Our most robust option, the Continuum of Care Suite is two solutions that can be used independently or together for a complete performance monitoring system.
Total Patient Tracker™
Total Patient Tracker™—Know where your patients are and how they are doing anywhere in the post-acute care continuum with real time, actionable data.
The module provides:
- Real-time care & utilization management alerts for patients in the post-acute setting.
- Patient “off-track” alerts for quality/cost and readmission analysis.
- Streamlined communication with post-acute providers.
- Actionable reporting platform that drives behavioral change.
- Communication with patient via email, text or automated call to improve engagement and ensure quality of care.
Care Pathway Agent™
Care Pathway Agent™—Auto-create care pathways for patients quickly and easily, while ensuring you can track their progress throughout the acute and post-acute journey.
The module provides:
- Patient specific care pathways based on diagnosis and risk—based on Anna’s predictive analytics over millions of patient records.
- Care pathways recommend appropriate post acute care settings, length of stay, and patient goals.
- Sharing of pathways with post-acute providers.
- Communication with post-acute providers on at-risk and/or bundled payment patients.