Catalyst Health Network, an Accountable Care Organization (ACO) with 500,000+ patients and 300+ independent primary care physicians

Overview:

Physician referral processes can become cumbersome when organizations rely heavily on spreadsheets for data management. For this ACO, operations were crippled by spreadsheet usage for referrals that were often placed to non-preferred providers or costly service centers. A single application to access MRI and Imaging referral data became necessary so the ACO can organize its preferred provider network across the user enterprise.

Here’s where this organization struggled:

1. Too many spreadsheets created data inconsistencies
2. Lack of real-time access to enterprise referral data
3. Referral process needed standardization
4. Improved cost management of MRI and Imaging providers

The EMR for this ACO fell short in provider identification and tracking.

Solution spotlight: CareSearch*, C³, myBI

The TAP Innovations platform organized this ACO’s referral data and became the single source of up to date information so staff can easily identify and refer patients within the cost-effective preferred provider network.

Results proved cost management abilities, better patient experiences and consistency in physician referral placement. Also:

• Enterprise imaging search tool replaced manual spreadsheet lookup
• Mobile and web-enabled platform drove better use of referral data
• Enterprise user and security data to monitor referral activity
• Geo-mapping visualization
• Patient texting features
• Reporting and user analytics to prove ROI on application investment

*Custom solution built using the TAP Digital Tools for this organization