Improve Care Coordination for Better Whole Person Care
PROACTIVE MONITORING
Receive real-time notifications whenever patients enrolled in your CCM program experience care events, both inside and outside of your network, to ensure immediate care interventions, appropriate care delivery, and successful outcomes for your CCM program.
INCREASE PATIENT ENGAGEMENT
Gain visibility into patient care events and diagnoses to quickly identify, engage with, and educate high-risk patients eligible to receive your CCM services.
IMPROVED DISCHARGE FOLLOW UPS
Ensure timely post-discharge follow ups with patients from surrounding hospitals to ensure successful TCM services are provided, and identify opportunities for patients eligible to enroll in your CCM program.
PREVENT AVOIDABLE READMISSIONS
Monitor and engage high-risk patients post-discharge from the ED to quickly intervene and avoid preventable admissions and potential readmissions.