crossbeamH E A L T H

Specialty judgment at the threshold of every referral.

A draft concept for US health systems: an advisory panel inside the EHR that shows a primary care clinician their own institution's specialist protocol at the moment they decide whether to refer, with a pre-assembled eConsult one click away. The clinician always decides; outcomes are verified on claims.

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Your specialists' protocolsPathways authored and versioned by your own institution's specialty divisions, never generic guidelines.
At the decision momentOpened by choice inside the EHR workflow. No pop-ups, no hard stops, and the plain referral always one click away.
Honest about outcomesEvery result measured on claims and chart data, labeled by how it was measured. Self-report is secondary telemetry.
DRAFT
SCROLL
Why this problem, why now
58M → 206MEpic In Basket system messages per year, 2017 to 2024. The referral system's dropped work lands in the primary care inbox.
50 to 98%of interruptive decision-support alerts are overridden. Pop-ups and hard stops are the wrong delivery for specialist judgment.
~40%higher odds of clinician burnout with above-average In Basket load. Another queue is not an option.
US market focus. All figures from the published sources cited in the concept deck (slide 14 references).
See it in the workflow

Three doors, inside the chart that is already open.

Crossbeam is not a destination. It is an advisory panel the clinician opens by choice inside the EHR: the institution's own specialty protocol, a pre-assembled eConsult, or the plain referral, always one click away.

EHR sidebar · advisory panel
Crossbeam advisory sidebar concept
The panel at the threshold Institutional protocol, criteria met and unmet, and the three doors: refer, eConsult, or manage with the pathway.
eConsult composer
Crossbeam eConsult composer concept
The eConsult, pre-assembled The question drafted from the chart, labs and imaging attached, ready for the clinician to edit and send.
Outcomes · claims-verified
Crossbeam outcomes dashboard concept
Outcomes, verified on claims Every avoided wait and completed pathway measured on claims and chart data, labeled by how it was measured.
Illustrative concept design, demo data. Not an actual product. No affiliation with any EHR vendor.
How it works

Four steps, no new queue.

1OPENThe clinician opens the panel by choice from the referral workflow. Never a pop-up, never a hard stop.
2SEETheir own institution's specialist protocol for this presentation, with the patient's data already mapped against it.
3CHOOSEThree doors: send the referral, send the pre-assembled eConsult, or manage with the pathway and a safety-net recheck.
4LEARNOutcomes flow back from claims and chart data, and the specialty division tunes its own protocol on real results.

The clinician always decides.

Crossbeam carries specialty judgment across the doorway of the referral decision. It never blocks, never auto-diverts, and never grades clinicians in their first year. The plain referral is always one click away.

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