Care Continuity Overview

This resource provides a detailed look at solutions designed to help health systems optimize network navigation and referral processes. It addresses the challenges of achieving service line growth, network integrity, and quality outcomes while dealing with limitations such as specialist capacity and market competition. The information outlines a platform that uses AI-driven referral prioritization, smart navigation workflows, and analytics to improve key areas within a health system. The core concepts covered include:

• Enhancing specialist referral optimization to minimize network leakage and maximize revenue capture.
  
  
• Implementing strategies to improve the management of patients referred from the emergency department.
  
  
• Developing programs focused on reducing post-inpatient readmissions through better care coordination.
  
  
• Leveraging artificial intelligence to prioritize referrals effectively and streamline patient access to specialist care.
  
  
• Analyzing the specialist referral process to pinpoint and address sources of revenue loss and suboptimal patient outcomes.