Our disease management programs, clinical decision support technology, and patient outreach services help escalate at-risk patients and help you make stronger clinical decisions.

We give you the flexibility to create remote monitoring programs specific to individual patient needs, scaled across patient populations. Alerts identify notable changes in a patient’s health and deliver data to help you intervene earlier and coordinate care for high-risk patients.

Our care management services are designed to help you:

  • Support care coordination and clinical decision-making
  • Allocate clinical resources to patients who need them most
  • Take proactive steps to intervene before an acute event
  • Integrate remote monitoring data into EMR systems

SUPPORT FOR YOUR CARE COORDINATION

Our care management services are designed to monitor patient health, track developing trends, and help you manage and coordinate care — to potentially intervene at early signs of patient risk.

DISEASE MANAGEMENT PROGRAMS

Our remote patient monitoring solutions include more than 20 different disease management programs to enable individualized monitoring for your patients, based on their own care needs. These programs guide patients through a daily health check based on their health conditions. Disease management programs can be combined into the patient engagement platform to support co-morbidities. The programs react dynamically to patients’ responses during their health check session and will present symptom questions based on patients’ previous responses. 

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HEALTH CONDITIONS

  • Anxiety
  • Asthma
  • Bipolar
  • Chronic Kidney Disease (CKD)
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Coronary Artery Disease (CAD)
  • Depression
  • Diabetes
  • End-Stage Renal Disease (ESRD)
  • Heart Failure
  • Hypertension
  • Pneumonia
  • Post-Acute Myocardial Infarction (MI)
  • Post-Traumatic Stress Disorder (PTSD)
  • Schizophrenia
  • Substance Use Disorder

POST-PROCEDURAL

CARE TRANSITIONS


CLINICAL DECISION SUPPORT TECHNOLOGY

The Omnivisor® Pro clinical monitoring software presents patient data to care teams in a simple online format, allowing you to view monitored patients’ data through a single portal. Using rules-driven workflows, Omnivisor Pro integrates and analyzes patient data and triggers alerts for the care team if the data falls outside of established thresholds.

You’ll benefit from:

  • Alerts: Using the disease management program, Omnivisor Pro organizes incoming patient data by risk level and triggers alerts if the data falls outside of established thresholds.
  • Cross-functional Care Management: Role-based access to Omnivisor Pro allows you to assign the right level of access to care team members. You can also access workflow tools and assign follow-up tasks.
  • Trending and Reports: Daily biometric and symptom data is trended over time and displayed in a variety of graphics. Care teams can define parameters and configure data to meet specific reporting needs and can export the data in PDF, Excel, or other report formats. Common reports may include hospital 30-day readmissions and intervention data.
  • Multiple User Access: Multiple users in a care team can have access to the patient’s data to aid in care coordination.
  • Electronic Medical Record Integration: Omnivisor Pro integrates with many existing point-of-care and electronic medical record (EMR) enterprise software applications to meet your health system operating needs.

PATIENT MONITORING AND OUTREACH SUPPORT

An over-the-shoulder image of female in blue shirt with a headset looking at her computer screen

Support your care coordination and patient outreach with our dedicated Patient Advocacy and Support Services team.

When managing complex conditions, both clinicians and patients could sometimes use a little help. With more than 15 years average clinical experience and certification in Integrated Care Management,* our Patient Advocacy and Support Services act as a knowledgeable resource available to help patients complete their remote patient monitoring programs and help clinicians access the data underlying their patients' health status.

The Patient Advocacy and Support Services staff provide a consistent voice of support to patients as they complete health checks and build confidence in their own care. Following evidence-based clinical pathways, our clinically trained staff has visibility to the same patient health status as clinicians, and may reach out to patients to gain context and ask clarifying questions regarding patient biometrics and symptoms. They facilitate program engagement by educating patients and providing guidance throughout the program. 

As clinicians increasingly look for efficient ways to monitor patients post-discharge, Patient Advocacy and Support Services staff can support clinicians' ability to monitor their patients and support patients' ability to engage with their remote monitoring program.


*

Integrated Care Management Certification is through Sutter Health, http://www.suttercenterforintegratedcare.org/services/Training-Certification.html