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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
PH Exchange
PH Exchange

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Categories

Solutions

Description

Product Description:

Powered by advanced AI and machine learning, Care Continuity’s Specialty Referral Optimization solution allows hospitals and health systems to better prioritize the patients for navigation based on their clinical needs as well as their likelihood to engage and accept navigational assistance, leading to more effective and efficient patient navigation teams.

When a specialist referral is initiated, our Navigator Predict ingests information about the referral, including the clinical history and demographics, as well as details of the health system’s network dynamics and objectives (e.g., social determinants of health, readmission risks, service line capacity, etc.) 

 

The referral details are combined with more than 50 weighted navigation variables to prioritize patiens for navigation and to curate a navigational pathway customized for each patient's care journey.  

Our software is supported by a team of trained patient navigators that do the navigating on your behalf or complement your inhouse team of navigators if needed.

Finally, we provide curated data dashboards provide key insights into the strength of your provider network giving actionable insights into appointment logjams, leakage/outmigration points, and opportunities for improvement.

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.

Product Description:
One of the big challenges faced by healthcare organizations is the technology divide. How do you work efficiently with practices that aren’t on –the same EHR or even with internal departments that use incompatible legacy systems? PH Exchange makes it easy to communicate seamlessly, securely and affordably across disparate systems, regardless of the technology or paper-based processes used. Our HIPAA-compliant, web-based solution acts as an EHR companion to each system used by members of a healthcare community. We provide an electronic bridge that makes it simple to exchange clinical information securely online – speeding communication, eliminating delays in patient care and reducing costs. PH Exchange is most often used to automate patient referral workflows. But it can also be used to solve a wide range of information management challenges – from collecting reporting data to arming affiliated field workers with an easy way to capture, submit and share notes on patient visits.
About Proficient Health:
Proficient Health offers an integrated suite of solutions specifically for the healthcare industry, to support referral management needs for Accountable Care Organizations (ACOs), Clinically Integrated Networks (CINs), both large & small health systems, children’s hospitals and payers. Our solutions can work together seamlessly for organizations seeking a fully integrated approach, or as standalone solutions for those seeking to solve specific challenges now and grow from there. We’re setting new standards by offering solutions to connect your entire care community from hospitals and health systems to individual providers on the go. Understanding the importance of collaboration in healthcare, our solutions work hand-in-hand with an organization's existing EHR and disparate EHRs. Proficient Health drives: - Better communication & care coordination among providers (both in the inpatient and outpatient settings) - Streamlined patient referrals & consults - Better patient care - Improved operational efficiencies - Enhanced in-network optimization - Reduced costs for both healthcare providers and patients

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:

Leveraging AI & machine learning allows us to prioritize which patients to contact first based on their predicted

utilization patterns, potential for necessary downstream procedures, and the increased need for specialty care. Through prioritized engagement and outreach, 90% of patients needing a new PCP are getting their next appointment scheduled within seven days of discharge. 

By prioritizing the patients with greatest need, we’ve seen a 25% reduction in median time to appointment for new specialist relationships. Patients with the highest likelihood of needing downstream high-margin procedures were all seen within 14 days of discharge.

Streamlining how we priortize patients for navigation also results in improvements in throughput and capacity. By applying smarter, iterative models, one client has seen a 90%

growth in patient visits (and double the profit margin), 142% more visits than would have occurred without navigator intervention and 3x the volume of same day surgeries, resulting in an increase in higher margin procedures.

Pediatric use cases:

None provided

Users:

Medium to extra-large health systems

Description:

Proficient Health streamlines access, communications, and workflows across provider communities delivering data and insights that improve patient outcomes and optimize financial performance.

Pediatric use cases:

None provided

Users:

ACOs, CINs, Hospitals/Health Sytems, Children's Hospitals

EHR Integrations

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

Integrations:

Acute care EMR, Ambulatory EMR

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

Not applicable

Hardware Compatibility:

Not applicable

Client Types

Differentiators

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.

Differentiators vs EHR Functionality:

We are an EHR companion. 

Differentiators vs Competitors:

None provided

Keywords

Images

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Sample Referral Dashboard

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Videos

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Downloads

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Care Traffic Control for Your Health System
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PH Exchange Overview.pdf

Alternatives

Company Details

Founded in 2008

Founded in 2008

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