With more than a decade of experience and over two million patients navigated for the nation’s leading health systems and healthcare organizations, Care Continuity has revolutionized how patient navigation programs are designed and administered.
Combining purpose-built software, cutting-edge AI, and advanced machine learning models that optimize outcomes with expertly trained patient navigators, Care Continuity outperforms traditional patient navigation methods by 3.5x.
The outcomes of a Care Continuity patient navigation program positively impact patient experience metrics and health system operations. In addition, navigating patients with Care Continuity produces a suite of data dashboards that unlock insights into your network, providing the intelligence needed to make strategic decisions.
Care Continuity’s software was developed to meet the complexities of patient navigation in the modern healthcare landscape. Leveraging real-time data integrations combined with artificial intelligence and machine learning, Care Continuity’s software greatly improves the operational efficiency of patient navigation, allowing health systems to successfully navigate 3.5x more patients than through traditional methods.
Navigator Workflow is a patient-centered navigation module that aligns your organization’s patient navigation goals (e.g. readmission reduction, service line growth, etc.) with the optimal navigational path for each patient. Unlike native navigation functionality in your EMR, Navigator Workflow transforms a complex patient journey into a series of discreet steps.
We recognize that every health system has a unique mix of patient care resources, such as telehealth, nurse helplines, urgent care clinics, FQHCs, and digital tools to complement primary and specialist care. Workflow activates your care network resources and aligns navigation workflow to improve patient flow to the right care setting at the right time.
By combining Navigator Predict with Navigator Workflow, Care Continuity marries patient-centered navigational needs with the organizational goals of the health system to create an effective and efficient patient navigation program that produces measurable results.
The impact of Care Continuity’s software starts with Navigator Predict, the machine learning engine that prioritizes patients for navigation based on your program goals, network dynamics, and patient characteristics. When a patient is discharged from your emergency department, discharged from an inpatient admission, or receives a specialist referral from their PCP, they enter the Navigator Predict pool. Navigator Predict ingests information from the triggering encounter, including patient engagement and clinical history, and details of your provider network dynamics.
These details are combined with over 50 weighted navigation variables and a prediction score is created through machine learning. The prediction score represents a higher confidence for a successful patient navigation. Meaning, a higher score is a patient most in need of navigation and most likely to engage with navigational help. The patients then enter into the appropriate queue based on their prediction score.
While all patients who enter the Navigator Predict pool receive navigation, the prediction score allows for better prioritization and better program results for your health system.
Care Continuity’s software is supported by a team of expertly trained patient navigators who work as an extension of your care team, taking the non-clinical tasks around appointment scheduling, arranging transportation, and routine post-discharge communication, allowing your clinical care management teams to operate at the top of their license.
The Care Continuity team of patient navigators work directly with your patients and their caregivers to assist with appointment scheduling and address other coordination needs to remove barriers to post-discharge care plan compliance. Your navigation team is a bridge between your aligned network of primary care and specialists and your patient, making care coordination seamless and streamlined while reducing patient outmigration.
Care Continuity’s real-time analytics and data-driven insights provide our clients with a comprehensive and actionable understanding of the strengths and weaknesses of their aligned PCP and specialist provider network. By aggregating and analyzing encounter, navigational, and HIE data along with provider office metrics, we can provide actionable information on why patients seek care outside the aligned network, which referrals lead to downstream care, whether your network is optimized to reduce readmissions, etc. This allows our clients to assess network adequacy, evaluate provider performance, and optimize referral patterns.
Navigator Insight is a suite of interactive data dashboards that provide in-depth, actionable analytics that help guide health system leaders in their strategic initiatives.
Dashboards that can be found within Care Continuity’s Navigator Insight include ED Network Leakage, Post-Discharge Readmission Performance, Specialist Provider Performance, Procedure Throughput Performance, and more. Data points in Navigator Insight include appointment completion rates, median time to appointment, employed vs. affiliated percentages, appointment-to-procedure rates, procedure locations (in vs. out of network), and more.
5525 N. MacArthur Blvd.
Suite 610
Irving, TX 75038
