How a solo rheumatologist in Houston is cutting chart prep by more than half.
Layrd is filing every fax into eClinicalWorks and precharting every visit in her style before the patient arrives.
Layrd went live at Lonestar Rheumatology in March 2026. Lonestar is a solo rheumatology practice in Houston, it charts in eClinicalWorks, and its only physician is also the person who built it: Dr. Nilanjana Bose, MD, MBA.
"Layrd has completely transformed how my practice operates. Every fax that comes in is reviewed, matched to the right patient, and filed directly into eClinicalWorks, freeing up staff time."
"Charts are precharted before patients arrive, in my own style, and my chart prep time has decreased by over 50–60%. Their service has been a real difference-maker in my solo practice."
What Layrd is doing at Lonestar
Layrd is doing two jobs at the practice. It manages the fax line, where the referrals, lab results, imaging reports, and prior authorization correspondence arrive, and it files each document into the right chart in eClinicalWorks, flagging the few that need a person. It also precharts every visit: before a patient arrives, it reads their record and writes up what has changed, which results are back, and what the visit needs to address.
The precharts read the way Dr. Bose writes, because Layrd learned her style from her past notes before going live.
"What impresses me most is how well Layrd thinks and analyzes data, almost the way I do! Other physicians could benefit from this amazing technology."
The physician running the practice
Dr. Bose has seen rheumatology from almost every side of American medicine. She trained at the Cleveland Clinic, practiced at the VA in Richmond, taught and saw patients at UTMB in Galveston, and worked inside a private group in Pearland. In 2022, after finishing an MBA in healthcare administration, she went out on her own and opened Lonestar Rheumatology in Houston. The mission she gave it fits in one line: personalized, evidence-based, compassionate rheumatologic care.
The practice she built offers more than a solo clinic usually can. It runs an infusion suite, does its own ultrasound evaluations, and gives patients a path into clinical research trials. One physician provides all of it, the same one who has been named a Castle Connolly Top Doctor every year since 2021, still teaches as an adjunct assistant professor at UTMB, and gets quoted in publications like HealthCentral when they write about arthritis.
A practice like that takes in the paperwork of a group with the staff of a solo office, and that imbalance is what Layrd was brought in to fix.
"The team is also incredibly responsive and receptive to feedback and suggestions. I've referred Layrd to numerous colleagues, and I recommend them without hesitation."
If you are running your practice yourself and still preparing charts after the last visit, the next step is a conversation.
Counts come from Layrd production logs and cover the first 3 months after the March 2026 go-live. The 50 to 60% reduction in chart prep time is Dr. Bose's estimate.