Not a referral channel. A built-in specialty program for FQHCs and community health systems. Embedded workflow, EMR integration, and outcomes reporting aligned to the risk you carry.
Wound care is typically a black box for FQHCs: patients get sent out, outcomes get lost, and the only data returning is a bill. Our program is built the other way around — the clinical record, the dashboard, and the risk signal all land inside your system.
Every encounter — bedside, clinic, tele-wound, or OR — returns a structured note to your EMR (Epic, Cerner, athenahealth, eCW, NextGen, MatrixCare). Diagnosis codes, wound measurements, and care-plan updates hit the same chart your PCPs read every morning.
A per-partner dashboard surfaces active wounds, healing trajectory, open-wound census, time-to-first-visit, and average time-to-closure. Filterable by site, clinician, payer, or diagnosis — built for QI, not billing.
Monthly risk stratification of your diabetic and PAD-heavy population surfaces the patients most likely to progress to hospitalization or amputation. Outreach targets are returned to your care-management team.
We track which wound patients hit the ED, which were admitted, and whether the admission was preventable with earlier surgical intervention. That signal drives workflow changes — not another report.
We don't invent a new dashboard language. The program's outputs map directly to UDS for FQHCs, HEDIS-relevant categories, and the avoidable-utilization metrics that drive shared-savings and at-risk contracts.
We run the same playbook every time. No custom integration project. No year-long planning cycle. Clinical contact starts in week one; the first outcomes review lands inside three months.
Working session with your CMO, chief of quality, and wound-care lead. We map your highest-acuity wound cohort, align on referral criteria, and confirm EMR and HIE integration points.
Referral and results workflow stood up against your intake — fax, EMR-direct, HL7, or FHIR depending on what you already run. We match your existing stack rather than asking you to learn ours.
Referrals start flowing. Bedside rounds at your partner SNFs / patient homes. Clinic and OR access same-week for acute escalations. Weekly huddles with your care-management team for the first six weeks.
A structured report lands in front of your quality and operations leadership: volume, time-to-access, healing rate, avoidable-admission signals, and the utilization deltas your risk contracts care about. Dashboard access goes live for your team.
Joint quarterly reviews with your clinical and quality leadership. Drift in access times, outcomes, or referral patterns is caught early and fixed collaboratively — not in a year-end audit.
Medicaid-heavy FQHC populations over-index on diabetes, PAD, and chronic venous disease. Wound events drive some of the highest per-patient spend in the panel — through ED visits, inpatient admissions, and long SNF stays that wouldn't have happened with earlier surgical intervention.
1 · The program is ambulatory by design. Surgical care happens at our outpatient suite — not as a hospital admission. That's where your risk lives.
2 · One clinician across the continuum. The surgeon on your patient's case is the same clinician who rounded on them at bedside. Continuity is the literal same person.
3 · Data flows back, not just forward. Outcomes, risk signals, and dashboards live inside your system — so your quality team can use them.
4 · Aligned to the contracts you already hold. Shared savings, at-risk, primary-care capitation, Medicaid managed care — our metrics map to the numerators and denominators your actuary already tracks.
The point isn’t to send more referrals. It’s to run one wound-care program — where our team and yours share a record, a dashboard, and an outcome.Jonathan Johnson, MD, FACS · Founder, Capital Wound & Limb Preservation
A 45-minute working session with our team to walk through your wound population, integration path, and what the first 90 days would look like inside your organization. No pitch deck — your data, our playbook.