READMISSION & CARE TRANSITION MANAGEMENT
Achieve significant reductions in patient readmissions

Solution blends innovative Best Practices™ technology with the live interaction of hospital care coordinators to achieve significant reductions in readmissions, while placing minimal demands on clinical IT resources.

Service Offering:
Service as a Software (SaaS)-based management platform helps minimize preventable hospitalizations by identifying at-risk patient populations, matching them with appropriate interventions and evaluating results to ensure consistent quality care.

To achieve these results, the platform:
  • Integrates data from multiple clinical systems and organizations
  • Applies data analytics to identify at-risk patients
  • Provides hosted multimodal communications to stay connected with patients after discharge
  • Displays dashboard reporting to measure clinical and economic effectiveness of care intervention strategies


Deliverables:
  • Identify at-risk patients
  • Match appropriate interventions
  • Minimize preventable hospitalizations
  • Optimize care transitions
  • Evaluate performance to ensure quality outcomes
  • Accelerate adoption of best practices to drive down costs


"Iron sharpens iron, so one man sharpens another." Proverbs 27:17
PILLAR SIX:
SERVICE OVERVIEWS
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