Discuss your projectReferrals tracked to completion, digital intake and consent, and one coordination worklist across sites, all exchanging data with the health record through FHIR and HL7. Every access is logged under a business associate agreement.
Illustration of an EHR-integrated care coordination application built by Baybloom: the EHR, scheduling, and a coordination worklist connected through FHIR, with exceptions waiting for review.
Clinical operations leaders, informatics teams, and health-technology companies with a workflow the EHR does not handle: coordinating care across sites, tracking referrals and orders, collecting intake and consent, or reporting across systems. The EHR stays the clinical record; the application works with it through its interfaces.
The workflow
The steps we see most often in this kind of operation.
Features
Lab, imaging, and specialist orders followed from placement to result, with overdue items surfaced to the responsible team instead of discovered later.
Payer authorization requests assembled from EHR data, tracked by status, and escalated before scheduled care is held up by a missing approval.
Lists of patients due for follow-up, screening, or recall built from EHR data, with calls and messages recorded as staff work through them.
Checklists for handoffs between settings, confirming that appointments, instructions, and paperwork are complete and documented before the patient moves on.
Views of referral backlogs, intake completion, and worklist volume by site, helping managers staff and prioritize without manual extracts.
Messages between coordinators, clinicians, and sites attached to the relevant workflow item, logged, and restricted by role.
Your first release
How the work runs
We start with the people doing the work and the systems around it, then write down the first release: what it includes, what it leaves for later, the integration decisions, and the acceptance criteria. Nothing is built until that scope is agreed.
We build in releases you can review as the work takes shape, using realistic data. Every release carries tests, a security review, and documentation. Integrations are tested against real records, with exceptions visible.
Your team receives the documentation, the runbooks, and the training to run the system, and we stay on for continued engineering when you want it.
Scope and price
Every project is priced from a written scope. These are the factors that move it most.
What the EHR vendor and the organization permit through FHIR or HL7, and whether an integration engine is already in place, shapes integration effort.
Reading data from the EHR is narrower than writing results, documents, or status back, which needs vendor approval, mapping, and testing with clinical staff.
One team at one site is simpler than several sites with different roles, permissions, and local variations in how the workflow runs.
The depth of security review, risk assessment, and documentation your organization requires to support HIPAA requirements adds effort alongside the build.
Multi-site clinic group
At a multi-site clinic group, referrals are placed in the EHR and then tracked on each coordinator’s spreadsheet, so some quietly go unfinished. A referral application reads orders from the EHR through FHIR and places each one on a shared worklist with an assigned coordinator and a deadline. Coordinators see what is waiting across sites, and the outcome is written back where the EHR permits. Every access is logged, and data handling is set up to support HIPAA requirements. Digital intake and consent are a common next workflow.
Questions
What buyers ask before a project like this starts.
No. The EHR stays the clinical record. We build the workflow applications that work with it through FHIR and HL7 interfaces.
The first release includes a business associate agreement, hosting and databases that support HIPAA requirements, data handling agreed in writing, roles aligned to clinical roles, encryption, and audit logging of every access.
Yes, through its FHIR or HL7 interfaces, for the resources the workflow needs, subject to what the vendor permits. The assessment confirms the interfaces before the scope is agreed.
The applications we build support administrative and coordination workflows. Software that makes or influences clinical decisions carries regulatory obligations we would scope separately with your advisers.
Where the EHR supports it, the application launches from inside the EHR with the patient in context, using single sign-on so staff move between the record and the workflow without signing in again. Coordinators who work across many patients use the worklist directly.
We monitor the integrations and the application, handle interface failures, and apply updates as the EHR or its interfaces change. Support runs under the business associate agreement in place for the work, with the same access controls as the build, and new workflows or sites are scoped as their own releases.
Coordinators and clinicians help shape the worklist during design, and the first release replaces a spreadsheet or phone routine they already find painful. Training happens in their setting, and feedback from the first sites adjusts the workflow before it reaches the rest of the organization.