Strategy and Solutions
The client is a multi-provider health system building a value-based care program focused on improving outcomes for high-risk patient populations. The organization operates across multiple provider groups and care settings, requiring seamless coordination between primary care, specialists, and community resources. However, fragmented referral processes and lack of visibility into referral status created care delays and inefficiencies. To address these challenges, the health system partnered with Zymr.
The health system faced significant challenges in managing referrals across multiple provider organizations. Referral processes were largely manual, with limited tracking and no standardized workflows, leading to gaps in care coordination.
Lack of real-time visibility into referral status made it difficult for providers to ensure timely follow-ups. Many referrals went unacknowledged or delayed, especially for high-risk patients requiring urgent specialist care.
Coordination between referring providers, specialists, and community resources was fragmented. There was no centralized system to manage care coordination tasks or ensure accountability across stakeholders.
Additionally, the absence of escalation mechanisms meant that unaddressed referrals often went unnoticed, impacting patient outcomes and program performance in value-based care initiatives.
Zymr designed and implemented a scalable referral workflow engine that streamlined care coordination, improved referral visibility, and enhanced operational efficiency across the network.
Zymr built an event-driven referral workflow engine tailored to support value-based care programs and multi-organization coordination.
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