Riley Farley 
By implementing RealTime-Devana Enterprise, Exigent established a centralized system for managing trial opportunities from intake through site selection and activation, enabling more efficient site coordination, improved visibility, and structured engagement across participating sites.
This edition presents findings from a survey of clinical research professionals across independent sites, multi-site networks, and large site organizations (11+ locations). Respondents shared how they manage trial start-up, operational oversight, and performance visibility today, and where the most significant operational gaps remain. The findings establish practical benchmarks for site networks and multi-site operations, with expert insights and actionable guidance to help research leaders close the gap between where operations are today and where they need to be.
The operating model for clinical research is shifting. Protocols are becoming more complex — more endpoints, more procedures, more oversight. In tandem, clinical research site networks and multi-site organizations are scaling rapidly, expanding across more studies, more sites, and more complex portfolios. But execution hasn’t kept pace. While trial complexity has accelerated, operational visibility has not. For sponsors and CROs, … Read more
To address challenges as their operations scaled, Javara expanded its use of Devana by implementing Devana Analytics to transform operational data into executive-level intelligence. By leveraging data already captured within Devana, leadership can now access real-time dashboards that provide a clear, consolidated view of portfolio performance.
Watch the Replay: The eClinical Command Center: Rethinking the Research Operating Model for AMCs and Hospitals Most Academic Medical Centers (AMCs) and hospital-based research organizations don’t lack technology. They’re operating in environments where that technology was never designed to work together. Over time, research operations have been built around tools that are familiar, accessible, and often free. Individually, these tools work. But … Read more
Clinical research sites rarely struggle with opportunity. What they struggle with is capacity. Clinical research coordinators (CRCs) are buried in regulatory binders, monitors occupy office space for days at a time, and the sheer volume of manual transcription creates a hard ceiling on growth. A site may have the investigators, the patient population, and even … Read more
As clinical research site networks grow, one issue consistently rises to the top: the financial reporting inside their Clinical Trial Management System (CTMS) isn’t built for scale. Many organizations begin with a basic CTMS, but as sites expand across locations, sponsors, and complex protocols, financial complexity increases, and system limitations become glaringly visible. This is why more multi-site … Read more
In multi-site clinical research, data rarely lives in one place. What organizations call a “system of record” is often a patchwork of tools that capture only fragments of operational truth. Leaders may believe they have a system of record because they use a CTMS, shared drives, dashboards, or project boards. In reality, most organizations operate with multiple partial systems … Read more
Why integration alone fails in enterprise clinical trials, and what AMCs, hospitals, and health systems need instead Academic Medical Centers and large health systems have invested heavily in research technology, especially over the past decade. Most operate with electronic data capture systems, regulatory document repositories, Clinical Trial Management Systems (CMTS), financial platforms, and internal collaboration tools. From … Read more
Why academic and health system research organizations are rethinking “free” platforms Most Academic Medical Centers, health systems, and hospitals don’t lack technology. They lack a unified operating layer governing research execution. Over time, research operations are stitched together from tools that are familiar, accessible, and often free: Systems like REDCap for data capture SharePoint for document management Email for coordination Spreadsheets for … Read more
