Community Care Network

Improving care coordination of patients across the continuum

Establishing timely flow of information through notifications and alerts; so providers and care management teams can effectively address their patient’s healthcare needs. Through patient matching, provider attribution, clinical summaries, and ADT feeds we are driving better care and improved outcomes.

Features

Patient Data Intake

Ability to import clinical and claims data for near real time tracking and monitoring of patient activity.

User and Role Management

Assign roles based on the level of access needed, ensuring HIPAA compliance.

Segment Patient Populations

Identify and track high risk patients, using demographics, risk scores, and utilization rates.

Connect patients to providers

Create patient panels and surface these lists to care teams, so they know which lives they are responsible for.

Alerts & Notifications

Alert care teams through text, email, and desktop notifications when their patients are admitted, discharged, or transferred across settings.

Care Dashboard

View patients assigned by care team/provider; track their movement across settings; create notes and action items for staff managing the health of the patient.

Features

Patient Data Intake

Ability to import clinical and claims data for near real time tracking and monitoring of patient activity.

User and Role Management

Assign roles based on the level of access needed, ensuring HIPAA compliance.

Segment Patient Populations

Identify and track high risk patients, using demographics, risk scores, and utilization rates.

Connect patients to providers

Create patient panels and surface these lists to care teams, so they know which lives they are responsible for.

Alerts & Notifications

Alert care teams through text, email, and desktop notifications when their patients are admitted, discharged, or transferred across settings.

Care Dashboard

View patients assigned by care team/provider; track their movement across settings; create notes and action items for staff managing the health of the patient.

Insights

  • Improve communication between care providers
  • Know when a patient admits, discharges or transfers
  • Identify patients at risk for clinical deterioration
  • Visualize and communicate patient acuity across encounters
  • Pinpoint when intervention is needed
  • Reduce unnecessary ed utilization
  • Ensure care is received in the correct setting

Have a project for us?

Contact UsBook A Call

Have a project for us?

Contact UsBook A Call