Identity
Preserve continuity around the same person across appropriate interactions.
For Payers & ACOs
Your Goals Are Our Goals.
Designed to support engagement, earlier intervention, connected care, and healthier-population goals.
What happens to the high-risk member between office visits?
Payer / ACO Workflow
A local path for high-risk engagement.
1
Community Access
2
Preventive Services
3
Clinical Connection
4
Ongoing Care
5
Follow-Through
6
Population Insight
Technology
Don't just identify the care gap. Reach the person. Follow what happens next.
IPCN Connect connects population-level opportunities with local action. It helps preserve the context behind the care journey—from identifying a potential need, to community outreach and appropriate preventive services, to clinical action, follow-through, and documented completion.
IPCN Connect captures the context behind every care interaction — what happened, where it happened, who was involved, what action followed, and whether the care loop was completed.
Payer / ACO workflow: from care-gap identification to documented evidence
1
Identify
Surface populations, preventive needs, care opportunities, and individuals who may require additional outreach.
2
Reach
Use community touchpoints and appropriate outreach pathways to engage members—including populations that may be difficult to reach through traditional office-based workflows alone.
3
Engage
Community touchpoints, outreach, and available preventive-service pathways help create an appropriate opportunity for participation.
4
Clinical Action
Help move the individual toward the appropriate licensed clinical professional, preventive service, immunization-access pathway, referral, or ongoing care pathway.
5
Follow-Through
Preserve what happened after the initial interaction and whether the next action occurred.
6
Documented Evidence
Document completion when the applicable care action has actually been completed—not simply because outreach or screening occurred.
Identity → Place → Action → Provider → Follow-Through → Insight
Place
Understand where the interaction began or occurred across community and clinical settings.
Action
Understand what happened and which appropriate next action was initiated.
Provider
Preserve which qualified care role or professional was involved where applicable.
Follow-Through
Distinguish initiation or pending activity from verified completion where applicable.
Insight
See patterns across engagement, preventive needs, unresolved actions, completed care loops, and populations that may require additional outreach.
High-risk populations
Finding the gap is only the beginning.
High-risk population
Identify
Reach
Engage
Clinical Action
Follow-Through
Documented Evidence
The IPCN model is designed to help bring the next action closer to the person—through community relationships, local touchpoints, appropriate preventive services, clinical connection, and longitudinal follow-through.
Screening or outreach alone does not necessarily constitute closure of a payer-defined care gap. Completion depends on the applicable quality measure, clinical action, documentation, and program requirements.
IPCN supports engagement and accountability without claiming guaranteed savings or guaranteed outcomes.
Evidence & Impact
What IPCN measures.
IPCN Connect is designed to provide visibility into activity across the community-health journey. The categories below describe what the model can measure or track; they are not published results or performance claims.
People engaged
Preventive engagements completed
Immunization-access activity where applicable
Clinical connections initiated
Referrals initiated and appropriately verified or completed
Follow-up activity
Care-management participation where applicable
Community touchpoints activated
Screening or outreach alone does not necessarily close a payer-defined care gap. Measure completion depends on the applicable clinical action, documentation, quality-measure specifications, and program requirements.
Organization-Specific Workflow
How organizations work with IPCN.
Each engagement is defined around the population, community, available resources, and applicable program requirements.
1
Define Population / Community
2
Configure Local Access
3
Activate Touchpoints
4
Connect Clinical Resources
5
Track Follow-Through
6
Measure Activity & Outcomes
Available pathways, measurement categories, clinical resources, and outcomes vary by program, setting, eligibility, documentation, and applicable requirements. IPCN does not guarantee savings or outcomes.
Explore a Partnership