Patient Referral & Admission Automation

Transform hospital-to-SNF patient transitions

AI-powered referral screening and admission automation. Connect directly to hospital EHR systems, automate patient evaluation with natural language criteria, and run your admissions on autopilot.

Current State

Manual review time45 min/referral
Missed referrals30%
Response delay2-4 hours

With Automation

Review time 2 min
Capture rate100%
Response timeInstant

Financial Impact

Occupancy increase+8-12%
Revenue per bed+$85K/yr
Staff hours saved2,080/yr

Data Integration Framework

Comprehensive patient data from multiple sources

Hospital EHR Feeds

Direct HL7/FHIR integration with Epic, Cerner, Allscripts for real-time discharge data

Primary Source

Clinical Documents

H&P notes, discharge summaries, medication lists, lab results, imaging reports

Structured Data

Communication Inputs

Case manager calls, physician notes, family preferences, insurance verification

Contextual Data

Multi-Step Reasoning AI

Intelligent automation with human-in-the-loop oversight

Phase 1: Initial Screening

Fully Automated
AI Processing
Clinical criteria matchAutomated
Insurance verificationReal-time
Bed availability checkInstant
Decision Output
Accept recommendation95% confidence
Review required5% flagged
Processing time 30 sec

Phase 2: Clinical Review

Human Oversight
AI Preparation
Summary generationComplete
Risk factors highlightedPrioritized
Care plan draftReady
Human Decision
Review time 2 min
Override rate 3%
Approval workflowStreamlined

Phase 3: Admission Execution

Automated Workflow
System Actions
Hospital notificationSent
Transport arrangedScheduled
Room preparationInitiated
Documentation
Admission packetGenerated
Care plan createdComplete
Family notifiedConfirmed

Natural Language Criteria

Define admission criteria in plain English

Clinical Criteria

"Accept patients with stable vitals, no active infections, and manageable pain levels"

Auto-parsed rules12 criteria
Accuracy99.2%

Financial Criteria

"Prioritize Medicare Advantage and commercial insurance with verified benefits"

Payer validationReal-time
Auth statusAutomated

Specialty Criteria

"We specialize in post-surgical orthopedic care and complex wound management"

Match rate87%
OutcomesImproved

Live Configuration Example

Your facility's custom admission logic

Natural Language Input

"We accept Medicare and Medicaid patients"

"Require stable vitals for 24 hours"

"Can manage IV antibiotics and wound vacs"

"No ventilator patients"

"Prefer orthopedic and cardiac cases"

AI-Generated Rules
Insurance rules✓ Configured
Clinical stability✓ Monitoring
Equipment needs✓ Validated
Exclusions✓ Applied
Preferences✓ Prioritized

Return on Investment

Measurable impact on occupancy and revenue

Operational Gains
Referral response time-95%
Admission coordinator hours-40 hrs/wk
Documentation accuracy100%
Denial rate reduction-75%
Readmission screening100%
Financial Impact
Occupancy rate+8-12%
Revenue per bed/year+$85,000
Staff cost savings$156,000
Denial avoidance$240,000
Total Annual ROI$850K-1.2M

Implementation Timeline

Go live in 30 days with phased deployment

WEEK 1

EHR Integration

Connect to hospital systems, configure data feeds, test connectivity

5 days
WEEK 2

Criteria Setup

Define admission criteria, configure workflows, set approval chains

5 days
WEEK 3

Pilot Testing

Run parallel processing, validate decisions, refine AI models

7 days
WEEK 4

Full Launch

Complete automation active, monitoring dashboard live, optimization ongoing

Go-live

Transform your admission process today

Join leading SNFs using AI to capture more referrals, reduce response times, and maximize occupancy while maintaining clinical excellence.

2 min
Response Time
100%
Referral Capture
$1M+
Annual ROI
HIPAA compliant • HL7/FHIR ready • Enterprise security
Patient Referral & Admission Automation - AI-Powered SNF Admissions | Sparkco AI