Helping hospitals enhance transitions of care.

Using technology, analysis, and the human touch to improve post-discharge patient experiences.

Our Mission

We collaborate with hospitals to enhance patients’ transitions of care. Our passion is to promote patient health, satisfaction and loyalty while providing insight into the post-discharge experience. With our innovative communication platform and in-depth analytics, we support hospitals’ financial well-being by reducing avoidable readmissions and allowing optimal use of skilled nursing resources.

 

Evidence of Readmission Reductions

Profile of Our Patients

Our Partners

Frequently Asked Questions

 

 

Resources

Female Internists Outperform Males on Key Post-Discharge Outcomes

Female internists in the US are achieving better post-discharge outcomes than males, by a margin of 3-4%. Readmission and mortality rates are half a percentage point lower when the internist is female. These are the findings of Yusuke Tsugawa, Ashish Jha and colleagues from Harvard in a recent issue of JAMA, based on a study of 1.5 million Medicare patients and almost 60,000 physicians.

Working together with client hospitals, we…

  • Enhance patient satisfaction and loyalty
  • Give greater visibility into the post-discharge experience
  • Increase the efficiency of nursing work
  • Reduce readmissions
  • Uncover risk factors for readmission
  • Create statistical models of readmission so hospitals can target interventions to patients most in need

Applications of Our Services:

  • 30-day post-discharge follow-up
  • Chronic disease management support
  • Disease-specific programs and support for Joint Commission certification
  • Post-ED-visit follow-up
  • Pre- and post-surgery calls
  • Public health announcements:
    – Reminders of insurance open enrollment
    – Flu shots
    – Heat alerts
    – Holiday diet reminders

Download our printable Program Guide (New)

 

Access the Clinician Portal

(Available for authorized users only.)