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Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Differentiators
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Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details
ReferralPoint
ReferralPoint

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Categories

Solutions

Description

Product Description:

Establish Networks
Our data ingestion platform can consume internal and external claims, quality data, and other relevant insights such as patient access or provider loyalty data that allow you to then rank specialists and facilities using a custom weighting method by service line. Our clients leverage this intelligence to build custom referral networks. Examples include a network for value-based care, an owned provider network, an affiliated network, or building networks for community-based resources.

Auto IdealMATCH
Leverage Network Intelligence data at the time of referral. Coordinators are prompted to select the most appropriate specialist for the patient based on insurance, quality outcomes, costs, location, and patient preferences. IdealMATCH is integrated into Epic so it doesn’t disrupt the existing workflow.

Auto Prior Authorizations & Scheduling
ReferralPoint is able to automate a large portion of the referral notification and prior authorization process then enables automated scheduling capabilities based on the workflow of the practice (by patient, by staff, in real-time).

Auto Closing the Loop
ReferralPoint supports closing the patient care loop between the primary care provider and specialist while tracking each step from referral order to a closed loop regardless of the referred-to providers EHR. Once a referral option is selected, ReferralPoint automates communication (SARA) with the patient to guide them along the journey then updates the status of each referral - including automated reminders, follow up, and even feedback surveys which can be used to update the scores of each provider. Because our solution is built on a data ingestion engine, we can close the referral loop a number of ways including engaging the patient, faxing the specialist, analyzing claims or receiving ADT feeds.

About ReferralPoint:

ReferralPoint is the leading expert in referral management solutions for health systems, medical groups, and payers looking to reduce leakage, increase revenue and savings, improve efficiency, and enhance patient satisfaction. ReferralPoint uses data and automation to alleviate staffing challenges while supporting fee-for-service and value-based care initiatives.

Product Description:

Care Continuity's Inpatient Post-Discharge Patient Navigation solution leverages technology and targeted patient outreach to increase inpatient attachment rates for follow-up care, improve utilizaiton of your provider network, reduce inpatient readmission rates, and provide actionable intelligence on the strength of your provider network. 

About Care Continuity:

Founded in 2014, Care Continuity provides expert patient navigation solutions that are designed to bridge gaps in healthcare, providing seamless transitions between care settings, reducing network leakage, and promoting optimal health outcomes and patient satisfaction. Through a combination of advanced software, AI and a dedicated team of care concierges, we help guide patients through their care journey while maintaining the integrity of the health system network. This translates to greater patient satisfaction, better health outcomes, and increased margins for our clients.

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Product Capabilities

Care Continuity's software solution support bi-directional integration with the ability to ingest applicable data from a health system's EHR, as well as repopulate any applicable system post-navigation.

All of Care Continuity's systems meet HIPAA requirements and are HITRUST r2 Certified.

Care Continuity's software solution is designed to handle hospitals and health systems of any size. Today, Care Continuity works with a number of the largest health systems in the nation, medium-sized systems, and standalone institutions.

Care Continuity's patient navigation platform is equally proficient in both FFS and value or risk-based arrangements. Our product and software development teams boast decades of experience in the healthcare industry with a specific focus on patient navigation and provider network management.

Use Cases

Description:

Ideal partners look to automate, streamline, and track outbound referral processes for [de]centralized referral/care coordination teams all from within EHR workflows.

Pediatric use cases:

None provided

Users:

ACOs, CINs, Payers, Health Systems, FQHCs, Provider Groups

Description:

A health system is struggling to reduce inpatient readmissions which is negatively impacting their Star ratings. The system believes the readmissions are avoidable if discharged patients attended necessary follow-up and speciality appointments in a timely matter. However, with the data they have, it is difficult to segment their readmission issues by service line, discharge diagnosis, and facility/clinic. 

By leveraging Care Continuity's Inpatient Post-Discharge Patient Navigation services, the health system was not only able to reduce readmissions through better navigation tactics, but they also unlocked valuable insights into network performance. 

Pediatric use cases:

None provided

Users:

Medium to extra large health systems

EHR Integrations

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, Pop health platform, Community based organizations, ADT

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Athenahealth, NextGen, Allscripts, GE, eClinicalWorks, Meditech, Epic

Hardware Compatibility:

None provided

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, ERP system, Patient portal, Pop health platform

EMR Integration & Relevant Hardware:

Required

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, McKesson

Hardware Compatibility:

Not applicable

Client Types

None provided

Differentiators

Differentiators vs EHR Functionality:

We ingest your patients, claims, and 3rd party data

Differentiators vs Competitors:

More than just a referral app...we're a Data Driven, Fully Automated, Referral Strategy Platform that allows you to:  

1. Analyze Referral Trends over three year look-back to reduce leakage, cost, improve care quality and patient experience

2. Optimize Preferred Networks with provider scoring, patient-provider matching, and actionable insights into gaps and opportunities

3. Automate Referral Workflows with provider selection, scheduling, patient communication, and closing the loop all from within your existing EHR workflow

Differentiators vs EHR Functionality:

Leading EHR functionality takes a very basic approach to patient navigation. When utilized, the EHR prioritization queue is binary, labeling every patient as urgent or non-urgent. Instead, Care Continuity not only expands the total number of evaluated data points needed to properly prioritize a patient, but Care Continuity also expands the priority listing to 10 levels, allowing for a more nuanced and tailored navigational experience. 

In addition, the EHR functionality requires the health system to staff a team of navigators. Unfortunately, this largely non-clinical function is staffed by clinical staff, severely hampering their ability to work at the top of their license. 

Care Continuity pairs their purpose-built software with a team of trained, non-clinical concierges who are experts in patient experience and proper navigation.

Differentiators vs Competitors:

With more than a decade of experience working with the nation's leading health systems, Care Continuity has had the honor of navigating millions of patients through the healthcare continuum. 

Leveraging purpose-built software with proprietary algorithms designed to efficiently navigation patients, Care Continuity can provide a customizable, high-ROI solution for health systems of any size.

Keywords

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Sample Inpatient Post-Discharge Navigation Dashboard

Videos

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Company Details

Founded in 2008

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