Axial Exchange Helps Direct Under-Served Patient Population to Local Safety Net Clinics

Share Article

Axial Exchange Provides Patient Visit History and Diagnoses to Help Clinics Create Patient-Centered Medical Homes and Reduce the Use of Emergency Departments for Primary Care.

Axial Exchange and the Capital Care Collaborative (CCC) announce the creation of an interface that provides case managers with real-time admission, diagnosis, and discharge information with which to better serve their patients as they transition from emergency room care to the ambulatory clinics that serve them.

"We believe this will deliver a smoother transition of care for the community of patients served by the Collaborative. We thank the CCC for taking a leadership role in participating with Axial on this project and setting a standard for other communities to follow.” said Joanne Rohde, CEO, Axial Exchange Inc. "This is a great step toward lowering unnecessary hospital readmissions.”

According to Lisa Rowe, Director of the CCC, the hospital interface allows partner organizations and case managers to see where uninsured patients are going for care and how often, the prevalence of specific disease types that result in emergency room visits, and who the patients are that use the emergency room for non-emergent care. “Armed with this information,” Rowe states, “we can connect patients to primary care and provide targeted intervention strategies such as patient education regarding where to go for care and care management for patients with chronic conditions.”

The CapitalCare Collaborative is a group of safety net providers working collaboratively to develop initiatives to improve the health of the region's medically underserved. The Collaborative allows members to provide medical care in a coordinated fashion for the low-income community while facilitating ongoing communication, coordination of services, assessment of community health needs, identification of priorities and initiation of working partnerships among providers.


Axial Exchange moves healthcare organizations towards pay-for-performance, enabling providers to coordinate care and measure clinical quality across disparate settings. When a patient transitions between care settings, information gaps can drive up both costs and patient safety issues. The Agency for Healthcare Research and Quality has cited care transition as the single biggest risk in patient safety today. Axial solves this problem by providing proactive clinical summaries for patients that move into and out of hospitals -- from ambulance transport arrivals at the emergency room to patients arriving at a primary care physician’s office for post-discharge treatment.

Media Contact:
Matt Mattox
919 623-7634


Share article on social media or email:

View article via:

Pdf Print

Contact Author

Matt Mattox
Visit website