PNE Pathway

PNE Pathway

Complete pathway management for sacral neuromodulation.
From the first screening text to the post-procedure follow-up, CaseSherpa guides every patient, every care manager, and every document through the PNE pathway — so your practice can treat more patients with fewer gaps.

Schedule a Demo

The Problem

Fecal incontinence is underdiagnosed, undertreated, and hard to navigate. An estimated 17% of adults experience it, but fewer than 5% are ever treated. For GI practices and ASCs, the clinical tools exist — sacral neuromodulation has been FDA-approved for decades — but the pathway to get a patient from screened to treated is long, manual, and full of drop-off points.

Most practices lose patients at every stage:

  • Patients aren’t screened for bowel-control symptoms at all
  • Positive screens don’t convert to telehealth consultations
  • Pre-authorizations stall for weeks
  • Pre-op orders and surgery postings get lost in email chains
  • Post-procedure follow-up never happens

CaseSherpa’s PNE Pathway program closes every one of those gaps.

How It Works — The CaseSherpa PNE Pathway

Our platform manages all seven stages of the PNE pathway end-to-end:

STAGE 01

Screening

Patients receive an automated SMS survey with six validated bowel-control questions. Positive screens are routed directly to a telehealth scheduling link — no call-backs, no voicemails, no missed handoffs.

STAGE 02

Telehealth

Patients self-schedule their consultation through a HIPAA-compliant booking page. Visits run on integrated Zoom, with the clinical note populated in real time. Automated 24-hour and 1-hour reminders keep no-show rates low.

STAGE 03

Behavioral Assessment

The care manager documents the patient’s readiness to proceed. Patients who aren’t ready yet stay in a re-engagement queue for med trials and behavioral modifications — so no one falls off the radar.

STAGE 04

Pre-Op

Benefits verification, pre-certification, and scheduling are tracked in one place. When the PNE date is set, CaseSherpa automatically generates and sends pre-op orders and the surgery posting to the ASC.

STAGE 05

PNE Procedure

The procedure is performed by a CaseSherpa-trained APP. Procedure notes are generated immediately after and e-signed within the platform.

STAGE 06

Post-Treatment

A post-op telehealth consultation is auto-scheduled for 72–96 hours after the procedure. Patients receive reminder texts and self-book through the same scheduling flow.

STAGE 07

Follow-Up & Referral

Based on procedure response, the patient is routed to an implanter or returned to conservative management — with every decision documented and every handoff tracked.

What’s Built In

  • Automated SMS OutreachEnrollment, screening, reminders, follow-ups — all handled without phone tag.
  • Self-Scheduled TelehealthPublic booking pages with Zoom integration and automated reminders.
  • Document GenerationVisit notes, H&P, pre-op orders, surgery posting, procedure notes — all e-signed.
  • Care Manager DashboardStage-based pipeline, action plan checklists, full audit trail.
  • HIPAA ComplianceBAAs with AWS, Twilio, and Zoom. No PHI in emails or notifications.
  • ReportingEvery SMS, document, and stage transition captured for registry and quality reporting.

Built For

  • GI practices with ambulatory surgery centers
  • Urology practices with ambulatory surgery centers
  • Large specialty groups standardizing care delivery across multiple sites
  • Device and therapy partners commercializing sacral neuromodulation through integrated care pathways
  • Care navigation teams who want automation without giving up clinical judgment

Ready to see the pathway in action?

Schedule a 30-minute demo — we’ll walk you through the full PNE flow using real (de-identified) patient data.

Schedule a Demo