Intelligent Transitions provides hospital case managers the tools and real-time data they need to improve transitions of care and patient outcomes by enabling insights and collaboration with broader care teams, wherever they are.
Identify and Manage High-Risk Patients
- Receive real-time alerts about acute and post-acute encounters after discharge.
- Configure notifications for inpatient, emergency department, or observation encounters.
- Monitor readmission risk with our predictive readmission scores.
Coordinate Care Across the Health Ecosystem
- Remain actively engaged in patient care following hospital discharge.
- Share patient information and care recommendations with other providers.
- Proactively collaborate and intervene to address changing patient needs.
Optimize Care, Performance, and Outcomes
- Reduce inefficiencies and duplicative care.
- Network leakage alerts offer direct visibility into patients presenting for care outside your facility.
- Improve care transitions workflow to reduce readmissions, penalties, and length of stay.
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