In today's complex healthcare landscape, achieving true population health - where every individual receives the right care at the right time - is a challenge. The largest obstacle? Care gaps.
A care gap occurs when a patient has not received a recommended or necessary service based on established clinical guidelines, preventive schedules, or their individual health status. Whether it's a missed annual screening, a lack of follow-up for a chronic condition, or non-adherence to a medication regimen, these gaps lead to poorer outcomes, avoidable complications, and increased costs.
What Are Care Gaps?
Care gaps are not just theoretical; they are quantifiable events identified by comparing patient data against evidence-based protocols (like HEDIS and Stars measures). They can include:
The Power of Proactive Identification
Our platform shifts the focus from reactive treatment to proactive health management. We utilize advanced analytics and machine learning to systematically identify care gaps across your entire patient population in real-time.
Unified Data Aggregation
We integrate and harmonize data from every source—EHRs, claims, labs, and pharmacy—to create a single, comprehensive view of each patient's health journey. This complete picture is the foundation for accurate gap detection.
Advanced Algorithmic Scoring
Our system applies sophisticated algorithms to flag patients who fall out of compliance with key clinical protocols. Instead of generic alerts, we provide prioritized, actionable lists that tell your care team which patient has which gap and how critical it is.
Targeted Intervention Workflows
The goal isn't just to find the gaps—it's to close them. We provide customizable workflow tools that empower your care teams to:
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Segment Patients: Group patients by gap type, risk score, and preferred communication method.
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Automate Outreach: Deploy personalized communication (text, email, patient portal messages) to schedule appointments or educate patients.
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Measure Impact: Track the effectiveness of every intervention in real-time and see immediate improvements in quality metrics.