Capability 4 of 4 · Radial Care Next Best Action
From flag to follow-through.
For every flagged patient, Radial Care says what should happen, who should do it and by when, assembles the care plan, and follows it until it is done.
Flagged by the Placement agent · Owner: case manager
- Discharge plan assembledCase manager approvesApproved
- Home health referral sentCoordination agentAccepted
- PCP follow-up within 7 daysTransitions nurseBooked
- Medication reconciliationPharmacistDone
Outcome recorded: discharged home with services. Counted toward your readmission and SNF-days measures.
Trusted by health systems, payers and research institutions
What it does
Make the next best action happen.
Triage the population
Ranks patients by risk, actionability and urgency across every agent and hundreds of clinical, functional and social fields.
Identify the intervention and the owner
Matches each patient to typed, high-value interventions, such as post-ED follow-up, PCP re-engagement, medication reconciliation, a palliative consult, home health instead of SNF or SDOH outreach, and to the right person: PCP, care manager, transitions nurse, specialist or community partner.
Assemble the optimal care plan
Assembles a plan from evidence-based pathways and your own protocols, with goals, services, owners and timing. The clinician edits and approves it.
Support execution
Coordination agents send referrals and confirm acceptance. Staff-supervised outreach agents, or your own voice and messaging partners, handle reminders, check-ins and scheduling in the patient's preferred channel; they never give clinical advice and hand off to a person on any clinical question.
Prove it
Every intervention rolls up by type, team and contract, so you can compare outcomes for done versus not done and report results in the measures your contract pays on. This is the loop back to Contract Intelligence.
Delivered where teams work
Worklists in Radial Care, real-time notifications on admissions and discharges, write-back into the EHR, and shift summaries such as “the top ten actions for the last two hours of my shift”.
A worked example in five frames
One patient's way back home.
Follow a single flag from the hospital back to the home, frame by frame. Every decision stays with the care team.
Placement agent → case manager
Day one: the Placement agent flags a patient on the border.
An older adult is admitted to a medical unit. The Placement agent sees a patient who would usually go to a SNF but could safely go home with services, and puts them at the top of the case manager's worklist with the reasons.
For every front door
Next Best Action for each kind of organization
Health systems
Assembles the discharge plan, sends post-acute referrals and books follow-up before the patient leaves.
ACOs
Routes each member to the PCP, care manager or community partner best placed to act, and tracks it to done.
Health plans
Steers members to the right program and shares the action with plan and provider care teams.
Questions it answers
The questions leaders and care teams actually ask.
- What are the ten actions that matter most before the end of my shift?
- Which post-acute referrals are still waiting for acceptance?
- Which interventions stalled this week, and who owns them?
- Did patients who got a post-ED follow-up readmit less than those who didn't?
- Which care plans are waiting for clinician approval?
A partner, not a portal
See Radial Care tuned to your contracts.
Bring one question about your population. We'll show you the platform on illustrative data, then size the opportunity on yours, with the team who would work beside you.
- A named clinical and technical lead
- Quarterly business reviews
- On-site visits and training