We organize a safe landing home for people after an acute stay, including any in-home support, and remain connected to ensure they receive the care they need, when and where they need it.
Today's healthcare environment is more complex than ever, leading to multiple care providers across multiple care settings. Lack of coordination can lead to care that's fragmented and poorly planned, resulting in potential medication errors and avoidable hospitalizations. The absence of a designated care coordinator can lead to poor communication, incomplete transfer of information, lack of education for patients and caregivers, and limited or no access to needed services.
We are designed to address care coordination the way it should be done. We assign the right team member to address patient needs at every step of the journey and provide a curated experience for every patient served.
Our tech-empowered, hybrid operating model is designed as a seamless conduit between patient and provider to increase access, intervene early and decrease variation!
Whether developing care plans guided by patients' needs and preferences, educating patients and their families at discharge, doing their best to facilitate continuity of care for patients across settings and among providers, our Care Coordinators make coordinated care possible.
The CareHub Care Coordination Model is unique in that it is completely patient and care centric. Our goal is to achieve optimal outcomes through comprehensive communication with the entire care team, proactively alerting care teams to ensure rapid response to patients, and appropriate escalations based on parameters set by the care team.
According to CMS, when doctors and other health care providers work together and share information, patient's needs and preferences are known and communicated at the right time to the right people, and the information is used to provide safe, appropriate, and effective care. This can help to keep patients healthier longer, better manage chronic conditions and experience care that is consistent with their goals.
When doctors and other health care providers don’t communicate effectively with each other, treatments prescribed by different doctors for a patient’s different health issues might conflict or become unmanageable for the patient. The patient is more likely to get unnecessary repeat tests. Worse yet, lack of coordination can lead to negative health outcomes for patients, more use of emergency care, medication errors, poor transitions of care from hospital to home, and medical errors. These effects can have a larger negative impact on chronically ill patients or patients with multiple complex health conditions.
There are several different points of contact in which care might need to be coordinated. That can include:
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