Regional Referral Access Strategy


  • A large, non-profit health care system
  • 4 hospitals, large integrated medical group, post acute facilities, integrated behavioral health, free standing outpatient services.
  • $75M net operating income

The Challenge

The client sought to develop a regional referral access strategy to support tertiary and quaternary service line development. They were cognizant of significant volume leakage and outmigration, but were unable to identify a unified approach to managing loss and ensuring growth.

The Eleva Approach

  • An assessment of the current state transfer and patient placement process was completed.
  • Developed a fully integrated bed placement and patient transfer center that incorporates all patient admissions and transfers, bed utilization and management, and call schedule integration across the organizational continuum.
  • Led the strategic analysis and financial assessment. Worked with on-site team to develop business plan to support positive ROI.
  • Identified areas for improvement based on criteria drawn from benchmark Transfer Centers and augmented by directional consultations with more than 20 physician stakeholders.
  • Identified and developed key team members and leaders to align and motivate toward a common goal.
  • Worked with teams to develop key leading and lagging metrics to ensure long-term sustainability.

The Results

  • Resulted in an increase of over 800 incremental admissions in year one.
  • Exceeded market recapture projections by more than 100%.