Consults & Referrals

The page went out.
Nobody knows if it landed.

Paging systems confirm delivery, not response. When a consult request disappears into silence — or a referral goes into the EHR and is never heard from again — your team is left guessing. Pathways adds the accountability layer that turns requests into confirmed, tracked, auditable workflows — clinical workflow orchestration where human judgment stays central.

See the consult workflow →
What your team sees today
ED Physician → Cardiology Need cardiology consult, chest pain, Room 7. Can someone confirm receipt? 2:18 pm
ED Physician → Cardiology Following up — patient still waiting. Is anyone available? 2:47 pm
Cardiology Fellow Sorry, just saw this. On my way. 3:02 pm
44 minutes. Two pages. No escalation path.
The real problem

Delivery is not the same as acknowledgment.

Paging, secure messaging, and EHR tasks all confirm that something was sent. None track whether it was received, acted on, or completed within a clinically meaningful window. That gap is where patients wait and care stalls.

What Pathways adds

Confirmed acknowledgment, not just delivery.

Pathways routes every consult and referral to the right role with full context, enforces an acknowledgment window, escalates automatically if it lapses, and tracks response time for quality visibility — no manual follow-up required.

See it in practice

Two workflows. One accountability gap.

Whether it's an inpatient consult or an outpatient referral, the failure mode is the same: the request was sent, but whether it was acted on is anyone's guess.

Inpatient consult
The specialist didn't see it for 44 minutes.
ED page went to the on-call fellow's device. Device wasn't in range. No backup path triggered. Requesting physician waited and re-paged manually.
Without Pathways
No acknowledgment requirement — silence is indistinguishable from receipt
Escalation is manual — depends on the requester remembering to follow up
With Pathways
Routes to on-call role — not a device. Acknowledgment required within configurable window.
Auto-escalates to backup or chief if the acknowledgment window is missed — no manual re-paging
Outpatient referral
The referral went into the EHR. Then nothing.
PCP referred patient to specialist. Did the office receive it? Did the patient schedule? Nobody followed up — because nobody had time to.
Without Pathways
Receipt not confirmed — completion assumed, not verified
Care gaps occur silently — no one flags them until the patient surfaces again
With Pathways
Specialist office must confirm receipt. Status flows back to referring provider automatically.
Loop closes with confirmed appointment — or escalates if patient not reached

What Pathways coordinates across consults and referrals.

Two different workflows. Same coordination layer.

Consults: confirmed acknowledgment, not just delivery
Routes to the on-call role with full clinical context attached. Acknowledgment window enforced. Escalates to backup automatically if missed. Response times tracked for quality metrics.
On-call routing built in
Auto-escalation to backup
Response time metrics enabled
Referrals: closed-loop tracking across organizations
Specialist office receives notification and must confirm receipt. Status flows back: scheduled, completed, or unable to reach. PCPs have visibility without phone calls. Network performance metrics enabled over time.
Receipt confirmation required
Status visible to referring provider
Network performance metrics
Clinician managing consult request on mobile

Secure communication for consults and referrals — alongside your EHR, not instead of it.

Backline works alongside your EHR. EHR-triggered consult initiation brings the clinical context in; Pathways orchestrates the acknowledgment, escalation, and closure that your EHR wasn't built to manage across organizational lines.

Backline's messaging platform reaches anyone involved in a consult or referral — specialists, PCPs, external partners — through a single HIPAA-compliant channel. External participants don't need an app. Pathways layers accountability and tracking on top.

Secure image & document sharing
Cross-org messaging
On-call schedule integration
EHR-triggered consult initiation
Response time tracking
HIPAA-compliant · SOC 2 Type II

Map your consult and referral gaps in 30 minutes.

Where requests stall, where loops don't close — we'll show you exactly how Pathways addresses them.

Schedule a workflow assessment