Health Outcomes Orchestration
Health Outcomes Orchestration finds the patients who need attention now, sends the next step to a named owner, and records whether the loop closed. Measure logic and workflows are configured to your populations, contracts and care programs, so the work reflects what your organization is accountable for.
Follow-through, recorded
- Food insecurity screen positiveUnknown
- Transportation to dialysisUnknown
- Overdue diabetic eye examUnknown
- Rising risk: 3 ED visits in 60 daysUnknown
- Housing referral placedUnknown
Patients who need attention are identified continuously. The next step goes to a named owner, and whether the loop closed is recorded, so follow-through is visible for each patient identified.
How follow-through is recorded
Follow-through is traceable
Why the patient surfaced, who took the action, and whether the loop closed are all recorded and reportable.
Measure logic follows your contracts
Measure logic is configured to your contracts, populations and care programs.
Identification is continuous
The work reaches an owner while it can still change the outcome.
Documented is not closed
Advance one patient until the loop is actually closed.
Patient surfaces
Next step sent to a named owner
Action taken
Loop closed and recorded
Still open. A registry would call this documented.
Use cases
SDOH screening to closed loop
Rising risk identification and outreach
Quality measure gap closure
Start with your priorities
We'll tailor the session to your priorities and show you the use cases most likely to move the KPIs you're accountable for.
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