Beyond communication

Clinical workflow coordination
built to get work done

Every message sent. Every task owned. Every step tracked.

Backline adds ownership, response windows, and escalation to the secure messaging your teams already use — so a delivered message becomes a completed outcome.

Clinicians collaborating at a nursing station

What is clinical workflow coordination?

Clinical workflow coordination ensures healthcare work gets completed — not just communicated.

It adds accountability around clinical messaging: a clear owner for each step, a response window, automatic escalation when a step stalls, and a full audit trail. Clinicians keep control of clinical judgment, and the tracking, chasing, and checking stop falling on them.

Backline Pathways is the coordination layer built on that foundation. It structures multi-step work — medication alerts, discharge coordination, consult response, and more — so a delivered message becomes a completed outcome.

What changes

What changes with Pathways

Pathways takes coordination burden off your teams — it doesn’t add to it.

Clear ownership, confident teams

“Work just flows.”

Everyone knows what’s next, who’s responsible, and where work stands. Every step has an owner, a window, and automatic escalation if it stalls — so teams stop chasing updates.

Go live in days with pre-built templates

Automation that supports clinicians

“We coordinate workflows, not judgment.”

Routine coordination runs on its own, and operations leaders see every active workflow — what’s working, what’s stuck, and why. Clinical decisions stay with your care teams.

Automation that supports, not replaces

Your workflows, your way

“Coordination adapts with you.”

Start from pre-built templates, then adjust timing, routing, or approval steps through configuration — no IT tickets, no months-long change requests. When your processes evolve, your workflows evolve too.

Custom workflows in 2–4 weeks
The coordination gap

Where coordination breaks down today

Your staff aren’t failing. They’re absorbing coordination work the system was never built to carry.

Medication safety

The alert that sat in a thread

Pharmacy flags a transplant med that has to come from home. The message goes to the floor. The nurse is managing twelve patients, charting, fielding pages, and triaging a new admission. The alert sits in a thread.

Eight hours later: “Did anyone follow up on that?”
Discharge delays

The bed that won’t turn over

The patient is clinically ready at 8am. Discharge needs pharmacy, insurance, PT, case management, transport, and the hospitalist’s sign-off. No one can see what’s done and what’s blocking, so the nurse calls four departments.

Patient leaves at 4pm. The next one waits in the ED.
Consult response

The page that went nowhere

The ED pages cardiology for chest pain. Did someone get it? Is anyone coming? The physician waits, then pages again — not because anyone dropped the ball, but because nothing confirms acknowledgment.

30+ minutes of waiting and re-paging.

The gap is measurable. In a national clinician survey, most clinicians report patching coordination gaps by hand — every shift.

80.7%
use at least one workaround every day
65.2%
lose 30+ minutes a day or shift to avoidable digital work
56%
manually track labs, imaging, referrals, or authorizations
Source: Black Book Research survey of 1,919 clinicians, July 2026, reported by Becker’s Hospital Review.

The message was sent. The work didn’t get done.

We’re asking clinicians and staff to be the coordination layer between systems that were never built to talk to each other. That’s a system failure, not a people failure — and it’s exactly what Backline Pathways was built to solve.

Pathways in practice

See how Pathways coordinates the work

Any workflow, any department, any care setting — coordinated from one platform.

30 min → 2 min
Average consult connection time at an academic medical center using Pathways.

Discharge coordination

The physician marks discharge ready. Pathways creates parallel tasks for every department involved, with real-time visibility into what’s done and what’s blocking the bed.

Every department accountable, every step visible
See the full workflow →

Consult response

The request routes to the on-call cardiologist with full context and a 15-minute acknowledgment window. It escalates automatically if no one responds, and the ED sees status the whole time.

Confirmed acknowledgment, not just delivery
See the full workflow →

Care transitions

A patient moves to a SNF or home health. Pathways surfaces EHR context into a structured handoff, assigns follow-up owners, and tracks each step so nothing drops between settings.

Continuity across every care setting
See the full workflow →

Referral tracking

Referrals get placed and disappear. Pathways notifies the specialist, guides the patient through next steps, and alerts the care team if the appointment isn’t confirmed — so handoffs to outpatient and external partners are followed through, not assumed.

Followed through, not assumed
See the full workflow →
One workflow, step by step

A critical medication alert, coordinated

An acknowledgment window, an automatic escalation when the step stalls, and an audit trail of every action.

Audit trail
Who it’s for

Built for the people who carry the coordination load

Coordination touches every role. Backline gives each team the visibility and structure to run the work instead of chasing it.

CMOs & physician leaders

Work routes to physicians only when they need to act — protecting their time, not adding another notification feed, and letting them practice at the top of their license.

Nursing leaders

Every coordination task that falls to a nurse is time pulled from patient care. Backline keeps that work where it belongs, and gives your teams their time back.

Operations leaders

Real-time visibility into throughput and where things are stuck, without asking anyone for a status update.

Care coordinators & case managers

You hold the full picture together today. Backline gives you the visibility and accountability to run it, instead of chasing it.

Coordinating care across Hospitals & health systems · Ambulatory & physician orgs · Behavioral health · Home health & hospice
The foundation

Built on Backline’s secure communication platform

Pathways isn’t a separate system to roll out. It runs on Backline, where your care teams already message, share, and reach each other every day.

Backline mobile app showing care-team rooms and conversations
Secure, HIPAA-compliant text, voice, and video
Virtual workspaces — team and patient-centered chats
Rapid clinical content sharing: data, images, and documents
Integrated on-call schedules to reach the right person fast
Automated patient-update notifications, like urgent lab results
Care mode and per-room notification settings
Directory search by location, role, specialty, and name
External users don’t need to download an app
Referring physicians, SNF staff, home health, and family caregivers join a conversation without installing anything — so coordination reaches past your walls, not just inside them.
How it was built

Built with healthcare, for healthcare

The workflows in Pathways weren’t designed in a vacuum. We spent months in discovery with clinical and operational leaders — CNOs, CIOs, VPs of operations, pharmacy directors, case managers — across academic medical centers, community hospitals, behavioral health organizations, and skilled nursing facilities.

They told us where coordination breaks down. Every workflow template reflects a real scenario a real team described to us.

Care team standing together
Epic Cerner MEDITECH HL7 HIPAA compliant SOC 2 Type II

Pathways runs on the platform your teams already use

Backline has carried clinical communication for healthcare organizations for more than a decade. Pathways extends that same platform to the work itself.

4M+
Messages monthly across care teams
1,500+
Facilities on the Backline platform
18K+
Cross-organization connections
95%
Client satisfaction
Getting started

How it works

From coordination gaps to coordinated care — here’s how you get there.

1

Map your workflows

We work with your clinical and operational leaders to find where coordination breaks down — the handoffs, escalations, and approval chains that need structure.

2

Configure your Pathways

We translate those workflows into Pathways — who owns each step, what triggers it, what has to happen before it closes, and how it connects to your EHR.

3

Go live with support

Start with pre-built templates or your custom configuration, and deploy with hands-on support. Every step is tracked, audited, and visible in real time from day one.

Frequently asked questions

Common questions about clinical workflow coordination and Backline Pathways.

See what’s possible with better coordination

Every organization coordinates care differently. In a 30-minute Workflow Assessment, we’ll learn your current processes, share how Backline supports teams like yours, and explore whether we’re a good fit.

30-minute assessment
Tailored to your workflows
No obligation
Schedule a Workflow Assessment →

Or email us directly — we respond within one business day.