Addressing the complete continuum of care

ADDRESSING THE COMPLETE CONTINUUM OF CARE


PRE-OPERATIVE

Risk management and optimization

  • Quantification tools are used to assess risk and manage patients to identify:
    • Modifiable risk factors
    • Remediation measures
    • Readmission predictors
    • Appropriate interventions
  • Pre-op phase also includes comprehensive patient preparation, education and engagement critical to successful patient recovery

ACUTE

Clinical protocols and standardization tactics

  • Focus on opportunity areas to reduce variability and waste, leading to:
    • Faster mobilization
    • Decreased length of stay
    • Pain management improvement
    • Reduction in complications
  • Recommended targeted therapies and customized regimens supported by years of real-world clinical experience

POST-ACUTE

Proactive case management, extensive remote monitoring solutions and readmission reduction

  • Largest area of opportunity is after discharge, during recovery
  • Development of a continuing care network with trusted post-acute providers who adhere to a unified vision to assure patient outcomes within the 90-day period
  • Platform for patient navigation and monitoring provides oversight for:
    • Care coordination
    • Constant communication with patients
    • Management of recovery
    • Outcomes collection and reporting

CHANGE MANAGEMENT SERVICES

Support the infrastructure

  • Behind-the-scenes support of a comprehensive, unified team
  • Requires organizational change outside of protocol augmentations and staff
  • Structural changes are made by goal alignment, creative partnerships, strategic ownership, sophisticated real-time analytics and other elements
  • These underpinnings position organizations to implement a unified approach to value-based care delivery

YOUR CHANGE AGENT: ON-SITE PROGRAM MANAGER

Aligns stakeholders to facilitate your episode-of-care transition, so you can remain focused on patient care.