Coordinate care across teams and organizations—then digitize guideline workflows when you’re ready
WHAT PONTEGRA PROVIDES
Design & operationalize integrated care pathways
Pontegra helps healthcare organizations design and run integrated care pathways that work in day-to-day clinical practice.
With KronIQ, you can coordinate longitudinal care across multidisciplinary teams using standards-based care plans, and you can also implement encounter-level pathway flows for screening and monitoring.
When needed, the same pathways can be enhanced with decision support, from guideline-based recommendations to AI-driven predictions, delivered through SMART-on-FHIR apps and CDS Hooks services.
Powered by: KronIQ, Pontegra’s integrated care platform for chronic disease management, Repofyr: Prontegra’s secure, FHIR-native clinical data repository and API layer.
WHAT YOU CAN ACHIEVE
Integrated and scalable care coordination
Coordinated care delivery across roles, departments, and even multiple organizations
Consistent follow-up and accountability with clear responsibilities, scheduled tasks, and measurable completion
Reduced variation by standardizing care pathway steps based on clinical guidelines
Better clinical efficiency through care pathway specific screens that show the right information at the right time to the clinicians
A future-proof path to guideline digitization and decision support, without forcing it on day one
WHAT YOU CAN CHOOSE
Two modes – One platform
Integrated care platform mode
KronIQ enables care teams to coordinate longitudinal care through shared care plans and structured workflows, supporting consistent follow-up across roles, settings, and organizations.
What it does
- Enables creation and coordination of shared care plans using FHIR CarePlan and related resources (e.g. ServiceRequest, Goal, orders), aligning work across the care team
- Provides role-specific user interfaces for GPs, nurses, specialists, and case managers
- Supports cross-organization workflows where governance and integration allow, with consistent documentation and structured data capture
- Focuses on execution and follow-up (tasks, timing, responsibilities), rather than making clinical recommendations
- Supports standardized care pathways for screening and monitoring of selected diseases
- Allows care pathways to be defined and executed as guided workflows through configurable encounter flows
- Guides practitioners through encounters using page-based care flows, showing only semantically and temporally relevant information
- Uses specialized UI components (e.g. timelines, comorbidity views, calculated indicators) to reduce cognitive load and avoid raw data lists
When buyers choose this mode?
- Integrated care coordination is the first priority
- Shared care plans need to be defined and executed across teams
- Screening and monitoring pathways must be standardized and traceable
- Structured data capture should happen as part of routine care
- Decision support will come later, not on day one
This solution can be deployed in two different setups
- as an integrated care plan management environment without care pathway standardization
- care pathway support for selected diseases without decision support (care pathway guidance only).
For care pathway support with decision support (personalized recommendations/predictions for individualized care plan creation based on clinical guidelines), please refer to mode 2.
Personalized Decision Support and Guideline Digitization mode
For organisations ready to move beyond care coordination, KronIQ pathways can be enhanced with workflow-integrated decision support that translates clinical guidelines into personalised, actionable care.
Guideline-based decision support
- Personalised recommendations and next-best actions aligned with guideline logic (e.g. medications, labs, referrals, goals, lifestyle actions, follow-up timing)
- Patient-specific risk calculations using validated scoring algorithms (e.g. QRISK for cardiovascular risk)
- Alerts and reminders tied to pathway steps (e.g., overdue monitoring, missing evaluations)
- Configurable thresholds and local adaptations, including clinical targets and referral rules
- Multilingual, reusable content templates for national and regional programmes
- CDS suggestions delivered via CDS Hooks, with clinician approval before updating shared care plans
- Secure access to patient data following SMART on FHIR authentication and authorisation patterns
OPTIONAL ADD-ON
AI prediction and simulation integration (when appropriate)
We help integrate AI services into clinical workflow in a governed way:
- Prediction services (risk scoring, deterioration/readmission risk, triage support)
- Simulation / what-if services (where clinically valid and agreed)
- LLM-enabled guideline co-pilot as a smart assistant to create personalized care plans
- Delivery through CDS Hooks (cards/suggestions/actions) and/or embedded in SMART-on-FHIR apps
Frequently asked questions
Can we use Kroniq without decision support at all?
Yes. Many organizations start with coordination, tasking, and structured workflow guidance first, then add CDS later if desired.
If we add decision support later, do we need to redesign pathways?
No. The pathway model can stay the same; decision support is added as an optional module that enriches specific steps.
Do you provide packaged pathways (e.g., Diabetes Care Package)?
Yes, we can provide ready or customized pathway packages—often with localization and governance support—depending on your program goals and regulatory approach.
SEE YOUR OPTIONS
Packages
STARTER PACK
Integrated Care Pathway Pilot
The Integrated Care Pathway Pilot is a fixed-scope engagement designed to demonstrate value of utilizing KronIQ for establishing disease specific pathways for managing care plans.
We will start with one of your real-world screening or monitoring clinical guidelines and transform into a care pathway enabling care team members to follow for creating shared care plans.
PRODUCTION PACK
Clinical Workflow Rollout
Once the Starter Pack Pilot has validated the value of integrated care and automating care pathways, the Clinical Workflow Rollout phase focuses on getting the solution ready for production.
We achieve integration with local systems, harden the infrastructure, and transition your temporary evaluation into a permanent, licensed production environment.
OPTIONAL PACK
Decision Support Upgrade
Add guideline-based, personalized clinical decision support on top of production-ready care pathways.
The Decision Support Upgrade enhances existing KronIQ care pathways with governed, evidence-based clinical decision support. It introduces personalized recommendations, alerts, and next-best actions aligned with clinical guidelines, while keeping clinicians in control and preserving existing care coordination workflows.