Auto- Identify patient at high risk of readmission using advance algorithmic processing of multiple factors
Low Touch, High Tech platform leverages existing data for all admissions, on a daily basis, without manual intervention
Visually Interactive presentation of information for intuitive next steps, and proper management and follow up
Follow up inside the facility, and outside
Manage Patient Specific Needs
Single Patient Profile based on existing data to manage through the continuum of care
Augment Patient Profile with information not captured, but important for case management and care coordination
Customizable Care Programs that can be modified to address organization specific needs and protocols
Patient Resources can be easily shared with the patient, and others helping with care
Patient’s Care Plan follows the patient, and can be shared with organizations like Ambulatory partners, SNF, LTACs etc.
Once the appropriate patient needs have been identified, its time to take action. In this step, we help create and execute highly customizable care programs and protocols to address the patient needs. Patients can be assigned to the right care program and resources. Assigning patients to the programs kicks off a highly automated, workflow driven follow up process for the care team to successfully manage the patient. This helps the care team focus on their core functions, and managing patient needs in a highly coordinated manner. Using CareSkore’s workflow capabilities, each team member get their assignments, and knows exactly what to do as next steps, and how to do it
Analyze & Report
Operating Control in your hands. Know exactly each team member’s assignments and workload for better planning
Persona Based Reporting delivers curated, actionable information to the right person, at the right time
Measure ROI Effectively, not subjectively. Know the exact impact of efforts
CMS Reporting made easier
We collect meaningful data as your team works on serving the patients, and provide extensive reporting capabilities. Reporting is focused by user (personas) role. whether you are a case manager, program manager, administrator, or the clinical leader, you can be assured that you will have total visibility into both the day to day progress, and the trends over time