Population Health & Care Gaps

Scan the patient registry for open quality gaps (HEDIS/MIPS-style), launch outreach with one click, and track closure on the analytics band. The cohort agents act on the event stream rather than sitting in a batch report.

1. Scan — the registry is scanned for open care gaps.
2. Detect — gaps are identified by measure.
3. Act — outreach is launched to the affected cohort.
4. Close — closures are tracked on the analytics band.

Outreach is launched by staff; the scan and detection run continuously.

Care managers and clinicians run outreach.