What this feature does:

Query-based data networks have a fatal flaw: they only respond when asked. Until someone clicks “fetch,” they sit quietly in the background, waiting.

But care isn’t waiting. Meds get filled. Patients get admitted. Visits happen across the street—or across the state—and your team is left in the dark unless they know exactly when and where to look.

Zus flips that model on its head.

With Intelligent Refresh, we turn passive networks into active infrastructure. Instead of waiting for a query, Zus watches for signals that care is happening—or is about to happen—and responds immediately. The result? A patient record that updates itself in real time, with the right data, from the right source, at the right moment.

This isn’t about bulk queries or nightly batches. It’s about orchestration: smart, event-triggered refreshes that pull in what matters, when it matters. Across Carequality. Across Surescripts. Across HIEs and labs. Across care settings you may never touch—but still need to know.

Here’s a few examples of what this looks like in practice:

• Getting up to speed: Zus pulls in a comprehensive history from a wide range of national networks, pharmacy data, labs, and care settings—so you’re never starting with a blank chart.
• Your upcoming visits: We sync your scheduled appointments and trigger refreshes in advance to streamline chart prep.
• Visits with other providers: We detect appointments with other  care orgs and schedule a follow-up to capture the visit documentation as soon as it lands.
• Hospital admissions: When a patient goes to the hospital, we don’t just alert you with an ADT—we continue refreshing throughout the stay until discharge data is in hand. And if you’re only relying on ADTs, you’re missing a third of the story—1 in 3 transitions of care Zus detects come from sources outside traditional ADT feeds.
• Medication adherence: When patients are due to refill important meds (such as antipsychotics, statins or diabetes that are often tied to eCQMs or HEDIS), Zus refreshes their medication history automatically to confirm that they didn’t miss the fill. This helps care teams proactively prevent gaps in adherence that would otherwise drag down quality scores or lead to unnecessary costs or complications.
• New prescriptions = new insights: When Zus detects a new prescription, we check for encounter documentation associated with it. For instance, it might mean the patient has started seeing a new provider or been diagnosed with a new condition, and you’ll have the context you need to follow up first.

And we’re building more triggers all the time, driven by the workflows and gaps our customers care about most.

Why you should care:

If you’re responsible for delivering better outcomes with tighter margins, you need the full story, before the patient comes to see you. Whether you're coordinating care across a clinically integrated network, running a value-based program, or just trying to make your care team’s day a little easier, timely, complete data is what separates proactive care from playing catch-up.

Yet in today’s fragmented system, critical moments often go unnoticed. A hospitalization that no one flags. A medication that gets filled—or doesn’t—and no one knows. A specialist visit that comes and goes without documentation. Every one of these blind spots adds friction, delays action, and chips away at quality. For organizations focused on outcomes, cost, and coordination, that’s not just inconvenient. It’s unsustainable.

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Zus eliminates the blind spots. No more combing through portals. No more chasing down faxes. No more calling pharmacies or hospitals to piece together the story after the fact.

With Intelligent Refresh, your patient record stays ready. Because your care team shouldn’t have to go searching for the truth.

Instead, you get:

• Proactive chart prep before every visit and timely follow-up after visits with other care providers
• ‍Real-time hospitalization alerts and ongoing refreshes during the stay
• Medication activity monitoring to keep quality and adherence measures on track
• Specialist documentation pulled in within days—not weeks
  

And we’ve got the numbers to prove it:

• Zus attaches discharge summaries to 71% of ADT-sourced hospitalizations, with two-thirds of those attaching within just 12 hours
• Even without ADTs, Zus’s intelligent refreshes identify new ambulatory encounters within two weeks of the encounter date on average, keeping customers in the loop on new care team relationships, diagnoses, and prescriptions
• For patients on quality-measured medications, our automated refreshes confirm 60% of scheduled refills within 7 days of dispense—helping you focus on the ones who need extra support

In value-based care, timing is everything. Intelligent Refresh ensures your patient record keeps up with your patients—automatically.

Under the hood (so you don’t have to be)

You don’t need to micromanage your data sources to keep the record up to date—Zus takes care of that for you.

Behind the scenes, Zus continuously:

• Detects signals across national networks like Carequality, Surescripts, labs, and HIEs
• Orchestrates refreshes based on real-world patient events
• Filters and deduplicates data to avoid noise and redundancy
• Ensures the right data shows up in the right place—without flooding your systems

Most patient data lives in your EMR—or within 30 miles of a patient’s zip code. Zus goes further. We chase national signals to find and normalize clinical data, wherever care happens.
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We also optimize query logic to make sure we’re not just pulling more data—we’re pulling the right data. That means fewer duplicative records, smarter targeting, and a cleaner, clearer picture for every patient, every time.

And yes—we handle connector errors and retry logic so you don’t have to.

Because care doesn’t clock out. And now, neither does your data.

If you’re ready for a patient record that’s actually awake when you are—

Book a demo and we’ll show you how it works.