Processes

What will AGI do for Identify potential referrals?

AI-deliverabilitydigital

With no child occupations seeded, I evaluated the APQC process name 'Identify potential referrals' within the healthcare provider framework lens. Identifying referrals is fundamentally an information-processing and clinical-documentation task—evaluating patient data against care criteria and initiating orders in an EHR system—placing it in the digital band.

A patient assessment reveals a medical condition or social need requiring specialized care or services outside the current provider's scope.

Trigger
A patient assessment reveals a medical condition or social need requiring specialized care or services outside the current provider's scope.
Outcome
A required referral is documented in the patient's medical record and staged for provider matching and authorization.

The work itself

Grounded Work Profile

Measured by

  • Referral Decision Cycle TimeprocessProfile
  • Specialty Referral RateprocessProfile
  • Referral Appropriateness ScoreprocessProfile

Key steps

  • Evaluate patient symptoms, diagnosis, and treatment planprocessProfile
  • Identify gaps in current care capabilitiesprocessProfile
  • Match clinical needs to required specialty or service typesprocessProfile
  • Verify initial patient preferences and insurance constraintsprocessProfile
  • Document the referral necessity in the electronic health recordprocessProfile

How AGI delivers it

Four ways AGI delivers for Identify potential referrals

  • Services-as-Software

    Get the professional outcome delivered as software, priced on results, not headcount.

    Services.do
  • Autonomous Agents as digital employees

    Hire a digital employee that does the job under earned, supervised autonomy.

    Agents.do
  • Business-as-Code

    Encode how your work runs, once, as software that executes itself.

    Platform.do

Value flow

How Identify potential referrals connects

automated by