How It Works

From patient data to care intervention in under 24 hours

A read-only EHR connection is all it takes. Patientrig ingests, scores, and queues interventions without disrupting your existing clinical workflows or requiring any EHR write access.

24 hrs
First risk scores from EHR connection to care queue
3 steps
Ingest → Score → Intervene — the complete workflow
Read-only
Zero EHR write-back required — no workflow disruption
Step 1 — Ingest

Connect once. Data flows daily.

Patientrig establishes a read-only connection to your EHR using standard HL7 FHIR APIs or ADT event feeds. We pull three data types: admission-discharge-transfer events, claims and encounter history, and pharmacy fill records. That's all we need to build the risk model.

The connection takes 1–2 hours to configure with your EHR team. Once live, data refreshes automatically every 24 hours. No manual exports, no CSV uploads, no scheduled IT tasks.

ADT event feed (admissions, discharges, transfers)
Claims and encounter history (12-month lookback)
Pharmacy fill records via PBM or claims feed
Compatible with Epic, Cerner, and Athena Health
EHR System
ADT + Claims + Rx
Patientrig Ingest
Read-only access
Patientrig never writes to your EHR. All data flows one direction only — into the risk model. Your existing EHR workflows are completely unaffected.
Step 2 — Score

A ranked patient queue, updated every 24 hours

Our risk model analyzes three signal types simultaneously: appointment-adherence patterns (how often has this patient missed, and in what sequence), medication refill history (how many days before the prior fill did they refill, and is that window lengthening), and social determinants proxies derived from encounter patterns and zip-level data.

Each chronic disease population gets its own model — a CHF patient's risk pattern looks nothing like a Type 2 diabetic's. The output is a ranked queue per care team: who needs outreach today, what type of outreach, and why.

Separate risk models for diabetes, CHF, COPD, hypertension
Appointment adherence signal analysis (sequential pattern, not just recency)
Refill gap prediction — flags before the gap opens, not after
Social determinants proxy scoring from encounter patterns
Patient
Condition
Risk
Signal
D. Torres
CHF
High
Rx gap d.18
L. Petrov
Diabetes
Med
Appt miss
M. Okafor
COPD
Med
Seasonal
F. Hawkins
HTN
Low
On track
Updated daily — ordered by intervention urgency
Step 3 — Intervene

Three channels, one queue. The right reach for each patient.

Intervention isn't one-size-fits-all. Patientrig supports three outreach channels — each targeting the most effective point in the care pathway. The care coordinator reviews the queue, confirms interventions for high-priority cases, and lets the system handle routine outreach automatically.

The escalation logic adapts: if a patient doesn't respond to SMS within 48 hours, it surfaces to the nurse call queue automatically. If the gap is a refill issue, the pharmacy alert fires in parallel — reaching the pharmacist who can follow up at pickup.

SMS
Direct to patient. 72% open rate in chronic care populations.
Nurse Queue
Auto-surfaces to care coordinator call list with context.
Pharmacy Alert
Notifies pharmacist at point of Rx pickup or refill due.
Escalation logic for D. Torres (CHF — High Risk)
1
SMS fired — Day 1
Refill reminder sent. Awaiting response.
2
Nurse queue — Day 3
No SMS response. Surfaced to coordinator call list.
3
Pharmacy alert — parallel
ACE inhibitor refill due. Alert sent to dispensing pharmacy.

Implementation timeline

From signed contract to live care coordinator queue — 4 weeks.

Day 0
EHR read connection configured with your IT team
Day 1
First risk scores generated from initial data pull
Week 1
Care coordinator team reviews queue, confirms settings
Week 2
First automated outreach interventions fired
Week 4
First outcome data — refill closures, appointment completions

Common questions from IT and clinical teams

We connect via HL7 FHIR R4 APIs where available, or via standard ADT/HL7 v2 event feeds for older EHR versions. For Epic, we use the MyChart FHIR API and Interconnect. For Cerner, we use the Millennium FHIR R4 endpoint. For Athena, we use the Athena API. Your IT team handles credential provisioning; the configuration call takes under two hours. We document the exact scopes required for each system.
No — by design. The Pilot and Population tiers are read-only. We believe read-only is the right default for a care engagement platform: no accidental record modification, no workflow disruption, no documentation burden on care coordinators. The System tier offers optional bi-directional write-back for organizations that specifically need intervention notes written back to the EHR as care coordination tasks — that capability is configured with your clinical informatics team and requires additional scoping.
Patientrig is built with HIPAA controls in mind throughout the architecture. Patient data is encrypted at rest (AES-256) and in transit (TLS 1.3). We execute a Business Associate Agreement (BAA) with all health system customers before any data connection is established. Access to patient data within the platform is role-scoped — care coordinators only see patients on their assigned panel. Audit logging is maintained for all data access events. We do not sell or share patient data for any secondary purpose.
The care coordinator interface is built to feel like the risk queues most coordinators already use in their EHR — we just made the prioritization automatic and the outreach actions one click. Most care teams are comfortable with the queue review workflow after a single 90-minute onboarding session. Our Head of Clinical Success (Camille Fontaine, former care coordinator) leads onboarding personally for all Pilot and Population customers.

Ready to see the workflow on your patient population?

We'll demo Patientrig using your disease cohort — no generic walkthrough. 30 minutes with Rebecca or Camille.

Schedule a demo