The Data Foundation that Your Health System is Missing

David Schramm
Written by David Schramm Senior Product Manager

Scheduling, referrals, results routing, claims, provider directories, credentialing, AI-driven analytics – every one of these workflows relies on accurate provider data. 

Yet health systems are struggling to maintain directories due to large backlogs of inaccurate records, and on top of that, 30% of records become outdated every year.  The result is not a visible system failure. It is a silent drag across operations: referrals that misroute, results that reach the wrong clinician, patients matched to the wrong specialist, important information about referring providers is not leveraged, and CMS compliance gaps that go undetected until they become costly.

Axuall Sync was built to solve this problem, not as another cleanup project, but as a persistent data foundation that keeps provider information accurate, complete, and current across every system that depends on it. Today, we’re diving into how Sync works and what it can do for health systems on a foundational level.

How Sync Works

Sync draws from Axuall’s provider data network, a curated collection of public and private data sources and over 32 billion claims, to build a comprehensive, verified “super record” for every clinician. That record includes demographics, verified contact information, specialties, treatments, conditions, and clinical focus derived from real-world practice patterns, credentials, licenses, PECOS enrollment, and practice affiliations. 

These verified updates are pushed directly into existing systems of record, such as Epic SER, credentialing platforms, directories, scheduling tools, and more, with no rip-and-replace required. In Epic environments, Sync treats Provider-on-the-Fly as a trigger: when a record is created, Sync enriches it and delivers ongoing updates automatically. End users see complete provider profiles where incomplete ones used to be, without any workflow changes.

Proven at Scale: How Sync Supports Cleveland Clinic

Cleveland Clinic manages hundreds of thousands of external provider records and receives hundreds of new referring provider records daily. Axuall Sync updates those records in near-real time with validated specialties, licensing, correct contact details, and over 20 additional enriched fields.

Axuall now manages Cleveland Clinic’s complete external provider database on a continuous basis, strengthening compliance, referral management, and closing critical gaps in care.

Stop searching. Start hiring. 

It’s clear that the old ways of physician recruiting are no longer just inefficient, they are a liability to the health system. To stay competitive and profitable, health systems must transition from manual, data-deficient processes to a strategy rooted in real-time workforce intelligence.

Axuall Explore provides the information you need to outpace the competition. It’s time to stop waiting for the right candidate to find you and start using the data to find them.

"The Axuall Platform was able to bring back taxonomy and specialty information, legal names, dates of birth, gender, validated NPIs, licensing details, and accurate addresses and fax numbers – all information that we often didn't have or couldn't rely on. It even identified providers who were no longer practicing because their licenses had expired.

One Data Foundation, Multiple Use Cases

The power of a strong, real-time data foundation lies in its ability to serve multiple purposes. The same enriched, continuously verified provider data that solves the referring provider problem also unlocks value across the enterprise:

Directory accuracy and patient access. Over half of provider directories contain significant errors, according to CMS. Sync’s continuous updates keep directories accurate, helping organizations meet regulatory requirements while cutting data maintenance costs by up to 70%.

Patient-provider matching. Generic specialty designations don’t tell you whether an orthopedic surgeon specializes in spine or hand surgery. Sync provides clinical focus data based on actual practice patterns and billing activity, enabling precision scheduling that connects patients to the right provider for their specific needs.

Payer roster enrichment. Continuously verified demographics and credential data streamline payer enrollment and reduce claim rejections — a direct revenue protection measure.

AI and analytics readiness. As health systems invest in clinical decision support and population health analytics, a continuously verified provider data foundation is a prerequisite for those initiatives to deliver real value. 

See How Your Data Compares

Axuall offers a no-cost validation sample that benchmarks your provider data accuracy against our continuously verified network. It is the fastest way to see how much of your data has decayed — and what a data backbone can do for your organization.

Request your no-charge validation sample below. 

Scaling New Heights: A Recap of Our 2026 Company Retreat

As we reflect on Q1 of this year, we are reminiscing on our first official all-company retreat. February brought the Axuall team together under the desert sun for in-person workshops, team building, and fun! Set against the beautiful backdrop of Scottsdale, Arizona, we traded our home offices for a chance to reconnect, recalibrate, and gear up for the year ahead.

Our theme for the week was “Same Mission, New Altitude.” While our core purpose of empowering healthcare systems with real-time provider data remains steadfast, we are officially entering a new phase of growth. The retreat was designed to help us navigate that higher altitude together.

The vision: Same mission. New altitude.

We kicked off the week by reaffirming why we do what we do. The mission hasn’t changed, but the scale at which we operate has. We spent our sessions discussing how to maintain our agility and culture while building the systems needed to achieve this higher level of performance.

To drive profitability, you need to shrink the time-to-fill and the time-to-start windows. You need data that doesn’t just tell you who a doctor is, but whether they are a good fit based on practice patterns, ties to the area, and other-data driven traits. This leads to a more robust outbound strategy and ultimately finding the right candidate in a shorter amount of time.

Strategy and Collaboration

We rolled up our sleeves as a team for several breakout sessions focused on our core objectives. Senior leaders hosted sessions that shed light on what’s to come from a product innovation perspective, and individual teams shared their takes on what operational improvements we can make to achieve our goals. 

Keynote speaker, David Sandler, led us in a workshop that tested our teamwork skills and creativity, encouraging us to think outside of the box to solve problems at work.

Team Bonding Off the Clock

When we weren’t in sessions, we were taking full advantage of everything Scottsdale has to offer.

Looking Ahead

We left Scottsdale feeling energized and empowered to make an impact this year. As we returned to our desks all over the country, we carried that “new altitude” mindset with us. We are more aligned than ever and ready to tackle the challenges of the healthcare workforce with renewed energy.

Thank you to everyone who made this retreat possible.

Want to join us for the next one? Check out our Careers Page to see how you can help us transform healthcare workforce intelligence.

Turn Provider Insights into Access and Improved Margins

In the high-stakes world of healthcare, the phrase “time is money” is not an exaggeration…it’s a clinical reality. When a physician vacancy sits open, the costs add up and compound over time. Between lost clinical revenue and increased burnout for remaining staff, a single open seat can drain a health system millions of dollars in potential revenue. 

Yet, according to a recent Health Management Academy report, 80% of health system organizations are still approaching physician recruiting through archaic tools and processes, under-utilizing AI and automation. They rely on stale job boards, outdated CVs, and reactive strategies that ignore a large portion of the qualified market. 

If you want to turn your recruitment department into a steady profitability engine, you have to stop searching and start targeting your outreach. The secret isn’t more recruiters, it’s superior, real-world data at the foundation of the search.

The Blind Spot in Traditional Physician Recruiting

Traditional physician recruiting is notoriously reactive. Recruiters wait around for leads or referrals to come in, they review the CVs, and the process goes on. 

However, during that time, the “cost of vacancy” is hemorrhaging your bottom line. 

The problem? Most recruiters lack visibility into a clinician’s actual practice patterns, their real-time availability, or their likelihood to move. They are chasing “active” candidates who are already being reached out to by many other systems, while the “passive” talent—the high-performers who aren’t looking but would move for the right fit—remains invisible.  

To drive profitability, you need to shrink the time-to-fill and the time-to-start windows. You need data that doesn’t just tell you who a doctor is, but whether they are a good fit based on practice patterns, ties to the area, and other-data driven traits. This leads to a more robust outbound strategy and ultimately finding the right candidate in a shorter amount of time.

Precision Sourcing With Axuall Explore

Axuall Explore changes the game. We’ve built the industry’s leading clinical workforce intelligence platform to eliminate the guesswork. Instead of sorting through digital stacks of unverified resumes, physician recruiting teams can now leverage AI-powered insights derived from over 30 billion claims data points and 19,000 primary sources.

With Explore, you aren’t just looking for a “Gastroenterologist.” You’re looking for a Gastroenterologist who: 

  • Has a specific procedure volume that matches your facility’s needs.
  • Is currently affiliated with a competing system but has an “Open to Work” score indicating they might be ready for a conversation.
  • Possesses verified credentials that won’t get stuck in the credentialing bottleneck for three months.

By using Explore, recruiters can pinpoint “clinician phenotypes”—deep profiles that include care settings, patient demographics, and even a propensity for rural practice. This level of precision doesn’t just make your team faster, it makes them more effective. When you engage a candidate with a message that reflects their actual practice history, your response rates skyrocket. This allows your recruiters to spend more time doing what they’re good at: convincing those ideal candidates to walk through your doors. 

Stop searching. Start hiring. 

It’s clear that the old ways of physician recruiting are no longer just inefficient, they are a liability to the health system. To stay competitive and profitable, health systems must transition from manual, data-deficient processes to a strategy rooted in real-time workforce intelligence.

Axuall Explore provides the information you need to outpace the competition. It’s time to stop waiting for the right candidate to find you and start using the data to find them.

Ready to see how data-driven recruiting can impact the bottom line of your physician recruiting function?

Request a demo of Axuall Explore today and see the power of our Clinician Data Network in action.and see the power of our Clinician Data Network in action.

Request Demo

Inside the Clinician Wallet: How Axuall Cuts Credentialing Time and Improves Provider Satisfaction

Credentialing can feel a lot like tax season.

Credentialing can feel a lot like tax season. Providers gather the same documents, enter the same information, and work through forms that look familiar but are never quite identical. This process repeats every time they join a new hospital, health system, or staffing organization. Work history, licenses, certification, affiliations. The same information gets entered again and again.

The impact goes beyond inconvenience. Each duplicate form and repeated verification adds time to the credentialing process, delaying start dates and frustrating both providers and credentialing teams. When provider data is scattered across systems and constantly recreated, organizations spend weeks chasing information that should already exist.

Every day, world-class surgeons and specialist providers spend hours manually entering the same personal data about themselves for the thousandth time. It’s an old way that costs health systems thousands in delayed starts and takes provider frustration to a new level. 

What if credentialing didn’t feel like doing taxes every time a clinician joins a new organization? What if providers could carry their verified professional identity with them in a secure, portable, and continuously updated way? 

That’s the design behind Axuall’s Clinician Wallet. 

Say Goodbye to “Start Date” Delays

Manual credentialing can cause a ripple effect of delays when it comes to getting a clinician fully onboarded. When it takes 90 to 120 days to get a provider into the OR, the health system isn’t just losing money, patients are losing access as well. 

The Clinician Wallet changes the math. By giving providers a digital home for their record—verified, real-time credentials that follow them wherever they go—we shift the burden from searching for data to simply confirming it.

  • Verified at the Source: No more “calling the university” for the tenth time
  • Real-Time Portability: Credentials move at the speed of a digital handshake
  • Instant Readiness: Shave off weeks of provider-onboarding timelines  

Why “Confirm” is the Logic That Scales

If your health system is still manually verifying every primary source for every new hire, you aren’t scaling, you’re just hiring more people to keep up with the demand. 

Axuall’s Confirm capability is the “no-brainer” for one simple reason: Trust shouldn’t have to be rebuilt from scratch every time a clinician moves. By utilizing a network of real-time data hooks, Axuall allows medical staff offices to stop acting like private investigators and start acting like strategic facilitators. It turns a bottleneck into a competitive advantage.  

Finally a Strategic Way to Respecting the Clinician’s Time 

According to a recent report by the Health Management Academy, rapid changes in clinician expectations are outpacing available data, highlighting the need for more real-time workforce intelligence. If you make a provider spend four hours on a credentialing packet, you are inadvertently telling them their time isn’t valuable.  

The Clinician Wallet is a signal to your workforce. It says: “We respect your expertise enough to get the paperwork out of your way.” High provider satisfaction isn’t found in the systems that allow them to actually practice medicine.

The Bottom Line

The Clinician Wallet isn’t a “nice-to-have” digital file. It is the infrastructure for the modern healthcare workforce. Health systems using Axuall aren’t just faster, they’re more attractive places to work.

In a market where the competition for talent is fierce, can you really afford to keep ideal candidates waiting?

The Dirty Secret About Provider Data (That Everyone Knows and Nobody Owns)

Jonathan Fullerton | Vice President, Strategic Growth, Axuall
Jonathan was employee number 50 at The Advisory Board Company, where he spent 16 years helping grow it from a healthcare research firm into a publicly traded, billion-dollar leader in research, business intelligence, consulting, and analytics, before launching a decade-long advisory practice for SaaS and healthcare innovators. Today he works with health system C-suites and founders to turn clinician data into the workforce intelligence layer behind patient access, referrals, and AI-enabled operations.

There’s a particular kind of madness only healthcare can pull off: an industry that runs on knowing exactly who its providers are, what they’re qualified to do, and where they’re doing it — and yet there’s no single source of truth on those same providers. There are accidental sources of truth  – systems that evolved to serve credentialing, or sourcing, or revenue cycle – each one authoritative in its own silo and inconsistent everywhere else.

I say this with love. I’ve spent 30 years in this space. I am part of the problem.

We all are.

Here’s what nobody writes in thought leadership pieces about provider data: the challenge isn’t technical. It’s gravitational. Every health system has accumulated so many workarounds, manual processes, and “that’s just how we do it” rituals that the sheer mass of institutional habit bends everything toward the status quo. You could hand a CMIO a perfectly clean, verified, real-time provider record tomorrow morning and by Thursday it would be copy-pasted into a spreadsheet, emailed to someone in operations, and manually re-keyed into a system that was supposed to be decommissioned in 2021.

And whoever is doing that re-keying? They’re not the problem. The question is why we’ve built systems that need human duct tape in the first place, instead of freeing those people to do work that actually moves patients through the door.

Here’s the twist that is taking us too long to see: the provider data set is the most under-leveraged asset in healthcare.

We have spent billions on patient data infrastructure. EHRs, HIEs, interoperability mandates, FHIR standards — an entire ecosystem designed to make sure patient information flows where it needs to go. Meanwhile, the data about the people delivering the care lives in silos that are simply untenable in an AI-driven world.

Think about what a truly comprehensive, continuously verified provider record could unlock. Not just faster credentialing (though yes, absolutely that — cutting weeks off onboarding is worth real money and real market share). But imagine knowing, in real-time, the actual clinical activity profile of every provider in your network. Where they’re practicing. What procedures they’re performing. How their patient panel compares to peers. Whether they’re likely to leave in the next twelve months based on behavioral signals you never thought to look for.

The good news – and I realize I’ve been somewhat relentless about the bad news – is that the building blocks exist. Primary source verification networks that check thousands of sources in real time. Digital credentialing wallets that let clinicians “scan and confirm” their information instead of re-entering it for the forty-seventh time across their career. AI that can synthesize billions of encounter records into a picture of what a clinician actually does, not just what their CV says.

Organizations getting this right are changing what they can see. Sourcing candidates using real clinical activity data instead of job board guesswork. Feeding live provider intelligence into scheduling and referral systems that used to run on stale directory files. Predicting attrition before it shows up as a resignation letter. Faster credentialing with a radically improved provider experience.

 

The real shift is that provider data stops being a compliance file and starts being the strategic asset that is the necessary foundation to future health system success.

Next in this series: Your AI Strategy Has a Provider Data Problem (It Just Doesn’t Know It Yet) — What happens when you bolt artificial intelligence onto broken provider data? Coming next week.

Health Tech Solution Aimed at Identifying Clinicians Inclined to Work in Rural Communities

Axuall Explore creates feature to fill some of the most difficult positions in healthcare. 

Cleveland, OH, February 10, 2026Axuall, the industry leader in clinical workforce intelligence, announced a new feature to identify physicians and advanced practice providers who are more willing to work in rural communities. Using Axuall Explore, an AI-powered database of 1.5 million clinicians, health systems can now identify information to help recruit for some of their most difficult-to-fill positions. Analyzing clinician data from over 19,000 primary sources and more than 30 billion claims data points, Axuall Explore quickly identifies clinicians who have a propensity to work in rural areas.

Jason Junker, MA, CPRP, Corporate Director of Physician Recruitment, Multi-State Division at Advent Health, said this type of information will be invaluable in recruiting efforts. “With several markets recruiting physicians to serve rural communities, a tool like Axuall Explore is truly transformative. It helps us identify providers who are not only clinically strong but genuinely committed to rural practice—an audience that can be difficult to pinpoint. By connecting with these physicians through messaging that reflects our faith-based mission, we’re able to engage those whose calling aligns with our communities’ needs and ultimately strengthen the care we provide to our patients.”

The launch comes at an ideal time, as access to healthcare in rural communities has been a national focus. Currently: 

      • More than 91% of U.S. rural counties face healthcare workforce shortages.

      • More than 16% of the U.S. population lives within a designated health professional shortage area. 

      • Nearly 9,000 additional clinicians are needed to fill these gaps in care.

    With just a few clicks through Axuall Explore, a physician recruiter can find more than 100,000 physicians and nearly 44,000 nurse practitioners who have practiced in a rural setting for at least three months. 

    “This level of precision leads directly to more efficient recruitment, superior workforce planning, and ultimately, the improved retention needed to stabilize care in these vital communities,” said Charlie Lougheed, the Co-founder and CEO of Axuall. “Solving the chronic staffing shortages in rural America is not just a challenge; it is a deepening crisis driven by funding cuts and the utter failure of conventional, broad-stroke recruitment strategies.”

    The timing of this solution is even more crucial, considering the current rural healthcare workforce is nearing retirement age; the average age of physicians who work in a rural setting is 59 years old. 


    About Axuall

    Built with leading healthcare systems, Axuall is a workforce intelligence company powered by a national, near real-time practitioner data network. The technology enables healthcare systems, staffing firms, telehealth, and health plans to dramatically reduce onboarding and enrollment time while also providing unique, powerful data insights for network planning, analytics, and reporting. To learn more, visit www.axuall.com.


    Media Contact
    Jeff Rusack
    Media Relations Manager
    KNB Communications
    axuall@knbcomm.com

    Cleveland Clinic and Axuall Deploy Next-Generation Data Engine to Solve the Provider Data Integrity Crisis

    Cleveland, OH – October 28, 2024—Axuall, the industry leader in clinical workforce intelligence, and the world-renowned Cleveland Clinic today announced a long-term agreement to co-develop and deploy Axuall Sync. This collaboration will dramatically improve the accuracy, recency, and completeness of provider data for health systems, addressing one of the healthcare industry’s most persistent and costly challenges.

    Over half of all healthcare provider directories contain significant errors, according to the Centers for Medicaid and Medicare Services. Such gaps often lead to missed opportunities for patient care, scheduling breakdowns, and non-compliance. Sync leverages Axuall’s provider data network—built from thousands of real-world sources spanning over 27 billion data points—to create a “super record” for each clinician. This robust profile, aided by machine learning, includes everything from demographics and credentials to specialty, practice patterns, health system alignment, and even an attrition risk score.

    “The challenge of stale provider data goes far beyond a simple database issue; it’s about unlocking the full potential of our healthcare networks,” acknowledged Charlie Lougheed, the CEO and founder of Axuall. “Axuall is shifting the paradigm from a costly struggle to maintain data to a future where intelligent, near real-time information actively enhances care coordination and optimizes our entire healthcare ecosystem.”

    Cleveland Clinic engaged with Axuall Sync to enhance management of extensive provider data. Axuall completed an update of 50,000 provider records within three days, improving accuracy and efficiency. Accurate provider data supports seamless referrals, care coordination, and communication. Axuall is now managing the health system’s complete 200,000+ external provider records.

    “As a destination hospital facility with a significant global presence, Cleveland Clinic manages an extraordinarily high volume of new external provider records daily. The sheer scale of referral-driven patient flow means our provider data needs are constantly expanding,” said Kate Neal, IT Director of Access Innovations and CRM at Cleveland Clinic. “By ensuring provider data is accurate and up to date, we have strengthened our ability to meet CMS Notification of Admissions regulatory requirements while closing critical gaps in transitions of care.”

    Sync is designed to automate the ingestion of curated provider data into core systems via APIs and vendor-specific connectors, supporting platforms such as Epic’s Schedulable Epic Resource (SER) and Provider-on-the-Fly functionality, Salesforce, and more. Future use cases at Cleveland Clinic will include precision scheduling—leveraging real-world practice profiles to more accurately match patients to physicians—and provider population analytics to close healthcare supply and demand gaps in the community.

    About Axuall

    Built with leading healthcare systems, Axuall is a workforce intelligence company powered by a national, near real-time practitioner data network. The technology enables healthcare systems, staffing firms, telehealth, and health plans to dramatically reduce onboarding and enrollment time while also providing unique, powerful data insights for network planning, analytics, and reporting. To learn more, visit www.axuall.com.

    About Cleveland Clinic

    Cleveland Clinic  is a nonprofit multispecialty academic medical center that integrates clinical and hospital care with research and education. Located in Cleveland, Ohio, it was founded in 1921 by four renowned physicians with a vision of providing outstanding patient care based upon the principles of cooperation, compassion and innovation. Cleveland Clinic has pioneered many medical breakthroughs, including coronary artery bypass surgery and the first face transplant in the United States. Cleveland Clinic is consistently recognized in the U.S. and throughout the world for its expertise and care. Among Cleveland Clinic’s 82,600 employees worldwide are more than 5,786 salaried physicians and researchers, and 20,700 registered nurses and advanced practice providers, representing 140 medical specialties and subspecialties. Cleveland Clinic is a 6,728-bed health system that includes a 173-acre main campus near downtown Cleveland, 23 hospitals, 280 outpatient facilities, including locations in northeast Ohio; Florida; Las Vegas, Nevada; Toronto, Canada; Abu Dhabi, UAE; and London, England. In 2024, there were 15.7 million outpatient encounters, 333,000 hospital admissions and observations, and 320,000 surgeries and procedures throughout Cleveland Clinic’s health system. Patients came for treatment from every state and 112 countries. Visit us at clevelandclinic.org. Follow us at x.com/CleClinicNews. News and resources are available at newsroom.clevelandclinic.org.

    Media Contact
    Jeff Rusack
    Media Relations Manager
    KNB Communications
    axuall@knbcomm.com