In most radiation therapy departments, coordinating care is manual, from booking a new patient to managing every change along the way. Someone messages the ancillary clerk. Someone else adjusts the on-treatment visit. A nurse handles the support services appointment. Each person acts on incomplete information about what the others have already changed. No one designed it this way. It accumulated, appointment type by appointment type, over years of workarounds that each solved a local problem.

A joint venture between two of North Dakota's largest health systems, Bismarck Cancer Center has served patients across the state and a 250-mile radius since 1999. It treats more than 1,000 patients a year with a lean team of radiation therapists, medical physicists, dosimetrists, nurses, and support staff.

When Melissa Klein, Radiation Therapist Manager, and Amy Gross, Executive Director at Bismarck Cancer Center, encountered GrayOS at ASTRO, the reaction was recognition more than discovery: the platform addressed coordination challenges they had been managing manually for years

Bismarck is a focused radiation oncology program, combining radiation therapy with a full range of support services including survivorship, dietitian, massage therapy, tobacco cessation, and social work. When a patient changes, that entire ancillary layer cascades: receptionists search for new slots, CT sim staff and ancillary clerks coordinate separately, and physician follow-up availability tightens further against procedure mornings and outreach commitments. MOSAIQ anchors the clinical operation, and like every OIS on the market, it was not designed to continuously manage those downstream consequences. That coordination layer runs on people.

Gray Oncology Solutions is pleased to announce that Bismarck Cancer Center has selected GrayOS, Gray's radiation therapy operations module, to address these coordination challenges across its clinical and administrative workflows.

GrayOS integrates directly with MOSAIQ, giving the scheduling team a real-time view of patient demand, resource availability, and dependencies across services and teams. It automates and optimizes scheduling across the full appointment continuum (consults, treatments, follow-ups, OTVs, ancillary services, and physician schedule management) replacing Excel-based availability templates with a structured, configurable scheduling layer visible to the entire team.

By deploying GrayOS, Bismarck Cancer Center aims to significantly reduce the administrative burden on its scheduling and clinical staff, and build the operational infrastructure to continue delivering outstanding cancer care to its community. Across deployed centers, GrayOS has reduced wait times by up to 17% and cut administrative scheduling time by up to 80%.

The GrayOS radiation therapy module comes to Bismarck through Gray's partnership with Elekta, whose MOSAIQ platform has anchored Bismarck's clinical operations for years. Implementation is underway, with a full go-live anticipated within the coming months.

Bismarck joins a growing network of radiation therapy centers across North America and Europe where GrayOS manages the coordination layer between clinical systems and daily operations.

For radiation therapy programs managing complex workflows with lean administrative teams, the operational bottlenecks are rarely clinical. They are structural, and they are not solved by adding staff. They require infrastructure built specifically to manage the coordination demands of modern RT operations.

"At Bismarck Cancer Center, our focus has always been on delivering exceptional care close to home. As our programs have grown in complexity, so has the coordination burden on our team. Deploying GrayOS is our investment in giving our staff the infrastructure they need to keep pace, so they can spend more time focused on those we serve."

— Amy Gross, Executive Director, Bismarck Cancer Center

"Radiation therapy programs are managing more complexity with the same administrative infrastructure they had a decade ago. The coordination layer that sits between the OIS and daily operations has never been systematically addressed: it runs on people, workarounds, and institutional memory. Bismarck recognized that, and decided to change it. That is exactly the problem GrayOS was built to solve, and we’re thrilled to partner with Bismarck Cancer Center."

— André Diamant, CEO, Gray Oncology Solutions

To learn more about GrayOS, or to see how it is deployed in radiation therapy environments similar to yours, contact André at andré@gray-os.com.