Harbor Psychiatry
“Secure messaging transformed our practice. Patients check in between sessions, which improves outcomes and makes them feel supported. Retention went through the roof.”
— Dr. Elena Vasquez, Founder
+32%
Patient Retention
+700%
Between-Session Check-ins
-64%
No-Show Rate
About the practice
Harbor Psychiatry is a 3-provider behavioral health practice in Seattle, Washington, specializing in anxiety, depression, and ADHD. Dr. Elena Vasquez founded the practice with a focus on accessible, continuous care, but the traditional appointment-only model created gaps between sessions that left patients feeling unsupported.
Products used
The challenge
Patient retention was 68%, and many patients dropped off after 3-4 sessions. Between appointments, patients had no easy way to reach their provider, leading to missed medication concerns and crisis moments going unreported. No-show rates were 22%, well above the primary care average. The practice needed a way to maintain therapeutic connection between visits.
The solution
MedAgento's secure messaging gave patients a HIPAA-compliant channel to check in between sessions: mood updates, medication side effects, quick questions. Automated appointment reminders via SMS and email dramatically reduced no-shows. The combination of continuous connection and reliable scheduling transformed patient engagement and retention.
The results
Measurable outcomes after 90 days on MedAgento.
Patient Retention
Between-Session Check-ins
No-Show Rate
Key results
Implementation timeline
From signup to full adoption. Here's how the transition unfolded.
Week 1
Practice setup, patient data import, messaging configuration
Week 2
Provider training on secure messaging workflows, reminder setup
Week 3
Patient onboarding to portal: messaging enabled for all active patients
Month 2
Between-session check-ins increased 400%, no-show rate dropped to 12%
Month 3
Retention hit 90%, no-shows down to 8%, patient satisfaction at 9.4/10
“Secure messaging transformed our practice. Patients check in between sessions, which improves outcomes and makes them feel supported. Retention went through the roof.”
Dr. Elena Vasquez
Founder, Harbor Psychiatry
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