Identifying High-Risk Individuals Across Care Settings for HIEs
HIE participants generate constant care events, but without real-time visibility, high-risk individuals go unseen and chances to intervene are missed.
Data Exchange Alone No Longer Meets the Need
HIEs were built to move data between organizations. Participants now expect more: real-time care collaboration that flags high-risk individuals and coordinates action across settings. Care happens across disconnected providers, and retrospective claims arrive too late. PointClickCare turns care events into actionable intelligence, with real-time alerts, cross-continuum visibility, and risk identification that help participants close gaps and cut avoidable utilization.
Why Individuals Slip Through the Network
Disconnected
Care Data
Care across multiple settings creates information gaps that delay timely intervention.
Retrospective
Data
Retrospective data slows population health intervention, limiting action during ED visits and care transitions.
Population Health
Demand
Providers, payers, and state agencies increasingly rely on HIEs for real-time exchange and coordination.
Limited
Resources
Difficulty prioritizing outreach for high-risk individuals leaves care teams unsure where to focus first.
Public and Population Health Outcomes for High-Risk Individual Visibility
Address lack of actionable population health intelligence for HIEs with real-time insight, risk identification, and cross-continuum visibility.
Additional Solutions for High-Risk Individual Visibility
PAC Management IQ
PAC Management IQ gives participating organizations real-time visibility into post-acute transitions and utilization. HIEs can support smoother handoffs between hospitals and post-acute providers, identify readmission risk earlier, and coordinate across the continuum to reduce avoidable readmissions.
Product Capabilities:
Post-acute network visibility to track where individuals go after discharge
Transition-of-care insight to support coordination between settings
Readmission risk identification to prioritize follow-up
Cross-continuum coordination across hospital and post-acute providers
Emergency Department IQ
Emergency Department IQ helps reduce avoidable utilization from delayed care coordination with real-time ED visibility, high-utilizer insight, and coordinated outreach.
Product Capabilities:
Real-time visibility into ED encounters as they happen across participating organizations
Identification of high utilizers who may benefit from targeted outreach
Coordinated follow-up after acute events to support timely intervention
Utilization trend analysis across populations to guide resourcing
Talk to an Expert
Connect with an expert to determine the right population health solutions to support your organization.
Explore Resources
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