Engage & Plan:
Use powerful analytics to segment your population and identify patients for proactive care planning and coordination. Engage individuals and incorporate preferences, and personal goals with clinical and behavioral care protocols, to create a collaborative Personal Care Plan that is unique.
Monitor & Coordinate:
Monitor Personal Care Plans based on any observable data – from your EMR, remote connected devices, patient-reported, or service cases from a triage contact center. Care team members are alerted to gaps in care and can provide support and intervention in near real-time. Leverage FHIR integration APIs to get information to/from your EMR, patient portal, and personal mobile devices. Reduce unplanned or unpredictable acute care episodes and ED admissions.
Personalize & Delight:
Each person’s Care Plan informs the “Next Best Action” for every care team member and service provider – creating a very personal care experience. Improve patient satisfaction and well-being while enabling care team members to impact more people with an efficient, modern, SaaS care coordination platform.
This is Population Health impact …. one person at a time.