The functions every providers of ambulatory health care company runs on. It has no schema of its own: companies here are mapped on the Healthcare practices schema, and what it does not cover is recorded as gaps.
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Free to map your own company · Members $300 a year| Primitive | Part | Layer | Description | Parameters | Organizations |
|---|---|---|---|---|---|
Specialties and catchment market_positioning | Demand: winning customers | Decisions | The care the practice offers, the patients and area it serves, and why they choose it. | 0 | — |
Patient acquisition lead_generation | Demand: winning customers | Process | How new patients find the practice: referrals, insurer directories, search and word of mouth. | 1 | — |
Front desk and patient coordinators sales | Demand: winning customers |
Organizations: how many of the 0 organizations mapped in public on Providers of ambulatory health care and below have a sourced part on the primitive. Primitives are matched by key, so organizations on earlier versions count.
| People |
| Who books, answers questions and explains treatment and costs to patients. |
| 0 |
| — |
Fee schedules pricing | Demand: winning customers | Decisions | What the practice charges per service, for insured and self-pay patients. | 0 | — |
|---|
Treatment plans and cost estimates quoting | Demand: winning customers | Process | The proposed care and what the patient will owe after cover. | 1 | — |
|---|
Consents and financial agreements contracts | Demand: winning customers | Decisions | Consent to treat and the patient's agreement to pay. | 0 | — |
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ReferralsPremium referrals | Demand: winning customers | Process | Included for Members | Members | Members |
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Payer contractsPremium payer_contracts | Demand: winning customers | Decisions | Included for Members | Members | Members |
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Services and care pathways offer_design | Supply: making or delivering the offer | Process | The services offered and the usual path a patient follows. | 0 | — |
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Appointment schedulingPremium planning | Supply: making or delivering the offer | Process | Included for Members | Members | Members |
|---|
Procurement procurement | Supply: making or delivering the offer | Process | Buying what delivery needs. | 0 | — |
|---|
Suppliers and partners suppliers | Supply: making or delivering the offer | People | Who the organization depends on. | 0 | — |
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Clinical care delivery | Supply: making or delivering the offer | Process | Seeing and treating patients. | 0 | — |
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Clinical quality and outcomes quality | Supply: making or delivering the offer | Process | How care is reviewed and outcomes are tracked. | 0 | — |
|---|
Supplies and equipment inventory | Supply: making or delivering the offer | Data | Medical supplies, medicines on site and clinical equipment. | 0 | — |
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Logistics and fulfilment logistics | Supply: making or delivering the offer | Process | How the offer reaches the customer. | 0 | — |
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Clinical records clinical_records | Supply: making or delivering the offer | Data | The chart: notes, results, prescriptions and history, kept complete and shared safely. | 1 | — |
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Orders and prescriptions orders_prescriptions | Supply: making or delivering the offer | Process | Lab and imaging orders and prescriptions, sent electronically and tracked to results. | 1 | — |
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Patient registration customer_onboarding | Customers: keeping them | Process | Demographics, consents, portal access and the welcome before the first visit. | 0 | — |
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Patient communication support | Customers: keeping them | People | Calls, messages and results follow-up between visits. | 0 | — |
|---|
Care coordination account_management | Customers: keeping them | People | Who makes sure a patient's care holds together across visits and providers. | 0 | — |
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Patient demographics and cover customer_data | Customers: keeping them | Data | Who the patient is, how to reach them and who pays for their care. | 0 | — |
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Recall and continuity of care retention | Customers: keeping them | Process | Bringing patients back for follow-ups, check-ups and ongoing care. | 1 | — |
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Intake and eligibility checks patient_intake | Customers: keeping them | Process | Verifying cover, collecting history and forms, and confirming what the patient owes before the visit. | 2 | — |
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Patient billing billing | Money: getting paid and paying | Process | Statements for what patients owe after their cover pays. | 0 | — |
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Receivables collections | Money: getting paid and paying | Process | Getting paid by payers and patients. | 2 | — |
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Payments and payables payables | Money: getting paid and paying | Process | Paying suppliers and partners. | 0 | — |
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Payroll payroll | Money: getting paid and paying | Process | Paying people. | 0 | — |
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Accounting and close accounting | Money: getting paid and paying | Software | The ledger and the month-end. | 0 | — |
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Budgeting and forecasting budgeting | Money: getting paid and paying | Decisions | What the organization expects. | 0 | — |
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Cash and treasury treasury | Money: getting paid and paying | Data | What the organization has and owes. | 0 | — |
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Coding and claimsPremium coding_claims | Money: getting paid and paying | Process | Included for Members | Members | Members |
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Prior authorisation prior_authorisation | Money: getting paid and paying | Process | Getting a payer's approval before care that needs it. | 2 | — |
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Org structure org_structure | People: who does the work | People | Teams, roles and reporting lines. | 0 | — |
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Hiring hiring | People: who does the work | Process | How people join. | 0 | — |
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Onboarding and training training | People: who does the work | Process | How people become productive. | 0 | — |
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Performance and pay performance_pay | People: who does the work | Decisions | How people are reviewed and rewarded. | 0 | — |
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Clinician schedules capacity | People: who does the work | Process | Which providers work when, and the templates their days follow. | 0 | — |
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Policies and culture people_policies | People: who does the work | Decisions | The rules people work under. | 0 | — |
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Provider credentialing credentialing | People: who does the work | Process | Verifying each clinician's training and licences and enrolling them with every payer before they see patients. | 2 | — |
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Provider productivityPremium provider_productivity | People: who does the work | Data | Included for Members | Members | Members |
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Core system of record system_of_record | Systems: tools and data | Software | The main tool the business runs on. | 0 | — |
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Communication tools communication | Systems: tools and data | Software | How people talk. | 0 | — |
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Integrations integrations | Systems: tools and data | Software | Which tools exchange data without re-keying. | 0 | — |
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Reporting and dashboards reporting | Systems: tools and data | Data | What leaders see, how often. | 0 | — |
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Data management data_management | Systems: tools and data | Data | Where records live and who owns them. | 0 | — |
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Security and access security | Systems: tools and data | Decisions | Who may see and change what. | 0 | — |
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Practice and provider licences licensing | Control: rules the organization runs under | Decisions | The licences the practice and each clinician must hold. | 0 | — |
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Patient privacy and healthcare compliance compliance | Control: rules the organization runs under | Decisions | Privacy and security of health information, billing rules and how the practice proves it follows them. | 0 | — |
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Insurance and risk insurance | Control: rules the organization runs under | Decisions | What is covered and what is not. | 0 | — |
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Focused research on the organizations with the fewest mapped parts in providers of ambulatory health care; what it finds is public for everyone.