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

Categories

Solutions

Description

Product Description:
  • The Praia Health Identity and Engagement Platform is a managed Platform-as a-Service offering for health systems that enables high value, identity-driven digital experiences that engage and re-engage consumers with their health—before, during and between episodes of care. The solution enables health systems to own and leverage patient relationships, personalize their consumer experiences, and optimize and extend their operational model.



    The platforms’ Identity-Driven Personalization Services create, verify, authenticate, and manage robust consumer profiles that extend beyond the medical record—securely combining data and preferences across the consumers’ health ecosystem. These extended consumer profiles enable highly personalized recommendations—including health system transactions, services, and programs specific to each individual consumer.



    Our Consumer Experience Products and Services streamline the delivery of health-system branded signed-in experiences that fully utilize the power of the platform. Extend your existing custom web or mobile apps, or build new applications that utilize the Praia Health Platform, all via our Praia Health Platform API.


    The platform’s Ecosystem capabilities enable a health system to leverage their existing internal and 3rd party technology investments and take advantage of market-driven innovative solutions. The platform includes integration of the EMR and basic clinical services and can be expanded to support additional solutions for care delivery, population health, marketing, clinical trials research, wellness, revenue cycle, health plan solutions, care at home and more.



    New consumer insight will be realized through our Analytics and Insight Capabilities. The product is fully supported through our robust implementation, transition, and post-launch Service and Support offerings.



    By digitally engaging consumers in their personal health journey and then seamlessly connecting them to individualized services, support and resources, the Praia Health Identity and Engagement Platform creates and operationalizes a digital health flywheel—algorithmically driving net new direct and indirect revenue through recommended actions and operational efficiencies through self-service capabilities.
About Praia Health:

Praia Health removes barriers to care by digitally connecting health consumers to the services, products, and resources they need. The platform is anchored by patent-pending identity and profile technology that creates better experiences for patients by seamlessly connecting fragmented data sources and point solutions.

Product Description:

ReferralMD delivers proven solutions for Digital Front Door, eConsults, Referrals, Faxing and Marketing that help hospitals, health systems, networks, and payers streamline the referral process, decrease patient leakage, and improve communication between providers and patients. 

>>> HOW WE HELP <<<

Digital Front Door

  • Patient Access Tools
  • Patient Scheduling
  • SmartCHAT Patient Intake
  • Patient Communications

eConsults & Referrals

  • Consult Management
  • Referral Management
  • Prior Authorizations
  • SmartFAX Management

Marketing & Services

  • Marketing CRM
  • Advanced Analytics
  • Professional Services
  • SmartEXCHANGE Integrations

>>> WHO WE HELP <<<

Health Systems/ACOs/DSRIPs/CINs

  • Reducing patient leakage through SmartMatch decision support and real-time analytics
  • Standardizing and streamlining the referral management process across the organization
  • Driving operational efficiencies and allowing referral teams to scale more efficiently

PCPs/FQHCs/Dental Practices

  • Matching patients with appropriate providers using SmartMatch decision support
  • Closing the feedback loop with specialists and reducing phone calls and faxes
  • Increasing patients LTV to ensure they are not lost to competitors after referrals are sent

Specialty Care Organizations

  • Increasing referral volume and capturing more revenue using CRM and marketing tools
  • Improving customer service with referring providers through automated status reports
  • Managing referral network and gaining insight into referral patterns using analytics 
About ReferralMD:

ReferralMD delivers proven solutions for Digital Front Door, eConsults, Referrals, Faxing and Marketing that help hospitals, health systems, networks, and payers streamline the referral process, decrease patient leakage, and improve communication between providers and patients. The enterprise platform matches patients with the most appropriate providers and closes the feedback loop between providers and patients. The solution’s powerful workflow and clinical decision support tools help healthcare providers increase revenue, drive operational efficiencies, and improve customer service. To learn more about ReferralMD, please visit www.getreferralmd.com.

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:

With over 40 use cases launched or in development, Praia strives to create specific ways consumers needs are met by orchestrating how health is organized specific to people needs. Our categories include:

  • Care Delivery
  • Population Health
  • Access & Navigation
  • Patient Experience
  • Marketing
  • Clinical Trials & Research
  • Health Plan
  • Care at Home
  • Wellness
  • Revenue Cycle
  • New Business Offerings (e.g. Concierge)

Pediatric use cases:

None provided

Users:

Health consumers, patients

Description:
  • Improve patient access through online provider directory and scheduling
  • Improve visibility of provider affiliations across the network and reduce leakage
  • Close the feedback loop, improve loyalty, and increase revenue from referring providers
  • Triage and match patients with the best providers with clinical decision support checklists
  • Communicate with online messages and consults versus fax or phone calls on hold
  • Reduce lost referrals due to improper handling, poor workflow, or antiquated e-fax technology
  • Acquire and retain patients with provider relationship management software (CRM)
  • Reduce no-show rates and improve engagement through automated patient communications
  • Connect different EMRs using ReferralMD as the bridge for interoperability
Pediatric use cases:
  • Pediatric providers can send or receive referrals and communicate with referral partners and patients via the platform.
Users:
  • Care coordinators, referral coordinators, authorization processors, schedulers, marketing representatives, physician liaisons and managers log into ReferralMD. 
  • Clinicians stay within their respective EHR systems since data is exchanged via EHR integrations.

EHR Integrations

Integrations:

Patient portal

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Cerner

Hardware Compatibility:

Not applicable

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, ERP system, Pop health platform, Home health, Community based organizations, ADT, Access +/or revenue cycle, Credentialing, Website / public online sources, Other

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, Other, Allscripts/Eclipsys, Athenahealth, Azalea Health/Prognosis

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized)

Client Types

None provided

Differentiators

Differentiators vs EHR Functionality:
  • Unlike EMR portals that only engage patients, Praia also enables engagement for services and programs outside of the EMR

  • Praia's identity services is managed at the Health System enterprise level allowing the health system to federate with the EMR and all other digital or platform application through secure sign on protocols.

  • Praia's personalization intelligence powers logged in users to have an n of 1 experience vs. the same experience that EMR portals provide. The adoption and ongoing engagement is higher with this function.
Differentiators vs Competitors:
  • Unlike traditional identity solutions Praia manages identity across the consumer health ecosystem both independently from and integrated with the health system’s EMR. Praia creates, verifies, and authenticates a consumer profile and combines those accounts with personalized recommendations across the entire care delivery ecosystem

  • Unlike mobile shell or DFD offerings Praia integrates data and digital health solutions into a single experience linked to a single identity layer that dynamically drives personalized experiences based upon what is known about that consumer.

  • Unlike CRMs that offer chort-level personalization for batch marketing campaigns & outreach Praia offers N of 1 personalization delivered algorithmically through consumer apps and web experiences, working either alongside or without a CRM.

  • Unlike messaging & communicaitons offerings that offer SMS outreach based on cohorts Praia systematically engages health consumers through highly personalized system- branded apps and web experiences.

Differentiators vs EHR Functionality:
  • Online Scheduling – new patients can book appointments from your website without setting up an EHR patient portal account
  • Referral Management – website portal for receiving referrals, customized workflow, automated alerts when referrals need attention
  • Patient Communications – automated text/email messages sent to patients triggered at specific steps in the consult or referral journey
  • Provider Communications – automated consult and referral status updates sent to sending providers to close the loop between PCPs and specialists
  • Fax Management – manage all inbound faxes and push faxed referrals into the referral workflow, ability to split faxes into multiple documents
  • Marketing CRM – physician liaisons can document outreach and compare outreach activity with referral volume from their partners
  • Market Research – over 7 million providers pre-loaded which allows you to identify new potential referral partners in your target markets
  • Referral Analytics – comprehensive suite of analytics to report on all your referral metrics (trends, volume, leakage, service levels, outreach, etc.)

Differentiators vs Competitors:

Differentiator 1: All-In-One Platform

  • Some vendors offer patient access, referral management, e-consults or CRMs. Our cloud-based platform offers them all plus the following features.
  • Real-time analytics across the platform
  • Automated workflow and decision support tools
  • Automated feedback loop with referring providers
  • Automated patient communications via text or email
  • Integrated fax management system (port over existing fax numbers)
  • Integrated Customer/Partner Relationship Management (CRM/PRM)
  • Marketing research tools based on a directory of over 7 million providers

Differentiator 2: Rapid Integration Capabilities

  • Our integration engine allows our Integrations Team to quickly deploy system interfaces using APIs, FHIR, HL7, Direct, etc. which is important when implementing the platform for health systems, ACOs and CINs with many EHRs, data warehouses and other third-party systems across their networks.  
  • In addition, we comply with the third-party system’s specifications rather than asking the vendor to follow our requirements which streamlines the integration process and reduces cost for the client. 

Differentiator 3: All Healthcare Referrals Supported

  • The system is highly configurable and can support all healthcare referral types such as medical, specialty care, therapy, imaging, dental, behavioral health, hospice, home care, etc.  
  • The customization in the system allows clients to define their own workflows, referral forms, patient communication templates, and other settings that can be standardized across the organization.

Keywords

Images

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Praia Health Flywheel.JPG

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ReferralMD eConsults _ ConferMED.jpg

Videos

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ReferralMD - Referral Management Solution.mp4

Downloads

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PraiaHealth-Customer&PartnerBackgrounder-FINAL.pdf
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ReferralMD+Data+Sheet.pdf

Alternatives

Company Details

Founded in 2011

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