Once your patients have been discharged from the hospital, you’d rather not see them come back. Unfortunately, a fifth of Medicare beneficiaries are readmitted within a single month, leading to combined costs of more than $25 billion – and counting.
CMS has recognized that monitoring patients between office visits and hospital stays dramatically reduces their chances of seeking emergency inpatient care. MD Revolution’s proven patient engagement solutions will integrate seamlessly with your existing workflow to help keep patients healthy at home.
Transitional Care Management
Transitional Care Management Services are designed to transition the patient from the inpatient setting to their home. We accomplish this mission by:
Ease of Use
First by ease of use and incorporation into your existing workflow.
Interactive Contact
Initiating an interactive contact with the patient within the first two days of discharge.
Discharge Summary
Reviewing the discharge summary and discharge instructions with the patient or caregiver.
Easy Care Transfer
Coordinate care with other health care professionals who may assume or resume care.
Education Transfer
Provide education to the patient or caregiver.
Care Coordination
Determine any needs that exist, coordinating care with community organizations for the patient.
Medication Reconciliation
Provide medication reconciliation.
Follow-up reminders
Schedule or remind the patient of required physician follow-ups or additional services.