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Community Health Outcomes

Address societal healthcare priorities like health equity, improving maternal health, and addressing behavioral health and substance use disorders with best-in-class technology that enables collaboration across the care continuum with real-time insights at the point of care.

Identify Social Determinants of Health Patterns and Improve Health Equity

Over a quarter of Americans have had health risks caused by unmet social needs. Those who report having unmet social needs, such as homelessness or lack of food, are twice as likely to rate their health poorer than those whose needs were met.

Social needs are generally organized into four categories: housing, transportation, food security, and relationships. However, social determinants of health (SDOH) encompass much more than social needs.

Our solutions use predictive modeling, risk stratification, and data aggregation to identify patterns that suggest underlying social determinants and alert care teams for further follow-up, enabling high-quality patient care for the most vulnerable populations.

Influence Positive Maternal Health Outcomes

With more than a thousand women lost annually due to pregnancy-related deaths, maternal mortality and morbidity remains an essential topic in the US.

While widespread adoption of standardized maternal health data is a goal, there is a need to encourage better data collection related to maternal health, morbidity, and mortality. A better understanding of how underlying social determinants of health affect maternal health outcomes can inform better social and community-based interventions in combination with improved access to healthcare.

We deliver care insights at the point-of-care and identify at-risk patients, ensure proper pre-natal care, and address potential substance use or social determinants of health to enhance the ability of care teams to influence positive outcomes.

Improve Care Collaboration for Patients Experiencing Behavioral / Mental Health Crises

One in eight ED visits is related to a mental health or substance use disorder — and naturally, it’s challenging to provide proper psychiatric treatment in settings designed for medical care and are poorly integrated into the rest of the medical community.

We offer an integrated and collaborative approach to helping patients with behavioral or mental health conditions, enabling the lasting support they need following a crisis, an approach to care that reduces the burden on the ED, improves outcomes, and reduces costs.

Close Care Gaps for Patients Facing Substance Use Disorder

More than two-thirds of all drug overdose deaths in the U.S. are a result of opioid misuse. Perhaps the biggest disservice to patients experiencing substance use disorder is the lack of communication from one provider to the next. If an emergency room had access to the notes, insights, and instructions to reference from a patient’s care team, they’d be better equipped to support patient’s needs in the ER.

Our solution helps providers easily track, identify, and manage patients across the care ecosystem by sharing patient-specific information and following a single, unified plan to improve outcomes for patients experiencing substance use disorder.

Reduce Unnecessary ED Utilization and Improve Staff Safety

Amid rising demand for health care, more patients are turning to emergency departments for care — even in non-emergency situations. This causes emergency department (ED) utilization to escalate dramatically, which makes it harder to treat more pressing emergencies promptly.

At the same time, health care providers are facing increasing workplace safety concerns, with the rate of injuries from violent attacks against medical professionals increasing by 63% from 2011 to 2018.

We empower Emergency Department (ED) staff with the right insights that help prioritize the most vulnerable and high-risk patients, identify high-utilization patients more efficiently, and protect care team members by enabling them to plan accordingly prior to engaging with patients with a history of high-risk or harmful events.

Optimize Transitions of Care Across the Care Continuum

Approximately 25% of Medicare beneficiaries transitioned to a skilled nursing facility (SNF) following a hospital stay are readmitted within 30 days.

Coordinating care between hospitals and post-acute care settings is key to preventing unnecessary readmissions, improving quality of care, and reducing unnecessary costs.

We connect the care continuum to optimize transitions of care and improve outcomes by delivering real-time insights into gaps in care and high/rising readmissions risk to support timely collaboration and proactive intervention.

How can we help you?