HDM CLASSroom: Traversing the Continuum of Care – EPISODE 3

Featuring the American Heart Association, Real Time Medical Systems, and Upfront Health.

SESSION 1: A scalable model of execution across care transitions. A model example.

Tomorrow’s success in deep impacting health and care is the ability to move patients, families, and their state of care across different care settings transparently, efficiently, and effectively. Yet today, there is still so much churn, lost in translation, and redundant handoffs that are creating a lack of confidence with patients, families, and care teams. Join Health Data Mangement, and Real Time Medical Systems as they dissect what an award winning, scalable model looks like, helping patients, families and care teams stay on top of care transitions.  


Supporting Content

KLAS First-Look Report 

With the shift toward value-based care, data analytics and care coordination across various modalities will be critical to organizational success. Real Time Medical Systems’ Interventional Analytics solution provides actionable clinical and reimbursement performance data—pulled directly from the post–acute care EHR—to skilled nursing facilities, hospitals, ACOs, and payers. Real Time’s SaaS-based platforms include live data analysis that offer patient- and facility-level risk stratification to reduce hospital readmissions, identify and intervene in high-risk changes in patient conditions, and more. 


Case Study: Health System Reduces Readmissions and Improves Total Cost of Care with Post-Acute Analytics 

By advancing care coordination efforts with the help of live post-acute data transparency, healthcare organization St. Joseph’s Health System was able to strengthen its high-performing post-acute care network, improve care management across settings, while reducing total costs.


Solutions Brief: Improve Network Performance with Live, Post-Acute Data

As value-based care and bundled payments gain dominance, it is essential for healthcare executives to obtain clinical performance data across the continuum of care - especially as it pertains to their post-acute network.


Blog: Lowering Costs in Value-Based Care Programs

With value-based care (VBC) driving reimbursements and quality outcomes, the importance of aligning these programs and gaining participation from your post-acute network is critical.  This begs the question: What can providers do to improve VBC outcomes, while reducing unnecessary medical expenses - and how can technology help to get them there? 

SESSION 2: Reducing hospital readmissions for cardiovascular patients; a case study to be applied across the continuum. 

For many transitions across the continuum of care, there is ample help, answers, and information for patients and families. Hospital readmissions are no different, yet readmissions still plague systems across the country. Join Health Data Management, Upfront Health, and the American Heart Association as they discover the right combination of processes, people, consumer insights and technology coming together to help cardiovascular patients get the right information, at the right time. Importantly, readmission rates are reduced, helping patients and their families get back to living a healthy heart life. Learn principles that apply across any care transition. 


Supporting Content

CASE STUDY: How Upfront cut emergency visits in half and reduced hospital readmission rates

Allina Health needed a proactive, digital solution that could engage patients scheduled for total joint replacement and guide them along the care journey. Discover how Upfront applied its technology and expertise to help the Midwest-based system reduce hospital readmissions and bolster post-surgical success

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