Collaborating Across the Continuum
Real-time alerts and information to manage patients beyond your home health agency
With CarePort Connect, home health agencies gain visibility into patients as they transition out of your organization in order to track and manage patients through real-time alerts to prevent clinically unnecessary ED observation or inpatient admissions. CarePort Connect enables all providers across the continuum – hospitals, ACOs, physician groups, payers and post-acute providers — to share patient information for effective care coordination through real-time, actionable data.
Real-time patient information with historical context
- Receive real-time alerts when patients present at the emergency department and, if appropriate, intervene to readmit the patient to your agency
- Identify gaps in care for appropriate interventions
- Prompt post-discharge follow-up calls with real-time notifications once the patient is discharged back into the community
- Understand readmission rates by patient cohorts and referral sources
Strengthen partnerships and overcome information silos with actionable data
- Facilitate information sharing to strengthen relationships and connectivity between skilled nursing facilities and home health agencies, hospital partners and ACO populations
- View current and prior patient care information such as CCDs, diagnoses and MDS
- Understand patient clinical and utilization history for both acute and post-acute stays
- Improve quality measures for value-based programs
- Use real-time data for root cause analysis of readmissions for future prevention
1k
ACUTE HOSPITALS
110K
IN-NETWORK POST-ACUTE CARE PROVIDERS
35%
POST-ACUTE TRANSITIONS IN THE U.S.
