Lacuna Care Coordination

Stop losing referrals when discharge dates change.

When a referral comes in before discharge, it often sits in limbo. Dates shift, communication fragments, and responsibility quietly diffuses. Lacuna Care Coordination exists specifically for this in-between period, when a patient is still admitted, timing is unclear, and follow-through matters most.We do not manage intake. We do not replace your team. We simply ensure that referrals don’t disappear while everyone waits.

Inpatient Referral Tracking

Tracking referrals while patients are still inpatient so timing changes don’t cause silent drop-off.

Discharge Confirmation

Confirming discharge with case managers and alerting intake when patients are actually ready.

Clear Close-Out

Every referral ends with a clear outcome: the patient is discharged, delayed, or closed.

THE PROBLEM

Referrals stall when discharge timing changes.

Inpatient referrals are time-sensitive but rarely time-stable. Case managers adjust plans, units change expectations, and updates don’t always flow back to intake in a usable way.Without a clear owner of follow-up, agencies either check too early, check too late, or stop checking altogether. Over time, this creates silent loss, not from rejection, but from drift.The cost isn’t just missed starts of care. It’s duplicated effort, staff frustration, and referral relationships that slowly weaken.

OUR ROLE

We own the follow-through others can’t prioritize.

Lacuna Care Coordination operates as a lightweight coordination layer between referral and discharge. We monitor status over time, follow up as conditions change, and close the loop with a clear outcome, ready, delayed, or closed.
By the time your intake team hears from us, the referral is actionable. No guessing. No re-chasing. No stale handoffs.

HOW IT WORKS

Simple follow-through, no new systems.

Step 1: You Send Us The Referral

Once you’re a client, discharge tracking requests are submitted through this site using a secure, client-only link. You’ll also receive your unique submission link by email after signing up. Please allow a couple of hours for our system to refresh and provision access. If you need the link sooner or can’t locate it, you can always email [email protected].We begin tracking as soon as the request is received, even if discharge timing is still uncertain.

Step 2: We Track and Follow up

We monitor the expected discharge window and follow up directly with the case manager as timing changes. No one on your team has to remember, chase updates, or revisit the same referral repeatedly.

Step 3: You Get a Clear Outcome

Your intake team is notified when the patient is actually ready for discharge or when the referral is explicitly delayed or closed so every referral ends with a clear resolution.

Small Agency (Beta)

$99

For agencies with occasional inpatient referrals where the patient is still inpatient and the discharge date is in the future or unknown at the time of referral.

• Start Tracking Referrals

Medium Agency (Beta)

$179

For agencies receiving regular inpatient referrals and wanting consistent follow through without assigning internal staff.

• Start Tracking Referrals

Large Agency (Beta)

$249

For agencies receiving regular inpatient referrals and wanting consistent follow through without assigning internal staff.

• Start Tracking Referrals

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