The Referral Review Engine integrates into existing EHR referral workflows. Implementation scope varies by EHR, site configuration, and workflow — we plan implementation jointly with each customer's IT, clinical, and operations leads.
Standard EHR referral order workflow — no change to UI for the coordinator beyond an in-line panel or modal.
Two inputs (specialty, indication) sent to the Alma engine. Recommendation returned in under ten seconds.
Recommendation shown with rationale, cited guideline source, and three actions: Accept, Override with reason, Print rationale.
Override authority preserved on every non-safety decision. The 39 hardcoded safety escalations cannot be overridden.
Field-level diff tracking. Append-only. Exportable for plan audits, CMS data validation, and regulatory inspection.
Confirm EHR version, referral workflow conventions, in-network preferences, audit log routing, and data retention requirements.
Customer shares de-identified indications and requested specialties only — no PHI. Alma returns estimated referral appropriateness, coordinator time saved, and modeled ROI. PHI never leaves customer infrastructure during this phase.
A Business Associate Agreement is executed before any production integration that processes PHI.
API connectivity, authentication, audit log routing, in-line UI rendering. Typical timeline: 4–8 weeks for ambulatory EHRs; 8–16 weeks for enterprise / partner-connector environments.
First 50 recommendations reviewed jointly. Specialty matrix tuned to local guideline patterns. Engine Champion on-site Week 1.
During the de-identified sample review phase, customers share only indications and requested specialties — no patient identifiers, no clinical narrative beyond chief complaint. Alma returns modeled outputs using production data and national benchmarks. PHI is governed by a HIPAA-aligned BAA executed before any production integration that processes PHI. Database and application infrastructure is hosted on SOC 2 Type II–attested platforms (Supabase, Vercel).
Share indications and requested specialties only. Alma returns estimated referral appropriateness, coordinator time saved, and modeled ROI using production data and national benchmarks.
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