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Best Care Transitions Products

Best Care Transitions Products

This category is a work in progress

Improving care transitions, or “handoffs”, as patients migrate from one care setting to another is a growing priority. Care transitions impact the quality of the entire patient outcome. To make care transitions seamless, critical information must be transmitted effectively and efficiently between the transferring and receiving providers. This can be a challenge, given the disparate data systems that exist.

A range of digital solutions are being developed to make care transitions consistent, high-quality and safe. These tools help to support the care teams, match patients with the right post-acute network and provide adequate support for patients and caregivers.

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Care Transitions: Products


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  • Covid-19
  • Pediatric
  • In Epic App Orchard
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  • AMC
  • Pediatric Facilities
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  • AMC
  • Pediatric Facilities
  • ACO
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Chart Access provides secure access to patient records as well as provider messaging for organizations providing care outside of a health system. This solution is currently available for health systems utilizing Cerner Millennium clinicals. When a patient is discharged to a nursing home, skilled nursing unit, etc. those providers at the post discharge facility need an easy way to access hospital and/or clinic records for the patients at their post discharge facility. They also need a way to efficiently communicate with health system providers that are visiting patients at their facility. Today that requires a lot of paper and phone tag. Chart Access eliminates the need for paper exchange and playing phone tag.
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Workflow tracking and management platform for the efficient planning and execution of all required time-sensitive clinical staff and provider engagements with eligible patients discharged from Acute care. Billing codes included: 99495 & 99496
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Rhinogram’s proven digital communication strategy provides solutions that empower patients and staff with a complete and compliant digital patient journey.

Optimize care and communication with patients and full care and administrative teams securely and effectively in one HIPAA-compliant platform that elevates care, patient compliance, and profitability. Streamline and liberate clinical and administrative teams across your organization and increase the quality of care your facility provides, all while increasing billable services, and providing better care to patients through better connections.

  • Receive patient-initiated direct SMS/MMS text messages via your existing system phone number.
  • Respond to 6-10 patients via the Rhinogram platform in the time it typically takes to respond to the needs of one patient via phone cal. 
  • Automate and expedite the patient intake process and consent with RhinoForms that patients can complete from their phones with as little as one bar of cellular service, or through an in-office ipad.
  • Automatically send patients payment link to click to pay their bill for faster processing.    
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By NowPow
10 verified clients
Product that allows various parties in a health system to screen and connect patients with the appropriate community-based organizations, closing the loop with those organizations on the background. Core product centered around the HealtheRX, which allows the results of a patient screen to curate a specific set of identified resources within that health system's network.
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HealthLoop, Inc. operates a SaaS platform that enables medical practices to monitor signs and symptoms, and communicate with patients during the recovery process. Its platform enables doctors to identify patients at risk of decline in the follow up period. The company’s platform also collects patients’ feedbacks and monitors status against expected progress; and sends alerts to physicians or providers about patients who are at risk of treatment failures, complications, or hospital readmissions. It serves medical offices in the United States. HealthLoop, Inc. was founded in 2009 and is based in Moffett Field, California.
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SolutionsPatient-Provider Messaging Tools, Digital Care Plan Tools
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Categories Care Transitions, Patient Flow

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Clinicians can order, deliver, and monitor care from one unified platform within their current workflow. These include everything from connected devices to services including meal delivery and transportation, from patient education to surveys and PROs. Looking to alleviate the disparity in healthcare delivery while recognizing common technologies most people share, Xealth helps health systems make digital health a competitive asset.

Xealth enables healthcare teams to order digital content and services as easily as they do medications today. Patients can then access these digital health prescriptions from the provider's portal, so that they can actively manage their health.

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By GYANT
12 verified clients
GYANT Engage: AI-powered patient outreach delivered through text and secure chat technology. Improves the effectiveness of your existing patient outreach strategy including post discharge follow up, population health projects, and chronic care management.
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SolutionsPost-Acute Management and Insights
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Categories Discharge Planning, Care Transitions

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Wellpepper is an enterprise platform for interactive care plans. We support any type of patient journey, and deliver patient experiences through different modalities including mobile, web, SMS, email, and voice. Since patients are often being treated for more than one issue, and since health systems need to manage costs and complexity, Wellpepper enables care plans built from reusable building blocks so that a single system can deliver care for pre and post-acute, and chronic conditions. Care plans can be simple survey interactions or complex multi-activity experiences, and can be based on industry-leading clinical best practices like those from our partner Mayo Clinic, or can be designed to deliver best practice care plans based on a health system’s own patient workflow. Unlike point solutions for specific service lines, or hard-coded pathways, Wellpepper’s microservices approach and complete API means that we can integrate with a “digital front door” strategy owned by the health system.
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EMRs supportedEpic, Cerner, Meditech +7 more
SolutionsPatient-Provider Messaging Tools
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Categories Care Transitions

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Odoro’s referral management solutions prevent patient leakage by ensuring that patients are referred accurately and efficiently, regardless of providers’ knowledge of their referral network. Our dialogue based, referral matching solution lets referring providers quickly obtain a list of optimal appointments with in-network providers by simply entering the details of the referral into an interactive dialogue. Having identified all suitable appointment options, patients can then use Odoro’s automated referral scheduling solution to instantly self-schedule their referral appointments from the list of appropriate in-network providers. -Increase Provider Visibility: With Odoro, patient-provider matches no longer rely on providers’ knowledge of their referral network. Our SchedLogic™ technology presents providers and staff with the optimal in-network providers every time. That eliminates any visibility problems inherent in traditional referral workflows. -Eliminate Inefficient Workflows: Our dialogue and self-scheduling based workflows are built to get patients from referral request to a scheduled appointment as soon as possible. By eliminating time-consuming and error-fraught processes from the scheduling workflow, Odoro can guarantee health systems are referring at maximal efficiency. -Reduce Misdirected Referrals: Odoro’s referral management solutions engage providers and patients with accurate in-network matching and convenient referral scheduling. This eliminates common causes of misdirected referrals, such as extended time between appointments and patient-provider mismatching.
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SolutionsProvider Search Tools, Referral Management Software Solutions
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Categories Scheduling, Referral Management, Provider Search +3 more

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Designed to foster engagement and patient self-management, Health Library provides access to evidence-based information on common topics. It includes text, illustrations and videos to help address consumer health needs, and both a medication interaction checker and pill identifier to assist users in medication management and verification.
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AVIA Marketplace offers a product grid that is a comprehensive resource for health care buyers in their research journey. The grid showcases products from leading vendors and ranks them based on match scores and market presence. This approach ensures that the products listed are not only relevant to the buyer's needs but also established in the market. The product grid includes detailed information about each product, such as features, benefits, and pricing, making it easy for buyers to compare and evaluate their options. With AVIA Marketplace's product grid, health care buyers can make informed decisions and select products that meet their specific requirements.