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

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HealthVision
HealthVision

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. ------------------------------ Beyond a tech vendor, we're a data-driven network management and closed-loop referral solution, delivering quantifiable financial impact insights, revenue maximization, and streamlined workflows. From reducing leakage to automating communications, we prioritize efficiency, patient satisfaction, and building high-valued Preferred Networks. Our one-click EHR-integrated solution ensures seamless workflows, including insurance verification, IdealMATCH selection, authorizations, scheduling, and real-time tracking. 

Product Description:

HealthVision, the Intelligent Health Management System, is transforming care across health systems and value-based care organizations. HealthVision is made up of three key components:

*The Intelligent Health Record - what if you could see critical information from hundreds of EHR pages in a one-page patient chart and risk summary that serves the entire care team? HealthVision's Patient Spotlight is an easy to digest health profile and risk prediction tool. The Patient Spotlight helps clinicians make sense of the increasingly unwieldy and unmanageable health data in their EMRs in real-time.
*The Intelligent Workflow Solution - who among your patients will have an unplanned admission in the next 90 days? An ED visit in the next 30 days? The Intelligent Workflow Solution includes smart cohorts and rosters that align your scarce clinical, documentation, and administrative resources with the patients who will benefit the most. 

*The Intelligent Analytics Solution - how do your providers' mortality, hospitalizations, infection rates compare? Can your benchmarking system really match apples to apples? The Intelligent Analytics solution matches your population to others outside of your organization with the same baseline risk results. These precise comparisons are an important way to build trust and momentum among providers. 

About Health Data Analytics Institute:

HDAI is a high-growth, visionary company with innovative solutions that free up clinical time, enhance the provider experience, and support outcomes, efficiency, and economic improvement initiatives for health systems and value-based care organizations. 

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

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:

Continuity of care, care management, and care optimization; clinical operations, clinical performance, pre-visit and pre-surgery planning; post-acute network management; network, market, and financial performance and insights; population health management and value-based care; quality and safety: 

*Embedded EHR predictors enterprise-wide (ambulatory and inpatient settings) 

*Hundreds of predictive models built on HDAI’s baseline risks​ - delivery of baseline, encounter-based risks 

*Ambulatory clinical decision support​ - risk predictions for patients with consult visits to support decisions about the right clinical next step

*Discharge planning​ - evaluating discharge and next-site-of-care decisions, including SNF/HHA performance insights

*Post-discharge follow-up protocols​ - ensuring the highest-risk patients receive an appropriate share of support after discharge​

*Peri-operative adverse event risk management - focus visits around a patient’s areas of highest risk to enable optimization that improves expected surgical outcomes​

*Contracting and network design support​ - sophisticated network analytics to support decisions for provider performance, recruitment, and network optimization

*ACO patient targeting​ - smart cohorts focused on demonstrated areas of highest opportunity to enable high-ROI, precise interventions by care managers​

*Collaborate on diagnostic-grade models​ - partnership between data science teams to leverage new data sets to build diagnostic-grade models 

Pediatric use cases:

None provided

Users:

Clinicians, clinical care teams, and care managers; C-suite executives; Innovation and Quality leaders; Chief Medical Officers; Population Health leaders; Chief Nursing Officers; support/office staff 

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

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

Epic

Hardware Compatibility:

None provided

Client Types

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:

HDAI uses GPT/LLM and AI predictive models to dynamically canvas the EHR to extract, synthesize, and risk prioritize the most relevant information. HealthVision™ allows clinicians to effectively focus on care planning instead of searching the EHR. 

The EHR has changed the way we practice medicine, burdening clinicians with mountains of data and forcing them to spend their precious time in front of computers instead of with their patients. When the healthcare industry first transitioned paper records to electronic, the intention was to have all patient data accessible in one place, alleviating the healthcare system of cumbersome physical storage spaces for medical records and administrative staff to manage it. ​

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However, the EHR has overburdened clinicians with documentation tasks that were once allocated to administrative professionals ​and has clinicians combing through an inordinate amount of disparate and disorganized data to find relevant patient information. 

Differentiators vs Competitors:

HealthVision is the first and only enterprise-wide, AI-powered intelligent health management system and is currently being used by Houston Methodist and other leading healthcare systems and ACOs. The platform has a broad range of capabilities which combined create a unique ability to address healthcare challenges across the care continuum (outpatient, inpatient, post-acute, etc.).

It simplifies information retrieval for clinicians, distilling hundreds of pages and notes for an individual patient in a typical electronic health record into an AI-synthesized one-page, individually configurable view that summarizes a patient’s medical history and granular risk profile. ​

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It allows a health system or risk bearing provider entity to identify and proactively manage patients at high risk of dozens of adverse events and excess utilization, including readmissions, extended length of stay and mortality. ​

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It enables sophisticated performance and network analysis. Using the nation’s largest longitudinal dataset (140 million patients, 0.5 trillion records), we have developed detailed performance profile on every physician and health care facility in the country.​

In addition to running Generative-AI and 100s of predictive models in real-time within the EHR environment, HealthVision is also designed to enable rapid deployment of local institutional models allowing agile and cost-effective real-time implementations of internally developed AI solutions.​

Health Equity

Keywords

Images

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HealthVision, Intelligent Workflows and Smart Cohorts

Videos

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HealthVision Patient Profile

Downloads

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About ReferralPoint.pdf
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Greenwald 2023, RSI State validation

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