How it works
A system for the work that never had one.
Coordinating with organizations outside your walls has never lived in your EHR. It lives in fax trays, voicemails, and phone tag. Watershed gives that work a home: a shared patient record across every organization, connected to their own workflows. Replace the chase, not your tech stack.
The space between
Every system in healthcare is working as designed. None were designed for this.
Each of these does its job and the gap is in the spaces between them.
HIEs
Aggregating acute-care data. Regulatory reporting. Retrospective research.
Real-time awareness for every level of care — including providers without technology or margin.
EHRs
Clinical documentation for billing and workflow inside a single system.
Cross-system collaboration or awareness beyond their own walls.
Care platforms
Patient lists, population dashboards, and workflow for internal teams.
Collaboration across organizations or community-wide context.
Plan analytics
Claims-based insight. Retrospective HEDIS scoring. Utilization trends.
Real-time intervention or cross-provider awareness while there's still time to act.
Healthcare has confused having data with being able to use it. Watershed is the layer that turns one into the other.
The loop, in depth
Three layers. Most of healthcare stops at the first.
Data reaches the whole care team
Watershed connects to your existing EMRs, HIEs, and ADT feeds — and extends past them to the providers those networks can't reach. Admissions, discharges, clinical documents, and care context arrive in real time, in one shared patient record. Your EMR stays the source of truth.
- Real-time admission, discharge, and transfer awareness
- Clinical documents shared across every care setting
- Care team visibility — who's involved, across organizations
- Social context — community organizations on the same record
The right person can act on it
Information lands in a workflow built for action — not buried in a feed. Care team members coordinate the handoff in one place — whether they work in an EHR, the portal, or by fax and phone.
- Transition and referral workflows shared across organizations
- Direct communication with the patient's whole care team
- Every participant included — no setting left outside the loop
The work goes on the record
Care team members close their steps in the platform — time-stamped, visible to the team and to the organizations accountable for outcomes. Coordination becomes something you can see and count, not something you infer from claims data weeks later.
- Transitions closed, with when and by whom
- Follow-up visits confirmed by the practice on the record
- Network-wide view of where handoffs flow — and where they stall
Meeting people where they are
Choose your own adventure.
EHR integration
Bi-directional data and workflow inside the systems your teams already use.
Web portal
A full coordination workspace for providers without an integration — no IT lift.
Fax to platform
Providers on fax still join the loop — and confirm receipt — without changing a thing.
Alerts and Reports
"We're on a major EHR. Aren't we already connected?"
Connected to other hospitals on a similar system sometimes, but connected to your patient's actual care team — no.
Your EHR connects you to systems like yours. Watershed connects you to everyone else.
Architecture principles
Built to connect what exists. Not replace it.
Most platforms grow by displacing what you have. Watershed grows by connecting it, which is why adoption looks like network density, not license counts.
Network of networks
Watershed connects existing HIEs, EMRs, and care systems rather than competing with them.
EMR stays the source of truth
Clinical truth lives where it's documented. Watershed coordinates around it and your other systems.
Providers own their own data
Participation never means surrendering data. What's yours stays yours.
Paid for by those who take financial risk, controlled by users
The organizations accountable for outcomes fund the rails. The people doing the work control the tool.
Security and compliance
HITRUST Certified
Independently assessed against the healthcare industry's most rigorous security framework.
HIPAA Compliant
Meets key regulatory requirements for privacy, security, and protected health information.
Permissioned by design
Care team visibility follows the patient relationship, and access is purposeful, not open-ended.
See it on your network