Steegle.One Intranet for Google Workspace

AppSheet Case Study

Baptist Hospitals of Southeast Texas

Modernising Physical Record Management as Part of a Google Workspace Transformation

Key Insights:

Record Management
Healthcare Industry
Google Workspace Transformation

Steegle Develops Record Management System for Baptist Hospitals of Southeast Texas

Laptop in a medical office displaying Google Cloud Ready SQL

Google Cloud SQL Integration

Handles large-scale datasets with nearly 700,000 patients and millions of records.

AppSheet Workflow Automation

Provides tailored workflows for record search, tracking, and lifecycle management.

Doctor using a tablet to enter a search query.

Structured Queries

Enables fast, filtered retrieval of specific records, reducing search times from minutes to seconds.

Laptop screen displaying a medical record.

Healthcare Audit Trail

Tracks record transfers, retention periods, and destruction dates systematically.

Doctor holding a laptop, showing the Google Workspace environment directly to the viewer.

Google Workspace Integration

Seamlessly integrated into the hospital’s new environment, requiring no additional infrastructure.

Multi-Site Deployment

Configured for swift rollout across multiple hospitals within the network.

What Baptist Hospitals of Southeast Texas Says About Steegle

Roberta Smith of Baptist Hospitals of Southeast Texas, shares her thoughts on Steegle.

The Challenge: Scale, Speed, and a Hard Architectural Ceiling

Doctor looking at a laptop while waiting for information to load.

Doctor Waiting on Legacy System to Retrieve Patient Records

Search Performance Issues

The most visible symptom of the legacy system’s limitations was search performance. Retrieving historical records often involved cumbersome, multi-step processes, creating unnecessary friction for records teams locating physical files, clinicians requesting documentation, and compliance teams tracking record movement.

Structural Limitations

Beneath the surface, the problem was structural. Anchored to older, rigid architectural paradigms, the system had an inherent performance ceiling. It was not easily extensible and struggled to handle simultaneous requests from multiple users seamlessly. It had simply reached the limits of its original design, lacking the flexibility to adapt to BHSET's evolving needs.

Direct Challenge

The question BHSET brought to Steegle was direct: given that we are moving to Google, can you solve this quickly, within that environment, and without the cost and complexity of building something entirely from scratch?

Archive Scale and Nature

Nearly 700,000 patients and over 2.8 million records accumulated over decades of clinical activity.
Historical physical records including older X-rays and pre-digital patient files, retained for compliance and ongoing clinical reference.

Organisational Context

Whole-organisation migration from Microsoft to Google Workspace, creating both the imperative and the opportunity to modernise.

Doctor ilooking through patient medical files.

Browsing Patient Records to Review Medical History

How Baptist Hospitals of Southeast Texas Used AppSheet to Replace Legacy Records Quickly Within Google Workspace

Photo of the Baptist Hospitals of Southeast Texas building.

Baptist Hospitals of Southeast Texas, Delivering Excellence in Patient Care

Steegle’s brief was clear: deliver a practical solution within BHSET’s new Google environment, quickly and without the overhead of a full custom development project. A bespoke web application would have meant significant upfront investment, new infrastructure, and a timeline measured in months rather than weeks, none of which fit BHSET’s needs.

Instead, Steegle designed a solution that uses Google Cloud SQL to manage records at scale and Google AppSheet to create a tailored application layer. The result was embedded directly into the hospital’s Google environment, required no new infrastructure, and leveraged a platform the organisation had already adopted.

The architecture was designed for the demands of a large physical archive. Filtered queries and structured retrieval ensured the application pulled only the records needed at any moment, keeping performance strong even as the dataset grew.

Steegle’s AppSheet Solution

Steegle’s starting point was not a platform recommendation, it was a thorough understanding of how ZPCal actually operates. That meant mapping the full job lifecycle: how work was dispatched, how technicians captured data in the field, how the back office processed submissions, how pricing was calculated for each client, and where the points of failure were concentrated.

AppSheet and Google Cloud SQL logos side by side.

AppSheet Integrated with Google Cloud SQL

Comprehensive, Scalable System Built Within Google Workspace

Steegle delivered a comprehensive, scalable record management system built entirely within Google Workspace using AppSheet and Cloud SQL. This approach allowed BHSET to modernise its physical archive management without the cost, complexity, or timeline of traditional custom software development.

Seamless Integration and User Experience

The solution provides a unified application embedded directly into the hospital’s Google environment, eliminating the need for separate logins or interfaces. Staff can quickly search and locate records, track containerisation and transfers, and maintain a full audit trail for compliance.

Efficient Handling of Large Datasets

By leveraging Google Cloud SQL, the system efficiently handles the large dataset of nearly 700,000 patients and over 2.8 million records, ensuring fast, filtered queries that keep performance consistent regardless of scale.

Tailored Workflows for Concurrent Access

The AppSheet application layer offers tailored workflows designed around BHSET’s operational needs, enabling multiple users to access and update records concurrently without performance degradation.

Medical doctors examining X‑ray scans together in a hospital setting.

Doctors Having Shared Access to Medical Data

Nurse holding laptop and using mousepad.

Instant Access to Patient Records

Rapid Deployment Across Multiple Sites

This solution also supports seamless expansion across multiple hospital sites, with configuration and replication capabilities that allowed Steegle to extend the system to other hospitals within the network quickly.

Transforming Legacy Systems into Modern Platforms

Overall, Steegle’s AppSheet solution transformed BHSET’s legacy record management into a modern, cloud-native platform that integrates seamlessly with their Google Workspace environment, improving efficiency, scalability, and compliance.

AppSheet Results in Action

The new AppSheet solution transformed BHSET’s operations by delivering significant improvements in speed, integration, and reliability. By embedding the system directly within Google Workspace, staff experienced seamless access to a record management tool without the friction of separate applications.

The solution improved search and retrieval times, enhanced data accuracy, and provided a dependable platform that scales with the organisation’s needs.

Doctor and nurses looking at tablet screen together.

Seamless Record Access for Clinicians

Streamlined Workflow

The legacy, slow, and cumbersome record retrieval process was replaced with a fast, intuitive interface tailored to each user role.

Structured, Verified Data Capture

Records teams and clinicians access verified, structured data that reduces errors and supports compliance.

Real-Time Tracking

Staff can monitor record containerisation, transfers, and destruction status with full audit trails.

Concurrent Access

Multiple users can search and update records simultaneously without performance degradation.

Seamless Google Workspace Integration

The system operates within the hospital’s existing Google environment, eliminating the need for additional logins or interfaces.

Rapid Scalability

The solution’s architecture supports quick deployment across multiple hospital sites within the network.

Improved Compliance

Automated tracking and audit trails ensure retention policies and destruction schedules are consistently met.

Architecture Enabling Streamlined Deployment Across Healthcare Networks

Benefits of Using AppSheet in Healthcare Record Management

Flexibility and Customisation

AppSheet’s no-code development environment allowed Steegle to tailor the application precisely to BHSET’s unique needs, including complex record lifecycle management and audit requirements. This flexibility ensured the system could evolve alongside the hospital’s operational demands.

Scalability for Large Datasets

Handling nearly 700,000 patients and over 2.8 million records required a backend capable of scaling efficiently. Google Cloud SQL, combined with AppSheet’s optimized queries, ensured consistent performance regardless of data volume.

Unified User Experience

Embedding the solution within BHSET’s Google Workspace environment eliminated the need for separate logins or interfaces, fostering user adoption and reducing training overhead.

Doctor tapping on a tablet screen with patient information hovering above the device.

Efficient Access Across Hospital Sites

Doctor holding a pen and pointing at hovering checkmarks.

Trusted Accuracy in Patient Information

Scalable Deployment Across Sites

The architecture supported quick configuration and deployment across multiple hospital sites, enabling BHSET to extend the solution network-wide with minimal disruption.

Enhanced Compliance and Auditability

Automated tracking of record movements, retention periods, and destruction dates ensured BHSET met stringent healthcare compliance standards with full audit trails.

Cost-Effective Modernisation

By leveraging AppSheet and Google Cloud SQL, BHSET avoided the high costs and long timelines associated with traditional custom software development, achieving a modern, reliable system quickly and affordably.

AppSheet Client Testimonial

"As an organisation that had just moved from Microsoft to Google Workspace, it was important to us that any new system sat naturally within that environment. Steegle understood the brief immediately and delivered quickly. The records system they built works the way we work — it’s integrated into our Google environment, it’s practical, and it can grow with us. That’s exactly what we needed."

William Toon

CIO

Baptist Hospitals of Southeast Texas

"Working with Steegle was a very different experience from what I’d expected. They were responsive, they listened to how our team actually works, and they moved quickly. The difference in day-to-day operations has been significant — what used to take several minutes now takes seconds, and we have a level of visibility into record status and location that we simply didn’t have before. It’s made a real difference to how our team operates."

Roberta Smith

Director Health Information Management

Baptist Hospitals of Southeast Texas

Frequently Asked Questions

Why was AppSheet chosen for healthcare record management?

AppSheet is a no‑code application development platform that enables rapid creation of tailored business applications. It was chosen because it integrates seamlessly with Google Workspace and connects directly to Google Cloud SQL, which serves as a secure, scalable relational database. This pairing allows AppSheet to manage and query millions of records efficiently, delivering solutions quickly without the overhead of traditional software development.

How does the system handle large patient datasets?

The system uses Google Cloud SQL as its backend, efficiently managing nearly 700,000 patients and over 2.8 million records. AppSheet’s optimized queries ensure fast, filtered data retrieval, keeping performance strong even as data volumes grow.

Is the system secure and compliant with healthcare regulations?

The system includes full audit trails for record transfers, retention, and destruction, supporting GDPR and HIPAA compliance in healthcare data management. Sensitive data access is role‑based, ensuring both security and privacy.

Can multiple users access and update records simultaneously?

Yes. AppSheet supports multiple users accessing and updating records simultaneously because it connects directly to back‑end data sources like Google Cloud SQL. Changes are synchronized in real time, ensuring that updates made by one user are immediately reflected for others. The architecture is designed for rapid deployment, and Steegle had it configured and deployed within 24 hours for additional hospitals in the network.

Will staff need training on a new interface?

No. The application is embedded directly within Google Workspace, providing a familiar interface and eliminating the need for separate logins or extensive training.

What are the cost benefits compared to traditional healthcare IT projects?

By avoiding custom coding and infrastructure, hospitals reduce development time and costs. The solution delivers scalability and reliability faster and more affordably than bespoke software projects.