Microsolve Business IT Insights

Building a Connected Microsoft 365 Workplace for Multi‑Site Care

Written by Dale Jenkins | 23 April 2026 3:30:00 AM

Many multi‑site care providers have “moved to Microsoft 365”, but day‑to‑day work still happens in email chains, shared drives and printed rosters. The result is frustration for frontline staff, higher cyber risk and missed chances to work better across locations. A modern Microsoft 365 workplace is not just a licence decision; it is a deliberate design for how your organisation communicates, stores information and delivers care.

What “Modern Workplace” Should Mean in Care

A modern workplace should give your people a consistent, secure experience whether they are on a ward, in a clinic, working from home or visiting someone in the community. It should also give leaders and regulators confidence that collaboration and data are handled in a controlled, predictable way.

Moving Beyond "We've Got 365"

Many organisations technically have Microsoft 365, but live with inconvenient and poorly-designed infrastructure such as:

  • Unstructured Teams sites that sprawl over time
  • Shared logins on PCs and tablets at nurse stations
  • Inconsistent security settings based on historic choices
  • Local servers that still hold critical files

For multi-site providers, this creates real world problems like slow access to information, duplication of effort, and difficulty onboarding new sites after acquisitions.

What "Good" Looks Like

A well designed Microsoft 365 workplace can:

  • Reduce reliance on local servers across facilities
  • Simplify onboarding when new facilities are acquired
  • Support centralised services like rostering and virtual case conferences.
  • Make it easier to continue care during local disruptions by supporting remote work through managed laptops, thin clients or virtual desktops
  • Provide a single, familiar toolkit for staff with Teams, SharePoint, OneDrive, Outlook and Power Platform.

Public sector guidance, such as the Australian Government’s Aged Care Data and Digital Strategy 2024–2029, confirms the direction of travel: better use of digital tools, safer data handling and more joined‑up care.

Start With Vision, Not Technology

The first step is not technical, it's strategic. You need a clear vision anchored in your organisational goals.

Clarify the Problems You're Solving

Focus on concrete issues such as:

  • Time lost chasing information across sites
  • Inconsistent communication between facilities or teams
  • Limited visibility for managers into activity and risks
  • Compliance gaps in how documents are stored and shared

Talk to people doing the work. Ask clinical, operational and corporate staff what slows them down most and where collaboration and communication breaks down.

Prioritise a Small Set of High-Value Scenarios

Rather than trying to fix everything at once, choose a small number of key scenarios to target such as:

  1. Shift handovers
  2. Incident Reporting
  3. Multidisciplinary case meetings
  4. Remote or virtual consultations

Your Microsoft 365 environment should be designed with the goal of making these tasks simpler, faster and safer. Once you have identified your target scenarios, you should define a few guiding principles, for example:

  • Standard naming and structure for Teams (by site, service or function)
  • Clear rules for when to use email, chat or channels
  • Default storage locations for different record types
  • Guardrails for external sharing and guest access

These principles will inform technical configuration but, more importantly, they will shape behaviours and training. 

Designing Identity, Devices and Data Protection for Multi‑site Care

With a clear vision in place, you can practically design the foundations of identity, devices and data protection.

Identity - One Directory, Clear Roles

Start with identity as the control plane.

  1. Standardise on a single directory (typically Microsoft Entra ID) for all staff, contractors and visiting clinicians, synced with an on‑premises Active Directory where needed

  2. Define role‑based groups aligned to real jobs such as registered nurses, care workers, practice managers, allied health, or administration.

  3. Use these groups to drive app access, Teams membership and Conditional Access policies.

Multi‑factor authentication (MFA) is non‑negotiable wherever systems handle resident or patient data. Pair MFA with modern authentication and Conditional Access to enforce stronger checks when users sign in from unmanaged devices, risky locations or outside your normal hours. Microsoft’s documentation on disabling legacy Basic authentication in Exchange Online at Disable Basic Authentication is a key reference as you harden mail and collaboration.

Devices - Design For The Realities of Care

Device experiences should reflect how people actually work.

Shared devices such as nurse station PCs and tablets need fast, reliable sign‑in/out flows with minimal click‑load, so staff don’t leave sessions open in frustration. To accomplish this, you should use shared device mode, kiosk profiles and app protection policies to ensure that when someone signs out, their session is cleaned up and ready for the next user.

Microsoft’s guidance on shared devices for frontline workers at Shared devices for frontline provides tested patterns for iOS, Android and Windows.

For staff with dedicated laptops, it's imperative to emphasise compliance and productivity. This comes in the form of device encryption, consistent patching, local admin removal, and integrated tools like OneDrive Known Folder Move to protect files automatically. Where appropriate, consider thin clients or cloud desktops in high‑risk or constrained environments as this centralises data and simplifies support across multi‑site estates.

Data Protection: Built-in, Not Bolted On

Data protection should be embedded into your infrastructure rather than added on as an afterthought. Some practical steps include:

  • Using sensitivity labels to classify documents (for example, Clinical, HR‑Confidential, General)
  • Applying policies that control sharing, printing and external access.
  • Standardising storage in SharePoint and Teams rather than personal drives so information follows roles and teams, not individuals.
  • Implementing backup and retention strategies that meets your clinical and legal obligations, recognising that Microsoft 365's in-built features should be supported by dedicated backup solutions
We cannot overstate the importance of tested backups as part of a broader security posture. 

Rolling Out & Governing your Modern Workplace Over Time

A modern workplace programme is a long-term change in how your organisation communicates and manages information. It's not a one‑off project. The modern workplace reshapes daily habits for staff, leaders and support teams. To make that change stick, you need a structured rollout, supported by training and clear governance, rather than a big‑bang technical switch‑over.

The Roll-Out

The most effective way to start is with a pilot group that geniunely reflects your organisation's diversity. Choose one or two facilities and include a mix of clinical and non‑clinical staff so you can get an accurate representation of how the new tools work across different roles. Within that group, identify a handful of "champions" who are willing to give honest feedback on what does and does not work.

Use this pilot to refine Teams structures, naming conventions, device profiles and support materials. Measure key indicators such as login time, usage of Teams vs email, and the rate of support tickets for access and file‑sharing issues. Once staff are comfortable and confident with the pilot features, scale roll‑out in waves by site or function, aligning cutovers with training and quiet operational periods. Provide concise, role‑specific learning materials such as short videos or one‑page guides on common tasks such as checking rosters, joining a telehealth consult, or accessing a policy document. Finally, make the modern workplace part of your onboarding so new staff expect Microsoft 365 tools from day one.

Governance that is simple but active

Strong governance keeps your modern workplace tidy and secure without becoming a burden. A practical approach is to establish a small digital workplace steering group with representation from operations, clinical leadership, IT and HR. This mix ensures that decisions balance safety, usability and workforce needs. 

Governance is not a one-time exercise. This group should regularly review activity reports, storage growth and security incidents, and adjust governance accordingly. Decisions should stay aligned with broader sector direction and regulatory expectations, including current data and digital strategies for care. When governance is simple, active and well‑communicated, staff can focus on their work, confident that the digital environment around them is being looked after.

Align your decisions with sector guidance such as the Aged Care Data and Digital Strategy 2024–2029, summarised at About the Aged Care Data and Digital Strategy.

Measuring Impact and Partnering for Success

Finally, don’t neglect measurement as it keeps the programme grounded in outcomes rather than in the technology itself.

Useful measures include:

  • Adoption: active Teams usage, files stored in SharePoint vs legacy shared
  • Security: MFA coverage, device compliance, phishing simulation results
  • Experience: staff satisfaction, time‑to-onboard new staff or new sites

Over time, you can build on these foundations to enable features such as integrated care pathways across sites, dashboards for facility and organisational performance, and better collaboration with community and specialist partners.

If internal capacity is limited, partnering with a provider experienced in Microsoft 365, modern workplace and regulated care environments, like Microsolve, can accelerate delivery and reduce missteps. The combination of sector expertise, structured vCIO engagements and hands‑on implementation support often makes the difference between a stalled rollout and a modern workplace that quietly underpins every shift.