Assesses the patient’s risk for readmission.
- Real-time Risk Reports
- Actionable Data
- Adaptive Algorithm
EMR data is blended with the risk score and reintegrated using our Digital Dialyses™ process.
While we are educating the patient and delivering the vital instructions, the application is also assessing the patient’s risk for readmission. By combining key clinical indicators, patient comprehension, patient state of mind, and environmental factors, Homeward Healthcare™ has created a risk algorithm that follows the roadmap outlined by the Robert Wood Johnson Foundation three year study on hospital readmissions.
Homeward Healthcare™ also tests the patient’s understanding of their own role in the recovery process. Patients make a commitment and create a digital signature to affirm their intentions to follow the care plan prescribed.
When a patient grades in the high risk range, risk alerts are sent out in real time to care managers and required staff. Risk alerts repeat continuously on smart devices until appropriate actions are taken and accounted for. This provides administrators with actionable data including a simple scale of risk levels that aligns with suggested post-acute alternatives and/ or additional clinical interventions.