SmartBug.
HubSpot solutions partner
A connected path from first inquiry to enrollment
A phased HubSpot implementation designed to replace fragmented spreadsheets and follow-up processes with one secure, accountable system for referral intake, enrollment workflows, outreach, and leadership visibility.
SmartBug. × Los Angeles Jewish Health
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.
Follow-up is hard to trust
Paper forms and manual handoffs can leave older inquiries invisible until someone remembers to look.
Intake is cumbersome
The PACE intake can include roughly 91 questions across self, family/guardian, physician, and staff-assisted submissions.
Repeat submissions overwrite context
Context is lost unless every intake is preserved as its own record tied to the right person and submitter.
Referral performance is labor-intensive
Teams rely on manual spreadsheets and pivot tables to assess which sources actually produce enrollments.
Views don't match how teams work
Service lines and locations need different operational views, while leadership needs one consolidated picture.
Systems need clear boundaries
Clinical and financial work must stay in the right systems, with governed handoffs into and out of HubSpot.
- Capture
- Qualify
- Coordinate
- Enroll
- Engage
- 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.
Purpose: Establish a validated picture of how referrals actually move today, and the architecture and guardrails that will hold as LAJH scales.
- Validate current-state workflows and ownership across Marketing, Intake, Admissions, Clinical, Finance, and IT
- Confirm service-line priorities, locations, SLAs, and KPIs
- Confirm permissions, sensitive-data boundaries, retention, SSO/MFA, and audit requirements
- Produce the solution architecture, data dictionary, and migration plan
- Produce the integration map and a prioritized delivery backlog
Vendor and API confirmation for the clinical system of record is a discovery item in this workstream.
Purpose: Model people, families, referral sources, locations, and intake records so every relationship in the journey is represented accurately.
- Configure people, households and family relationships, organizations and referral sources, facilities and locations, and enrollment/intake records
- Use association labels for participant, guardian/DPOA, family member, physician/referrer, and internal staff
- Create service-line and location segmentation, ownership rules, required fields, duplicate controls, and record views
- Preserve each intake as a discrete record associated to the correct person and submitter
Purpose: Make a long, complex intake completable by families, physicians, and staff — without losing history on repeat submissions.
- External responsive HubSpot intake form with progressive and dependent questions for self, family/guardian, and physician referral paths
- Internal guided playbook/form for phone-assisted intake
- Workflow that creates a separate intake/enrollment record for every submission, so repeat submissions never overwrite history
- Required-field validation, save/continuation approach to be validated, document and checklist tracking, acknowledgement, routing, and source capture
- AI-assisted intake feasibility spike to test text-based and PDF extraction
Production OCR and image ingestion are treated as an option pending accuracy, privacy, and workflow validation.
Purpose: Give the PACE team an accountable pipeline where nothing ages quietly and every stage has a clear owner and a clear next action.
- Stages: Inquiry, Initial Screen, Intake/Questionnaire, Eligibility & Assessment, Review & Approval, Enrollment Documentation, Enrolled, Not Qualified/Withdrawn
- Required fields and stage gates, lead aging, and owner assignment
- Task and reminder automation, stalled-record alerts, and escalation rules
- Denial and delay reasons, re-engagement paths, and post-enrollment handoff
- Long-cycle nurture plus appointment and tour coordination
The architecture is designed to support a future rapid-admissions workflow targeting one-hour decisions. That target is not included in the PACE build.
Purpose: Connect every inquiry back to the campaign, partner, or community effort that produced it, and support the outreach that follows.
- WordPress tracking and forms plus GA4 connection
- Campaign and referral-source attribution across web, phone, events, social, partners, and community outreach
- Segmentation by service line, location, demographics, service need, source, guardian/referrer relationship, and engagement
- Outlook and Microsoft 365 activity sync, one-to-one email, marketing nurture, and task/meeting coordination
Transactional email and SMS reminders proceed only after clinical event data, consent, add-on licensing, and system integration are validated.
Purpose: Define a governed exchange between HubSpot and the clinical system of record, with clear field ownership and PHI boundaries.
- Discovery and technical design for governed data exchange with the clinical system of record
- Recommended initial pattern: HubSpot manages prospects through enrollment; an enrolled participant is pushed to the clinical system; only approved clinical and status fields needed for reporting or communication return to HubSpot
- Confirm one-way versus bidirectional sync, field ownership, and API/webhook or SFTP/FHIR availability
- Confirm middleware and hosting, error handling, monitoring, retries, reconciliation, and audit logging
- Confirm vendor agreements, BAAs, and PHI boundaries
- DocuSign workflow and Microsoft 365 integration to be validated and configured
This scope does not promise clinical scheduling, eligibility adjudication, insurance authorization, or every field syncing.
Purpose: Turn the system into visibility teams trust, then move the right data in and get people confidently using it.
- Role-specific dashboards for PACE, admissions, marketing, locations, executives, and board/view-only audiences
- Reports for source attribution, conversion by stage, enrollment timeline, lead aging, staff activity, and drop-off/denial reasons
- Census and enrollment trends, campaign reporting, and scheduled weekly/monthly distribution
- Migrate approved Maximizer and spreadsheet data after audit, mapping, deduplication rules, and test loads
- Admin training, role-based user training, documentation, UAT, launch support, and an optimization backlog
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.
- 01
Sources
Website · Phone · Event · Physician · Partner
- 02
HubSpot intake
Forms, guided phone intake, routing
- 03
Qualification & enrollment
Screening, eligibility, approval, documentation
- 04
Enrolled participant handoff
Governed push of the enrolled participant
- 05
Clinical system of record
Care delivery and clinical operations
HubSpot
Engagement, workflow, attribution
Clinical system
Care delivery, clinical operations
04 — Delivery plan
A controlled path to launch
Four phases, each with a clear exit point, so scope and risk stay visible throughout.
- Phase 01
Discover & design
2–3 weeks
Workshops, architecture, governance, data and integration validation, and a prioritized backlog.
- Phase 02
Configure & prototype
4–6 weeks
CRM foundation, intake prototype, PACE pipeline, automations, and initial dashboards.
- Phase 03
Integrate & validate
6–8 weeks
Migration test loads, integration build and configuration, reporting, security validation, and UAT.
- Phase 04
Launch & optimize
2–3 weeks
Training, cutover, hypercare, KPI review, and the future-service-line roadmap.
Approximately 16–20 weeks after access, scope, and integration prerequisites are confirmed.
This is a directional range. Integration feasibility, client response time, data readiness, security review, and UAT can each change the timing.
05 — Future options
Designed to expand without rebuilding
Each of these builds on the Phase 1 foundation rather than replacing it.
Short-term rehab and residential admissions
Admissions workflow design including a one-hour decision SLA.
Additional PACE locations
Enterprise-wide rollout across remaining service lines and sites.
Advanced census and BI
Census, occupancy, revenue, and business-intelligence integration.
Transactional communications
Appointment reminders and broader service communications.
Production AI-assisted intake
Document extraction moved to production after feasibility testing.
Expanded clinical-system sync
Broader bidirectional exchange with the clinical system of record.
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.
Next steps
Build the foundation LAJH can scale across programs and locations.
- 01Confirm Phase 1 business owners and PACE workflow
- 02Hold technical validation with the clinical-system vendor and LAJH IT/security
- 03Finalize the implementation statement of work, timeline, and commercial terms