Real-time notifications and longitudinal data for when
your patients are entering and exiting medical facilities.

Patient Population

Heavy utilizers

  • These individuals, due to complex medical problems, extensive co-morbidities, and challenging social circumstances, are high utilizers of acute care resources and are constantly transitioning into acute and subacute settings.

  • During these transitions, longitudinal providers - including PCPs, specialists, and case managers - are often unaware and therefore have no opportunity to impact the patient’s care.

  • Further, lack of awareness of care transitions out of acute and subacute settings makes it challenging to arrange for intensive wrap around services that will help keep the patient on the right trajectory.

Healthy individuals presenting at the emergency department

  • Emergency department providers with no knowledge of a patient often take a conservative approach, which leads to a full workup being performed for low risk patients.

Office visit BENEFITS

At-risk appointment detection

  • Providers are notified in advance when a patient is likely to miss an upcoming appointment.

Scheduled appointment adherence tracking

  • Longitudinal providers can learn about missed appointments for their patients in real-time.

Emergency department Benefits

Admission reduction

  • Timely intervention by longitudinal providers can avoid hospital admissions.

  • Unnecessary admissions are costly and detrimental to patients.

Wasteful care reduction

  • Duplicative diagnostic testing is costly and has negative health implications for patient.

Suboptimal care reduction

  • Longitudinal providers have internal knowledge about what works for specific patients that emergency department providers do not have.

Leakage reduction

  • When patients leak to out of network facilities and providers, there are no negotiated rates in place. 

  • Rate negotiation for these cases is costly and rate management capabilities are diminished. 

  • For patients, care is less consistent when delivered outside network.

Safe home transitions

  • Notification to longitudinal providers when patient transitions home increases chance that patient stays on the right trajectory.

Hospital admission benefits

Safe home transitions

  • Notification to longitudinal providers when patient transitions home increases chance that patient stays on the right trajectory.

Skilled nursing, inpatient rehab admission benefits

Safe home transitions

  • Notification to longitudinal providers when patient transitions home increases chance that patient stays on the right trajectory.

Length of stay monitoring

  • Insurers and longitudinal providers can use real-time length of stay data to make sure patients are kept in facility only as long as required.