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

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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:

Interactive notifications let patients know when they've been referred, book, and get real-time confirmation. Patients can receive automated reminders to finish scheduling a referral on a cadence, depending on the organization's workflows and needs. Patient bookings are integrated directly with the EHR schedule, and providers can be notified when a patient completes scheduling.

Increase rates of referral conversion to completed appointments, cut out the phone tag for staff, and streamline patient acquisition with self-service opportunities for patients.

About Luma Health:

Luma was founded on the idea that healthcare should work better for all patients. Instead of a disconnected experience, where patients are forced to be their own healthcare advocates and provider teams struggle to reach their patients, every point along the care journey should be simple, seamless, and effective. 

Luma’s Patient Success Platform™ empowers patients and providers to be successful by connecting and orchestrating all the steps in the patient journey, along with all the operational workflows and processes in the healthcare ecosystem.

Headquartered in San Francisco, Luma serves more than 650 health systems, integrated delivery networks, federally qualified health centers, specialty networks, and clinics across the United States, and today orchestrates the care journeys of more than 35 million 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:
  • Increase referral-to-completed visit conversion rates by providing actionable scheduling links to patients who have received referrals
  • Automate contact touchpoints for new patients to schedule referral visits
  • Automate process of follow-up and closing loop on outbound referrals to outside clinics
Pediatric use cases:

This workflow is relevant in pediatric care delivery.

Users:

Referring providers

Specialist providers

Patients

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, Ancillary EMR, Patient portal, Pop health platform, Behavioral health, Access +/or revenue cycle, Other

EMR Integration & Relevant Hardware:

Required

EMRs Supported:

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

Hardware Compatibility:

Mobile / Tablet (web optimized), Desktop

Client Types

Awards

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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:

Luma's referral workflows fill a gap left by many EHR systems; the integration of external communication tools with EHR enables end-to-end, closed-loop referrals without the manual phone calls, touch points, and reminders typically required from clinic staff.

Differentiators vs Competitors:

Luma's deep integration, breadth of market-leading platform solutions, and connection across a healthcare organization's tech stack makes next steps delivered to patients and staff more informed and actionable, differentiating our platform from patient engagement and experience vendors.

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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Luma Health LumaBot.pdf

Alternatives

Company Details

Founded in 2008

Founded in 2015

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