The Power of Follow-up

Emergency department visits often point to deeper challenges—gaps in primary care, unmet social needs, and difficulty navigating the system. In this episode, Connxus COO Vidya Lakshminarayanan shares how their team combines Health Information Exchange data with community health workers to identify patients after an ER visit and connect them to ongoing care. Through consistent follow-up, trusted relationships, and coordinated referrals, Connxus is helping reduce preventable emergency visits and create a more connected, proactive model of care—one that continues well beyond the hospital.