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Care Continuity

Care Continuity

Care Coordination

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1 - 10 practices use this product.

Centralized Repository:

Patient-centered, centralized repository which manages encounter level clinical, claims, and HIE data.

Provider Active Care Records:

Record of active care relationships at the population level, the practice level, and the individual patient level (patient centered care team) and Client and Client Affiliated Practices with a mechanism for providers to update their list of patient care relationships.

Chart Access:

Access to and sharing of clinical records received with members of the patient centered care teams aligned with attributes of their ambulatory EMR’s (API, HL7, direct email, or other available techniques) and the preferences of each provider.

Push Based Information Sharing:

Push patient status notifications and clinical records to designated recipient providers as well as automated push of records to meet structured workflows.

Manual Queries:

Ability to query the provider software for patient record and requesting “pull” of that record.

Physician Panels:

Physician panel management tool available to practice administrators.

On-line Enrollment:

Provide on-line enrollment capability with ability to allow participating Client Affiliated Practices to manage their own profiles and associated preferences.


Integrate with exchanges to provide real time patient notifications and status updates to stakeholders.

Referral Management:

Manage physician to physician referral requests including attachment of clinical records and acknowledgement of the referral by the recipient downstream provider.

High Quality Network:

Define multiple levels of network affiliation for each provider to include quality and cost metrics and provide hands-on guidance to referring providers during the referral process.


Reporting and dashboard module for monitoring physician utilization and patient flow metrics across a delivery network

Access Control:

Provide Authorized User restrictions based on patient insurance and filtered views based on patient insurance as determined by access rules established by Client.

Care Coordination, Referral Management
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