Closed-Loop Referrals (Direct + 360X)
Secure, standards-based referral exchange using DirectTrust and IHE 360X, delivering acknowledgments, status updates, and documents across organizations.
Direct Secure Messaging
Modern alternative to fax, replaces fax workflows with DirectTrust and IHE 360X messaging for standards-based referral tracking and closed-loop confirmation.
Post-Acute Placement Navigator
Post-acute placement by managing SNF, HHA, IRF, LTAC, and hospice referrals with live capacity, acceptance status, and transportation tracking.
Social Work & DME Coordination
Manages social work interventions, DME orders, and community resource coordination to ensure a safe, well-supported discharge with no last-minute surprises.
Care Plan Reconciliation (EMR Sync)
Synchronizes external care management plans, notes, and tasks with the EMR plan of care, eliminating duplicate documentation.
Discharge Readiness Board
Real-time, unit and service-level view of discharge readiness with barrier tracking, ownership visibility, and target date management.
Referral Results Reconciliation
Closes the referral loop by ensuring consult notes, imaging results, and attachments return to the originating chart.
Referral Status Updater
Automates referral status transitions and notifications across systems, ensuring consistent communication and visibility throughout the referral lifecycle.
Referral Work Queue Dashboard
Centralized dashboard for managing inbound and outbound referrals, combining specialty queues, ownership visibility, and SLA tracking into one workspace.
Referral Authorization Tracker
Centralized tracking of prior authorization status, expirations, and required attachments, ensuring services stay compliant, billable, and on schedule.
Referral Intake & Triage
Centralized referral intake hub with completeness validation, automated routing, and priority-based triage for faster, cleaner handoffs.
Care Coordination Activity Log
Creates a comprehensive, auditable record of patient contacts, interventions, and outcomes across programs and service lines.
Population Outreach Dashboard
Unifies chronic and preventive care cohorts into actionable worklists, helping teams close gaps and document outreach efficiently.
Care Coordination Referral Bridge
Connects care coordination and referral management systems for seamless, closed-loop handoffs and shared accountability.
Post-Discharge Outreach App
Engages patients after discharge through mobile and web touchpoints for symptom checks, reminders, and coordinated follow-up.
Care Coordination Messaging Console
Secure, task-aware messaging workspace that connects care teams, community partners, and payers across the continuum.
Social Determinants Assessment Hub
Connects patients to community resources by capturing SDOH screenings, routing referrals, and tracking outcomes across partners.
Readmission Prevention Dashboard
Helps care teams spot high-risk discharges early, coordinate outreach, and close the loop on follow-up care before readmission happens.
Care Plan Collaboration Hub
A shared, digital care plan that unites providers, payers, and patients around the same goals, actions, and progress updates.
Care Transition Tracker
Keeps eyes on every patient as they move between inpatient, outpatient, and post-acute settings, ensuring follow-up, continuity, and fewer readmissions.
Care Coordination Worklist Console
Console that gives care coordinators and transition teams one place to track every patient, task, and follow-up, across service lines, facilities, and roles.
Pharmacy-Driven Discharge Meds Recheck
Coordinates pharmacist verification, counseling, and documentation for discharge prescriptions using EMR-side worklists and structured hand-off logic.