Costara turns clinical workflow into decision-ready cost and capacity intelligence.

We help healthcare teams understand how care is actually delivered, where time and resources are going, and what changes could help them accommodate more patients, understand their financials, and plan services more effectively — without compromising care.

Costara gives healthcare teams the evidence to see deeper into their clinical workflows. We combine direct observation, provider-informed process mapping, time-driven activity-based costing, and interactive modelling to turn real-world care delivery into practical tools for clinic operations, including expansion, implementation, pricing, and staffing decisions.

You do not just get findings. You get a working decision tool and a clear path to do more, with care.

The Costara difference

Most budgeting work stops at spending. Most process improvement stops at workflow-related recommendations. Costara connects both.

Budgets can show what was spent. EMRs can show what was billed, performed, or documented. Workflow reviews can show how the care delivery process is organized. But none of these alone reveal the full picture of how care is actually delivered.

Costara connects clinical reality with cost and capacity modelling. We look at the details that standard data often misses: the time required for each step of care, how teams work together to deliver a service, where resources are used, where waiting occurs, and where small repeated tasks create variation or bottlenecks.

That is where hidden capacity often lives.

What we help you answer

Practical questions standard reports, budgets, and EMR data often miss.

How much does this service actually cost to deliver?
Where is clinical time being lost?
Which activities are consuming the most capacity?
Which bottlenecks are limiting throughput?
What happens if volume, staffing, wages, rooms, or workflow changes?
Can we expand care without overloading staff?
Is this service priced, funded, or staffed appropriately?
How can we implement changes in a way that aligns with our values?

How it works

From clinical reality to practical decisions.

Click each step to see how Costara turns day-to-day care delivery into a usable cost-and-capacity product.

Observe care delivery

We start by understanding how care is actually delivered on the ground. Through structured observation and conversations with providers, we capture the real sequence of activities behind a service or pathway.

We work to define your clinical workflow so that the details of care delivery — including constraints and variation — are reflected in the analysis.

What this reveals

Where work actually happens, where time is lost, and where standard reports may miss important operational realities.

Map the clinical workflow

We translate the care pathway into a clear process map that shows the activities, decision points, handoffs, and variations involved in delivering care.

The map makes the workflow visible. It helps teams see where complexity builds, where steps duplicate, where delays occur, and where care could be redesigned to better align with operational and clinical goals.

What this reveals

How care moves from one step to the next, where bottlenecks appear, and where redesign may be possible.

Measure time and resources

We measure the time and resources required for each activity in the pathway. The goal is not to monitor individual employees. The goal is to understand how teams work together to provide a service, and how that service uses documentation time, rooms, staff, supplies, and other resources at the pathway level.

Sometimes the most important insights are hidden in small moments repeated many times: a handoff, a documentation step, a room turnover, a preparation task, or a short delay that quietly consumes capacity across hundreds or thousands of visits.

What this reveals

What your EMR and budget data often cannot show: the real resource requirements of care delivery.

Model cost, capacity, and bottlenecks

We combine workflow data, time estimates, wage inputs, resource use, volume, and operational assumptions into a cost and capacity model.

Using time-driven activity-based costing, implemented according to established best practices and findings from systematic reviews on the method, we estimate the true cost of delivering a service and identify the activities that consume the most capacity.

What this reveals

The cost per visit, procedure, client, or episode — and the operational constraints that shape how much care your team can realistically deliver.

Build an interactive decision tool

We turn the model into a practical tool your team can use. The tool allows you to test “what-if” scenarios around volume, staffing, wages, rooms, appointment length, workflow redesign, and service expansion.

Instead of a static report, you receive a living model that supports planning and decision-making.

What this reveals

How different operational choices affect cost, capacity, throughput, and resource needs.

Support staffing, pricing, expansion, and implementation decisions

We translate the findings into practical recommendations. Depending on your needs, this may include a decision memo, implementation action plan, service-line analysis, expansion case, funding support, pricing rationale, or pathway redesign plan.

The goal is not simply to identify inefficiencies. The goal is to help you recover capacity, reinvest resources, and deliver more care with the team and infrastructure you have.

What this supports

Staffing, pricing, scheduling, service-line planning, funding requests, implementation, and expansion of care.

What you receive

A finished product, not just a report.

Costara engagements are designed to leave your team with practical outputs that can be used after the project ends.

A clinical workflow map

A clear visual representation of how care is delivered, including activities, handoffs, decision points, and pathway variation.

A time and resource-use analysis

A structured breakdown of the staff time, rooms, supplies, and operational inputs required to deliver the service.

A cost and capacity model

A pathway-level model showing what the service actually costs and which activities consume the most capacity.

An interactive decision tool

A customized model or dashboard that allows your team to test scenarios around volume, staffing, wages, rooms, workflow, and expansion.

A practical recommendations package

A focused summary of what the findings mean for staffing, pricing, service design, implementation, and future planning.

Optional add-ons

Implementation action plan Funding or business-case support Service-line expansion model Multi-site comparison Ongoing model updates or advisory support

What standard reports can miss

Your EMR may show volume. Your budget may show spending. Neither necessarily shows how capacity is actually being used.

Hidden bottlenecks

The small steps, delays, handoffs, and constraints that limit throughput.

Misallocated capacity

Where staff time, rooms, or resources are being used in ways that may not match clinical or operational priorities.

Unclear service-line costs

Which services are resource-intensive, underfunded, mispriced, or difficult to scale.

Workflow variation

How care delivery differs between providers, rooms, sites, or patient pathways.

Expansion constraints

What staffing, room, cost, and workflow changes would be needed to deliver more care.

Implementation requirements

What it would actually take to introduce a new service, technology, diagnostic pathway, or model of care.

What’s in it for you?

Costara adapts to the decisions your team needs to make.

Private and specialist clinics

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Understand where clinical time and resources are going, identify bottlenecks, and find practical opportunities to improve throughput, staffing, pricing, and clinical care.

Useful for general practices and specialist clinics, including dental, imaging, surgical, infusion, and outpatient care services.

Hospitals and publicly funded care teams

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Understand the resource requirements of care delivery, identify bottlenecks, and plan service expansion in a way that protects access, staff capacity, and excellence in care.

Support capacity planning, funding discussions, implementation, and sustainable service design.

Multi-site healthcare networks

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Compare workflows across sites and build scalable cost and capacity models for more standardized, uniform growth across locations.

Gain a clearer view of what works, what varies, and what can be scaled uniformly across sites.

Diagnostics, pharmacies, and medtech teams

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Gain real-world insights on how diagnostics, equipment, pharmacy services, or care models affect workflow, resource use, cost, and capacity.

Useful for diagnostic networks, pharmacy groups, imaging providers, medtech teams, and multi-location services.

Academic and public-sector research teams

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Build pathway costing models, implementation evidence, and interactive tools that strengthen grants, public-sector initiatives, and applied research projects.

Support better-quality insights, stronger economic evidence, and greater impact from funded research.

When Costara is useful

Use Costara when you need better answers before making operational or financial decisions.

You are considering adding a new service or site.
Your clinic is busy, but capacity still feels constrained.
Staff feel overloaded, but the bottleneck is unclear.
You do not know what a service actually costs to deliver.
You need to understand whether a service line is sustainable.
You are deciding whether to hire, expand, reprice, or redesign a pathway.
You are implementing a new technology, diagnostic, treatment, or model of care.
You need evidence for funding, business planning, payer discussions, or internal decision-making.
Your EMR shows volume, but not the true cost or capacity of care delivery.

Where clinical reality meets financial clarity

Costara shows not only where time and resources are going, but what those patterns mean for cost, capacity, staffing, pricing, and expansion.

That is the bridge: from care delivery to better decisions.

Do more, with care.

Improving capacity should not mean pushing clinicians harder or reducing the quality of care. Costara helps healthcare teams find the hidden constraints, resource patterns, and workflow details that shape what they can realistically deliver.

By making those patterns visible, we help teams plan smarter, use resources more intentionally, and expand care sustainably.

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