From Legacy to Modern: A Four-Part Series

February 17, 2026

Orthotics and Prosthetics (O&P) and Complex Rehabilitation Technology (CRT) practices operate in increasingly complex environments. Case complexity is rising, reimbursement pressure continues, and teams are being asked to do more with less. In this reality, technology can no longer function as a passive system of record. It must actively support staff, patients, and the overall health of the business.


Practices that continue to rely on manual systems and legacy software are not just dealing with inefficiency. They are risking staff burnout, delayed patient care, and reduced financial predictability.

Where Manual Systems and Legacy Software Fall Short

Many legacy platforms used in O&P and CRT today were built primarily for documentation. Over time, practices layered on additional tools for scheduling, inventory, purchasing, fabrication, billing, and reporting. The result is fragmentation.


Teams jump between systems, re-enter information, manually track work in progress, and rely on tribal knowledge to keep cases moving. In CRT environments, where authorization cycles are longer and workflows are more complex, these gaps are amplified.



Common challenges include limited visibility into case status, inventory and purchasing disconnected from patient care, delays caused by missing documentation or authorizations, and revenue cycle bottlenecks that impact cash flow.

Industry Signals Point to a Clear Need to Evolve

Across healthcare, including O&P and CRT, industry leaders consistently point to automation, integration, and real-time data as essential to sustaining operations and improving care delivery.


VGM and Associates has highlighted that healthcare providers are increasingly investing in automation and advanced technologies to reduce administrative burden and improve efficiency as outlined in VGM’s automation and technology trends shaping healthcare in 2025.


At the same time, dissatisfaction with legacy practice management systems is growing. Many O&P leaders report that their current systems no longer support modern workflows, leading practices to actively explore more connected and intelligent platforms, according to recent O&P practice management research.

Technology Must Actively Support the Practice

Modern platforms must do more than store information. They must automate routine work, integrate systems across the care journey, and deliver real-time insight that supports better decisions.


Evolution is no longer optional. It is essential for improving staff satisfaction, patient outcomes, and long-term business health.


In the next post, we explore what a modern platform experience looks like and why cloud-first design is foundational for O&P and CRT practices.


Next in the series: Chapter 1: Platform Experience

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