Primary Care providers struggle to stay abreast of all the programs and services available to their patients, let alone the inclusion and exclusion criteria of individual providers. While their charts may include a printable referral template, these documents do not tie into the referral management process, nor the full transition of care. This information gap results in time-consuming followups and longer wait times.
Strata PathWaysTM offers a recommendation engine that searches the catalogue of available services. It then reveals the most appropriate care destinations for the patient. Further, the preferences are based on patient choice, language, distance, and projected wait time. These filters allow the referrer and the patient to make the right decision at the right time. Strata PathWaysTM is a shared source of truth that provides process transparency and bi-directional communication around the transition of care.
Capture Provider Profiles
Strata PathWaysTM applies inclusion and exclusion criteria in recommending the most appropriate services and vacancies for patients. Providers are empowered to identify these, as well as define specific vacancy criteria, as they become available.
Complete Patient Records
Strata PathWays’TM configurable minimum data set ensures complete information gets shared between stakeholders. Role based permissions ensure that only salient information gets presented.
Action the Transition
Primary Care referrers are kept abreast of status changes in the transition process – be it into a vacancy, or towards an appointment or visit.
Reduce Wait Times
Strata PathWaysTM automates and streamlines inefficient manual transitions, ultimately reducing wait times.
Patient Focused Matches
Strata PathWays’TM recommendation engine supplements inclusion and exclusion criteria to fit with patient-focused preferences, such as distance and wait time.
How it Works
1. Determine Patient Needs
- Integrate to existing systems
- Collect information on patients
- Complete assessments
2. Match Client Needs to Available & Appropriate Resources
- Clients care needs are matched against services offered by providers
- Wait times are displayed to assist with decision making
- Multiple factors can be considered (eg Priority, Choice, location, etc)
3. Automate the Referral / Waitlisting Process
- Automate and manage all communication
- Track all referral status’
- Display complete referral lifecycle to all stakeholders
4. Report Outcomes
- Track referral wait times
- Measure service utilization
- Determine & Action process delays
We Research and Assess
Strata Health offers initial process review and design services, to help understand the current state and optimize the future state recommendation. Scoping Studies (as these activities are called) provide crucial insight into the challenges and realities of the clinical workflow. The study also highlights opportunities and risks; which form the basis of tailored benefits evaluation recommendations. While optional, Scoping Studies are encouraged and provide a great forum for familiarizing stakeholders with the impending change.
To maximize the benefits of an implementation, Strata Health can lead design activities with stakeholders, defining the minimum data set, matching criteria, and prioritization framework, etc. As with Scoping Studies, this is optional, but recommended.
Strata Health’s Implementation Specialists configure Strata PathWaysTM based on the agreed upon design, managing iterations and migrations through the various environments.
Wherever possible, Strata PathWaysTM consumes information from, or synchronizes information into other systems. Strata Health’s Data and Integration Team works with stakeholders to optimize interfaces – embedding, as deeply as possible, into their native systems, maximizing the alignment of processes and information, and minimizing data re-entry.
Strata Health’s Implementation Specialists train Super Users and help with on the ground support during go-live. Once live, relationships transition to the Support Desk for incidents and the Client Experience Team for operations.
We Help Sustain
Strata Health’s Data and Integration Team tailors Strata PathwaysTM to provide intelligent analytics and support towards continuous improvement efforts. Strata Health’s Client Experience Team participates in ongoing, post-go-live governance activities, helping to ensure ongoing engagement and collaboration towards the successful use of Strata PathWaysTM.
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Case Studies for Primary Care
Case Study: Resource matching and e-referrals with Palliative Care and Care Homes across Cumbria