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Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
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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:

Incubated at Providence, Praia Health orchestrates digital interactions and disconnected point solutions, creating a cohesive experience for consumers spanning both clinical and nonclinical interactions that influence health outcomes. These experiences can be accessed through a single set of account credentials tied to an authenticated user’s personalized profile. Following in the footsteps of other consumer-driven industries, Praia unlocks digital transformation for health systems by managing the heavy lifting and custom integrations required for a frictionless consumer experience. Praia provides health systems with a platform to connect disparate digital programs, services, and tools, allowing them to deliver a more personalized experience, increase conversion rates, and drive system loyalty.

About Praia Health:

Praia Health is the first consumer experience orchestration platform for healthcare, revolutionizing the way health systems engage and retain patients. Incubated at Providence, Praia Health orchestrates digital interactions and disconnected point solutions, creating a cohesive experience for consumers spanning both clinical and nonclinical interactions that influence health outcomes. These experiences can be accessed through a single set of account credentials tied to an authenticated user’s personalized profile. Following in the footsteps of other consumer-driven industries, Praia unlocks digital transformation for health systems by managing the heavy lifting and custom integrations required for a frictionless consumer experience. Praia provides health systems with a platform to connect disparate digital programs, services, and tools, allowing them to deliver a more personalized experience, increase conversion rates, and drive system loyalty.

Product Description:

ReferralMD delivers AI-powered solutions for Referral Management, eConsults, Appointment Management, Fax Management, Patient Scheduling, Intake and Communications, Marketing CRM and Analytics. Our solutions help hospitals, health systems, networks, and payers streamline the referral process, decrease patient leakage, and improve communication between providers and patients. The enterprise platform’s powerful workflow automation tools help healthcare providers drive operational efficiencies, increase revenue, and improve customer service. To learn more about ReferralMD, please visit www.getreferralmd.com..

>>> HOW WE HELP <<<

Digital Front Door

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

Operations

  • Consult Management
  • Referral Management
  • Appointments and Scheduling
  • AI Fax 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 AI-powered solutions for Referral Management, eConsults, Appointment Management, Fax Management, Patient Scheduling, Intake and Communications, Marketing CRM and Analytics. Our solutions help hospitals, health systems, networks, and payers streamline the referral process, decrease patient leakage, and improve communication between providers and patients. The enterprise platform’s powerful workflow automation tools help healthcare providers drive operational efficiencies, increase revenue, 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

Differentiators

Differentiators vs EHR Functionality:
  • Patient portals focus only on EMR-based interactions, while over 50% of a consumer’s journey happens outside the EMR. Praia connects and activates services across and beyond the EMR, giving consumers one seamless digital entry point to everything your health system offers.
  • Patient portals don’t leverage non-clinical data (like interests, preferences, behavior, social needs) to tailor the consumer experience. Praia’s consumer profile and orchestration layer use clinical and non-clinical data to personalize content, offers, and services in real time for a true “n of 1” experience.
  • Patient portals make it costly and complex to integrate 3rd-party tools like virtual visits, bill pay, or community resources. Praia offers a plug-and-play integration framework that reduces IT lift, accelerates deployment/use cases, minimizes costs, and unifies third-party tools into the experience.
  • Patient portals do not allow health systems to customize their portal instance beyond the front-end user experience. All portal users see the same static experience — regardless of who they are or what they need. Praia delivers dynamic, personalized experiences based on user identity, behavior, and context, so the right people see the right content, services, and calls to action at the right time.
  • Patient portals control identity and do not allow for federated ID across systems or digital touchpoints. Praia acts as the identity layer across your digital ecosystem, giving you control over login, data federation, and cross-channel personalization — while still integrating seamlessly with the EMR.
  • Patient portals ds not easily share data or functionality with other digital platforms. Praia acts as a unifying layer across the digital front door, coordinating identity, data, and design across EMR and non-EMR systems for a seamless experience.
  • Patient portals are built for access, not activation. They don’t drive transactions, loyalty, or strategic growth. Praia transforms your digital front door into a strategic growth channel, increasing conversion, retention, and revenue by orchestrating the right experiences at the right time.
Differentiators vs Competitors:
  • The first and only consumer experience platform built within a health system and proven with millions of patients in a short 3 years.
  • The only platform that gives a full view of how a consumer interacts with a health system before, during, and in between visits. (We have the patents and data to prove it.)
  • The most frictionless consumer experience in healthcare, creating greater value across all of your patient facing tools.
  • The most cost effective and efficient orchestration platform to deploy new use cases and point solutions.
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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Experiences in Action

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Videos

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Orchestrating Consumer Experiences

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Downloads

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Company Details

Founded in 2011

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