Coordinate care through WellSky CarePort solutions for Monogram Health
Hospitals and health systems can now identify patients with Chronic Kidney Disease (CKD) and End-Stage Renal Disease (ESRD) who are eligible for Monogram benefits.
Use WellSky CarePort solutions to coordinate kidney care with Monogram Health
Monogram Health, a value-based provider that specializes in providing care to patients with Chronic Kidney Disease (CKD) and End-Stage Renal Disease (ESRD), has partnered with WellSky. Through this partnership, you can easily identify patients eligible for Monogram benefits – enhancing the quality of specialized kidney care which can lead to better health outcomes and reduced hospital readmissions.
CarePort’s comprehensive care coordination platform enables healthcare providers to:
- Easily identify chronically ill patents likely to benefit from coordinated care services
- Send referrals to Monogram Health care managers
- Reduce time spent finding placements for chronically ill patients
- Guide patients to high-quality post-acute providers
Partnership benefits
Benefits for you:
- Identify eligible and enrolled Monogram patients within your established discharge process to minimize workflow disruptions
- Surface succinct and digestible information to educate patients of Monogram's benefits
- View actionable intelligence for patient intervention and in-home support to help prevent readmissions and poor outcomes
- Track program members across the care continuum with CarePort Connect to ensure effective care coordination across various healthcare settings and providers
Patient benefits
When enrolled with Monogram, patients receive:
- Personalized care plans tailored to individual needs, goals, and preferences
- Care coordination services to assist with navigating the healthcare system, scheduling appointments, and communicating with other members of the healthcare team
- Access to a multidisciplinary care team, working together to provide holistic, coordinated care
- Combination of telehealth services and in-home visits
- Education and support programs, including medication management, nutrition counseling, and lifestyle coaching
WellSky CarePort solution resources
Quick reference guide
View the step-by-step instructions on how to send referrals electronically to Monogram.
Monogram Health FAQ
View the frequently asked questions for providers and patients to learn more about Monogram Health.
Release notes
View the extended version of the October 2023 release notes, featuring Monogram updates.
CarePort solutions
Learn how CarePort solutions can help enhance your care coordination workflows.
