Case Study Highlights

POINT 1: [Electronic Medical Records at the Core of Clinical Operations]
1. Serving as the clinic’s “brain,” the electronic medical record system is used by all staff—from reception and medical consultations to rehabilitation and accounting.
2. Its intuitive operability reduces time spent in front of a computer, allowing more time for direct patient interaction and forming the foundation of a truly patient-first approach to care.
POINT 2: [Zero System Issues Supporting Over 180,000 Patients]
With “trust” as the highest priority, the exceptional stability and security of the on-premise system enable medical professionals to remain fully focused on patient care—even in a high-volume clinical environment.
POINT 3: [Dedicated and Comprehensive Support from YUYAMA]
Acting like a virtual office manager, YUYAMA provides reliable, hands-on support as an indispensable partner in daily clinic operations.

Could you tell us about the background behind opening your clinic and why you chose Izumisano City, Osaka Prefecture?

The motivation behind opening my clinic stems from my experience as a hospital-based physician. While working in a hospital, I often felt the need for a clinic that could continue to provide long-term follow-up care for patients after surgery. However, at the time, I had the impression that there were relatively few clinics where I felt, “This is a clinic I would want to refer my patients to,” or “This clinic truly provides attentive care.”
I also genuinely enjoy communicating with patients and have always considered the management of chronic conditions to be one of my strengths. With a desire to practice medicine in a way that reflects my own ideals, I ultimately decided to open my own clinic.
As for choosing Izumisano City in Osaka Prefecture, I had previously worked at Sano Memorial Hospital, an acute-care hospital in the area.
In addition, the atmosphere and overall feel of the city reminded me of my hometown, Hiroshima, which gave me a strong sense of familiarity and comfort. For these reasons, I felt confident that Izumisano City was the right place to establish my practice.

What does “Patient First” mean in the philosophy of Yamabe Orthopedic Clinic?

Compared with restaurants or other businesses that serve general customers, healthcare has a stronger sense of public responsibility. At the same time, due to long-standing customs, the medical side has often tended to be in a slightly stronger position. We felt that this mindset was not ideal.
Patients are also customers, and medical care should be viewed as a form of service. With that in mind, we wanted to create a clinic that places greater emphasis on building services from the patient’s perspective.
By putting the concept of “Patient First” at the center, we have continuously considered questions such as how to make the clinic easier to visit and how to improve the overall experience. We have designed and refined our services based on the patient’s point of view, which has led us to where we are today.

What led you to introduce YUYAMA’s electronic medical record system?

Quite simply, a senior physician in private practice was already using it. He told me that it was easy to use and that he had never experienced a single issue.
Ease of use is, of course, important. However, what I fear most is trouble with an electronic medical record system. That sense of reliability was what initially drew my interest to YUYAMA.

What made you choose YUYAMA’s electronic medical record system?

Two factors were decisive: the appeal of an on-premise system—specifically, the ability to manage and operate all data entirely in-house, along with its outstanding operational stability—and strong word-of-mouth recommendations from senior physicians in private practice.
At the time, we also considered cloud-based systems, and the ability to access electronic medical records anytime and anywhere was certainly attractive.
However, we ultimately prioritized robustness: a system that can operate reliably on-site at all times, without being affected by external network conditions.
True to its name, the electronic medical record system has become the “brain” of our clinic. It is used by all staff, from reception and medical billing to physical therapists. Precisely because it serves as the clinic’s brain, we felt we could not afford any disruption—this led us to choose YUYAMA’s on-premise electronic medical record system, BrainBox.

Have you experienced any issues since you started using the system?

It has been three years and two months since we opened, and we have not experienced a single issue. Ours is a large-scale setup with 25 terminals, so I initially thought we might encounter one or two problems—but in reality, there have been none at all.
While financial losses can be recovered, trust is much harder to regain, and system issues can also negatively impact staff morale. In that sense, the fact that we have had zero trouble has been a tremendous relief.

How has your experience been since introducing YUYAMA’s electronic medical record system?

I compared it with systems from other vendors, and quite simply, YUYAMA’s electronic medical record system stood out for its ease of use. When an electronic medical record system is easy to use, the time spent in front of the computer is reduced, which allows me to spend more time interacting with patients.
Looking ahead, as the number of patients continues to increase and we face situations where even greater efficiency is required, we are considering a workflow in which two monitors are used and data entry is handled by a medical scribe (medical secretary). By doing so, I hope to create an environment where both myself and part-time physicians can focus fully on patients during consultations.

Did you encounter any difficulties when introducing YUYAMA’s electronic medical record system?

At first, I thought it would be enough if I could simply carry out my own medical practice…

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