
  • Own care delivery and encounters
  • Hold other regulated operational records unless a specific integration is approved

Exclusions & assumptions

  • HubSpot licensing, transactional communication add-ons, middleware, and third-party licenses are separate unless expressly included.
  • Final field mapping and integration scope require vendor documentation and API access.
  • Data cleanup beyond agreed migration rules is separate.
  • Compliance depends on platform tier, configuration, contracts and BAAs, client policies, and legal/compliance review. SmartBug does not guarantee compliance.
  • Final statement of work, staffing, hours, and fees follow discovery and technical validation.

07 — Success measures

What better looks like, measurably

Baselines are set during discovery so progress can be tracked against real numbers rather than impressions.

Fewer inquiries lost

Manual follow-up stops being the safety net for older inquiries.

Faster response

Measurable improvement in response time and stage progression.

Complete attribution

Source-to-enrollment visibility without spreadsheets and pivot tables.

Reliable intake history

Every repeat submission preserved as its own record.

Role-specific visibility

Operational and executive views that match how each team works.

Governed handoff

A clean, auditable path into the clinical system of record.

08 — Why SmartBug

Accredited for exactly this kind of build

CRM architecture, integration design, and adoption handled by one accountable team.

HubSpot Advanced CRM Implementation Accreditation

Accredited for complex, multi-team CRM implementations.

HubSpot Custom Integration Accreditation

Accredited for custom integration design and delivery.

Healthcare and senior-living experience

Implementation experience with healthcare and senior-care organizations.

One connected team

CRM architecture, integrations, automation, reporting, testing, training, and adoption from a single team.

SmartBug Media does not guarantee compliance. Compliance depends on platform tier, configuration, contracts and BAAs, client policies, and Los Angeles Jewish Health's own legal, security, and privacy review.