Integrating Intelligent Call Routing with Hospital Information Systems for Improved Real-Time Data Access and Optimized Patient Support

Intelligent Call Routing is a technology that uses rules and information to send incoming calls in healthcare organizations to the right place. Unlike older phone systems that transfer calls randomly or in the order they come in, ICR looks at many things. It checks what the caller needs, which staff member has the right skills, how busy they are, what languages they speak, and if they talked to the patient before. This helps connect patients to the best staff on the first try.

One big benefit of ICR is that it improves first contact resolution. This means patients get their questions answered during their first call without needing to call back or be sent to another person. For example, Wyze Labs used an AI system for call routing and saw their first call resolution rate increase by 98%. Another group, Netwealth, cut their first reply time to 40-60 seconds by sending urgent calls first.

In hospitals, these improvements mean shorter wait times, fewer people giving up on calls, and better service. This is important because healthcare questions can be very sensitive.

Integration with Hospital Information Systems

Hospital Information Systems keep track of patient details, medical workflows, schedules, and administration tasks. When ICR is linked to these systems, it can use up-to-date patient information, staff schedules, and communication channels to route calls better. Calls get sent not only based on what the caller says but also by current information like which provider is free or the patient’s medical history.

PerfectServe is a cloud platform used by over 500 hospitals and 30,000 clinics in the U.S. It mixes Dynamic Intelligent Routing® with Electronic Health Record systems to send calls and messages accurately by checking staff schedules and who is on call. One hospital said this system helped them see 2,000 more patients a year, cut callback time by 68%, and lower nurse paging by 99%.

In busy hospitals, this integration helps urgent calls reach the right staff fast, even during busy times or holidays. It stops critical calls from being lost because a person made a mistake or a call got sent to the wrong place.

Enhancing Patient Access and Support

Patients need easy and fast access to care. Systems that combine ICR with virtual triage and AI chatbots guide patients through healthcare options. They help with checking symptoms and scheduling appointments.

Clearstep uses AI agents that understand over 500 symptoms. These agents help patients by asking questions and booking the right appointments. Since 2018, Clearstep has helped with over 1.5 million patient talks in 100 hospital areas in the U.S. Their AI lowers the work for staff by handling routine phone tasks like patient intake and symptom questions.

Doctors also find Clearstep useful. Dr. Alan Weiss from BayCare said, “This system saved lives.” Novant Health says their AI symptom checker helps patients get the right care faster. It lowers visits to the emergency room that are not needed and stops scheduling mistakes.

These AI agents connect with big Electronic Health Record systems like Epic and Cerner. They keep patient data updated in real time and help hospitals manage schedules and how many patients they can see. This helps reduce missed appointments and use resources well.

Real-Time Clinical Communication and Care Coordination

Good communication among healthcare workers is important for helping patients. Bamboo Health is a leader in Real-Time Care Intelligence™. It links data about behavior and physical health. This system connects over 2,500 hospitals and handles 1 billion patient visits every year. It has tools like Pings™ that send alerts to care teams instantly when something needs attention.

Bamboo Health’s system helps improve care teamwork and speeds up help for patients. For example, Houston Methodist Coordinated Care used real-time alerts to lower hospital readmissions and saved more than $680,000. This helped keep patients safe and reduce avoidable hospital visits.

The OpenBeds® system from Bamboo Health gives real-time data on mental health care availability and referrals. Hospitals use this to reduce overuse of emergency rooms and cut down patient waiting times. It helps provide mental health help when it’s needed, easing the pressure on emergency services.

Best Practices in Intelligent Call Routing Integration

  • Data-Driven Routing: Use patient and caller info like location, reason for call, and patient status together with agent skills, workload, and language to send calls properly.
  • Comprehensive System Integration: Make sure ICR works tightly with EHRs, appointment tools, and communication platforms for smooth work without repeated data entry or switching systems.
  • Customer Segmentation: Prioritize urgent or important patient calls to lower wait times and improve care quality.
  • Performance Metrics Monitoring: Regularly track things like first contact resolution, average wait times, call drop rates, and agent performance to improve routing rules.
  • Agent Skill Assessments: Check staff skills often, including customer satisfaction scores and call handling times, to send calls to the right people.
  • Clear Escalation Protocols: Have clear rules for handling calls that need specialist help or more support.

Following these steps can help health providers improve patient communication, lower costs, and make both staff and patients happier.

AI and Workflow Automation in Hospital Communication

Artificial Intelligence (AI) and workflow automation are becoming more important in healthcare communication. AI makes ICR smarter by using more than simple static rules. For example:

  • AI systems look at patient feelings, urgency, and complexity during calls to decide which to answer first. This cuts hold times and helps critical cases get faster help.
  • Automated triage and symptom-checking bots let patients check their own symptoms and get sent to the right care. This lowers the phone workload for staff.
  • Voice chatbots can book appointments, change visits, or answer common questions fast without needing a human, reducing delays.

These tools cut down repeated tasks, lower staff burnout, and make the workflow smoother. Clearstep’s AI agents lower staff workload by handling things like patient intake and virtual triage, helping access without raising costs.

Also, when AI is linked with workforce tools, hospital leaders can better predict staffing needs and adjust during busy times. This is key for handling surges in patient calls or public health events.

Systems like Zendesk’s AI routing combine calls, emails, chats, and social media into one system, supporting patient help no matter the contact method.

PerfectServe’s automated escalation sends unanswered messages to other staff. This speeds up responses and improves safety in urgent care.

Addressing Challenges in the U.S. Healthcare Environment

The U.S. healthcare system faces challenges like many patients, complex care steps, diverse languages, and strict privacy rules. Intelligent call routing linked with HIS offers solutions like these:

  • Handling High Call Volumes: Automatic call routing sends urgent and important patient calls first, manages waiting lines well, and lowers callers hanging up.
  • Supporting Multilingual Patient Populations: Calls are sent to agents who speak the same language, making communication clearer and patients happier.
  • Compliance with Privacy Standards: Platforms like PerfectServe follow HIPAA rules to keep patient information private while allowing open communication with families and care teams.
  • Reducing Staff Burnout: AI automation takes over repeated tasks, letting clinical staff focus more on complex patient care.
  • Integrating Across Diverse Systems: ICR works with over 250 clinical and admin systems for smooth flow of information and real-time schedule updates that help route calls correctly.

Practical Implementation Considerations

Medical leaders and IT staff should plan well when linking ICR and HIS:

  • Check current call center and communication steps. Find problems like long wait times, many call transfers, or high dropout rates.
  • Pick scalable AI tools that fit with current EHRs and facility systems without needing big changes.
  • Train staff about how the new systems work and how AI makes routing decisions for smooth changes.
  • Set up monitoring with dashboards and data tools to watch call center results and adjust as needed.
  • Work with technology providers who know healthcare rules and how hospitals run.

A Few Final Thoughts

Hospitals and medical offices in the United States can gain a lot by linking intelligent call routing with hospital information systems. These technologies give real-time patient data, improve communication, and make clinical work easier. AI and workflow automation cut staff workload, raise patient satisfaction, and improve results like first call resolution and response times.

Healthcare leaders and IT staff investing in these integrated systems can help patients have better experiences, improve teamwork among clinical staff, and manage resources well. These factors are important in today’s healthcare environment. As more organizations use these solutions, patient support will get better across the country.

Frequently Asked Questions

What is intelligent call routing (ICR)?

ICR is an advanced telecommunications technology that directs incoming calls based on factors like caller needs and agent availability. It uses data points and algorithms to match callers with the most qualified agents, enhancing call handling efficiency and improving customer experience by reducing transfers and wait times.

How does intelligent call routing work?

ICR gathers caller data such as ID, location, and call reason, analyzes it against routing rules and agent skills, then routes the call to the best-suited agent or a queue if unavailable. It can integrate with IVR and automatic call distribution systems for improved efficiency.

What are the primary benefits of intelligent call routing?

ICR improves first contact resolution by connecting callers to the right agent immediately, increases agent efficiency by aligning calls with their expertise, and reduces first reply times by prioritizing urgent or high-value calls to minimize wait times and call abandonment.

How does ICR improve first contact resolution?

By collecting detailed caller information and using smart algorithms, ICR matches callers to agents with specific expertise on the first try, eliminating unnecessary transfers and callbacks, improving satisfaction and resolution speed.

What best practices optimize intelligent contact routing?

Integrate ICR with other systems to utilize comprehensive data, segment customers to prioritize high-value ones, evaluate agent strengths for appropriate call matching, establish clear call handling and escalation processes, and measure KPIs to continuously improve routing effectiveness.

Why is system integration important for ICR?

Integration enables ICR to access real-time data about customers and agents, improving call handling accuracy and enabling workforce management forecasting. It ensures agents are better prepared, reducing response times and enhancing customer interactions.

How can customer segmentation enhance ICR effectiveness?

By identifying and prioritizing high-value or VIP customers, ICR ensures these callers receive faster, higher-quality service from experienced agents, thereby meeting service level agreements and improving overall satisfaction.

What role do agent skill assessments play in ICR?

Evaluating agents’ hard and soft skills, resolution rates, and CSAT scores helps tailor call routing to their expertise, increasing efficiency, boosting employee morale, supporting career growth, and reducing turnover.

Which key performance indicators (KPIs) are critical to monitor in ICR systems?

Essential KPIs include first contact resolution, call wait times, call abandonment rates, IVR transitions, and post-call customer satisfaction scores. Monitoring these helps identify bottlenecks and opportunities for routing optimization.

In what scenarios is intelligent call routing particularly beneficial?

ICR is vital for organizations with large inbound call volumes or diverse inquiries, such as healthcare systems managing patient inquiries, emergency services routing based on urgency and location, sales teams directing inquiries, and contact centers handling support, improving responsiveness and resource allocation.