Case Study Abstract

Mount Sinai Health System (MSHS) comprises over 3,500 beds, seven hospital campuses, and 6,200
physicians throughout the New York metropolitan area, and is one of the nation’s largest academic medical systems.

In the spirit of transitioning from fee-for-service toward a fee-for-value system, the healthcare system had several initiatives. First, MSHS wanted to make its network more accountable so that it could improve patient access through better capacity management. Second, MSHS wanted to improve its Press-Ganey scores through better patient engagement and follow-up.

At the same time, MSHS was implementing Epic’s EMR throughout its network. Epic’s referral module, however, did not offer decision support at the moment of referral, leaving MSHS with the need for a way to guide referrals to best meet the patients’ need.