Guram Nachkebia, Head of IT and Organizational Development at Aversi Clinic, has been driving digital transformation at the clinic for years.
In 2008, under his leadership, the clinic introduced an internal operating system to digitize and manage internal documentation and approval workflows.
However, when it came to documents requiring external signatures and legal validity, the internal system was no longer enough - it became necessary to look for an external platform.
In this case study, Guram Nachkebia shares his approach to leading large-scale digital transformation so successfully that teams across the organization begin asking for it in their own departments.
Most importantly, we’ll show how Aversi Clinic transitioned its legal document processes to a fully digital format - a transformation that now handles up to ten thousand documents per month, directly impacting the experience of patients, employees, and contractors alike.
Aversi Clinic operates a network of 16 clinic branches and 29 laboratory branches across the country. On average, the clinic serves around 2,000 patients per day, offering a wide range of multidisciplinary services.
As patient numbers grew, so did the volume of documentation required for both service and administration - turning document management into a growing daily challenge.
Each legal document passed through a long chain of bureaucratic steps, involving multiple roles: signatories, approvers, managers responsible for sending the document, managers responsible for archiving the document, couriers, and more. Now imagine this process repeated across thousands of documents every month.
Meanwhile, at the clinic's registry - where patients must sign a series of documents before receiving care - the reliance on physical paperwork was already impacting both service time and quality.
With physical documents, everything took time - printing the document, having the patient read and sign it, moving the signed document to the holding area, and eventually transporting it to the archive for proper storage.
And whenever we needed to retrieve a document, the process was long, tedious, and inefficient.
Beyond the time and staffing demands, the risk of human error was always present.
The clinic chose to partner with Signify to digitize its document-related processes. The selection was guided by clear criteria:
According to Guram, Signify met their requirements in every detail, and all the conditions were in place for a successful partnership.
Signify was first implemented at Aversi Clinic in the department where document handling posed the greatest challenge.
You should always start with the busiest department - the one with the most complex processes. That way, you cover all possible scenarios from the beginning, and every next project feels easier.
Other departments see it too: if such a high volume of documents can be digitized and managed without issues, it can definitely work for them as well.
The first department to successfully go digital was the Legal team. The employees themselves took the lead in setting up processes in Signify - because they knew their challenges and needs better than anyone.
Their example was soon followed by teams across all branches - including quality management, the laboratory, HR, and even marketing, whose documents are now sent through Signify.
While administrative documents were being digitized, Guram’s team also focused on patient consent forms in the registry.
To support this, the clinic introduced signature pads - tablet-like electronic devices that display documents and capture signatures directly on-screen.
To enable this functionality, Signify was integrated with the clinic’s internal operating system, allowing documents to be displayed and signed directly from the existing workflow.
Through integration, documents signed on a Signify pad are still stored in the clinic’s internal system. Most importantly, the pad is biometric - making the signature verifiable by forensics bureau.
Guram also highlights the visual appeal of the signature pads. The marketing team displays advertising materials that catch the attention of visitors and provide the clinic with an additional communication channel. Signing is easy, and most importantly, a registration staff on the other side can see the patient’s progress in real time and assist throughout the process.
As you’ll agree, implementing new software across an organization is no easy task. In most cases, the biggest obstacle is employee resistance to change - replacing familiar habits with something new.
The choice to set a strong example from the start was Guram’s most impactful move - laying the groundwork for success and creating an internal benchmark that motivated other teams across the organization.
The key is to start with the right department. Once that team is fully on board, they become a kind of internal influencer - and their success drives others to follow. Now, instead of management pushing the change, other departments are asking to be next.
After implementing Signify, Aversi Clinic’s document circulation has fundamentally changed. Today, over 90% of all legal documents are managed digitally, and more teams continue to join the transformation.
As a result:
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