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James Nakamura

Product Engineer, Trustro.ai

Built scheduling systems at two health-tech startups before Trustro. Obsessed with reducing the number of phone calls a front desk has to make per day.

Articles by James (6)

Operations

Telehealth vs. In-Person Scheduling: Finding the Right Balance

Some visits need a stethoscope. Some need a screen. The hard part is scheduling both efficiently without double-booking rooms, wasting practitioner time, or confusing patients.

June 1, 2026
Switching

Sandbox Testing Before EMR Go-Live: Why It Matters

Every practice that regretted switching EMRs skipped one step: sandbox testing. Three days of testing with your real data catches every formatting issue, workflow gap, and permission error before it touches a real patient.

May 27, 2026
Switching

EMR Data Migration Timeline: What to Expect Week by Week

Most practices think EMR migration takes months. It doesn't. Here's the week-by-week timeline: what happens, who does what, and where things go wrong.

May 26, 2026
Operations

How to Reduce Patient No-Shows with SMS Automation: Data, Costs, and a Step-by-Step Fix

U.S. clinics lose between 5% and 8% of annual revenue to patient no-shows. This guide breaks down the actual cost per specialty, explains why 28% of patients simply forget, and shows how SMS automation reduces no-show rates from 14% to under 3% without adding staff workload.

May 17, 2026
Operations

Front Desk Automation: What Your Receptionist Should Not Be Doing

Your front desk spends 5+ hours per day on tasks that AI can handle: confirmation calls, waitlist management, eligibility checks, and no-show rebooking. Here is what to automate and what to keep human.

May 15, 2026
Switching

EMR Migration Checklist: 14 Days from Old to New

A complete 14-day EMR migration checklist covering data export, import mapping, sandbox testing, staff training, and go-live. Includes what to tell your patients and common mistakes to avoid.

May 13, 2026