A transition of care solution to connect patients with clear and concise post-discharge care follow-up information. We provide interactive tools to hospitals, SNFs, PCPs, payors and other healthcare organizations to improve transition of care. This includes:
- After-Hospital Care Plan Workbooks: User-friendly, colorful and printed in 4th to 5th grade literacy levels. These workbooks are individualized for each patient. Our software that creates the workbooks integrates with Health IT systems.
- Virtual Health Educator: Our Virtual Health Educator conducts coaching sessions with patients to teach information around follow-up care, medication adherence, diagnosis and other information. These sessions include teach-back with the patient to ensure understanding.
- Care Transition Services: Learn more on how we can personally work with your organization to improve follow-up care, transition of care and staff training. Our services include consulting, Project RED workshops, Care Transition Resource placements and more.