Redding Endoscopy Center
How TriFetch cleared 727 backlogged patients, booked 20 new patients end-to-end, and sustained 400+ outbound calls per week at Northern California's busiest community endoscopy ASC.
727
Patients cleared from backlog
20
New patients booked
400+
Outbound calls per week
$15K
Value delivered
One of Northern California's busiest community endoscopy ASCs
Redding Endoscopy Center is an AMSURG-managed (now Ascension Surgery Network) surgery suite with four credentialed gastroenterologists and strong PCP referral flow across Shasta, Siskiyou, Tehama, and Trinity counties. Medical Director Dr. P.K. Dhanuka, MD — board-certified gastroenterologist, former Chief of Medical Staff at Mercy Medical Center and Shasta Regional, Vice Mayor of Redding — leads the practice.
As volume grew, so did the gap between referrals received and patients booked. ~100 daily fax referrals, multi-physician insurance routing rules, a multilingual community, and a complex pre-procedure workflow meant 727 patients sat in the backlog — symptomatic referrals awaiting outreach, surveillance patients overdue for recall, and prep-failure reschedules never followed up.
Before TriFetch
- ✕727 patients in backlog — symptomatic referrals waiting, surveillance recalls missed, prep-failure patients never rebooked
- ✕Fax queues checked 3×/day — referrals from 4:45 PM Friday weren't read until Monday afternoon
- ✕20–28% inadequate bowel prep rate — 6–8 colonoscopies aborted every day, at $2,639 lost margin per slot
- ✕<20% Spanish-language pre-procedure coverage — a measurable access gap in a 17% Hispanic community
- ✕15+ nursing hours per week burned on pre-procedure calls — repetitive workflows no clinician should be doing
- ✕5+ payer-specific physician routing rules lived in one intake coordinator's head — no documented system
After TriFetch
- ✓727-patient backlog cleared in the first three weeks of deployment
- ✓20 new patients booked directly end-to-end by Linda
- ✓400+ outbound calls per week — multi-touch pre-procedure coaching, surveillance recall, refill verification, scheduling
- ✓Same-day intake — referrals received at 4:45 PM Friday are scheduled by Saturday morning
- ✓Prep failure rate cut in half — from 25–28% to 12–14%
- ✓100% Spanish-language coverage — closed the access gap from day one
- ✓Insurance routing matrix encoded — every payer-specific physician rule preserved, no tribal knowledge required
- ✓eClinicalWorks integration — every Linda interaction logged directly to the chart
By the numbers
727
backlogged patients cleared in the first three weeks
20
new patients booked end-to-end by Linda
$15K
in value delivered in the first weeks of deployment
400+
outbound calls per week sustained
~50%
reduction in inadequate bowel prep rate (25–28% → 12–14%)
95%+
pre-procedure call completion (up from 65–75%)
<1
day-of cancellation per week (down from 4–6/week)
100%
Spanish-language coverage for pre-procedure outreach
15+
nursing hours per week returned to clinical care
“Our nurses used to spend their afternoons making the same five phone calls over and over again. Now they're available for the patients who actually need them — the post-op follow-ups, the IBD flares, the questions that don't fit a script.”
From kickoff to full deployment
Month 1
Referral Intake
TriFetch and the Redding team launched with referral intake automation as the first wedge. Within two weeks, the system was pulling faxes in real time, classifying every referral as Stat / Symptomatic / Screening, and applying the practice's full insurance routing matrix. The 49 actively backlogged symptomatic referrals cleared in 72 hours.
Month 2
Outbound Coaching & Backlog Clearance
Deployment expanded to outbound coaching and screening. Linda began making 400+ outbound calls per week — multi-touch prep coaching at Day −5, −2, and −1; pre-procedure screening; and Spanish-language coverage for the practice's growing Hispanic patient population. The broader 727-patient backlog began clearing. 20 new patients were booked directly end-to-end.
Month 3
Surveillance, Prior Auth & Full Integration
Surveillance recall ran continuously at guideline-driven intervals. Prior auth automation went live across colonoscopy, EGD, EUS, ERCP, capsule endoscopy, and IBD biologic infusions. eClinicalWorks integration logged every Linda interaction directly to the chart. Practice-wide dashboards gave Dr. Dhanuka and the AMSURG/Ascension corporate team real-time visibility.
Redding Endoscopy Center is part of AMSURG (now Ascension Surgery Network) — an ASC network expanding from 58 to 300+ centers post-acquisition. The same playbook deployed at Redding is portable across the network.
Dr. Dhanuka also serves as President of the North Valley Medical Association, covering four counties and hundreds of physicians across the North State — a multi-practice multiplier for the TriFetch playbook.
Ready to see what TriFetch can do for your practice?
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