IHD's Transition Care Program (TCP) offers a one-on-one patient engagement approach to ensure a patient’s transition from an acute care hospital to their home, or place of care, is cohesive and seamless for a period of 30 days post discharge. The primary goal of the Transition Care Program (TCP) is to coordinate required clinical services post discharge, remove any barriers that impact accessing timely follow up care and foster patient compliance with discharge orders to improve quality outcomes. The key component to the success of the TCP program is having a comprehensive focus that addresses both the medical and social aspects (Social Determinants of Health) the patient may face. Ultimately, the goal of the TCP program is to connect patients with the appropriate outpatient provider setting, caregiver, provider (s) and community resources resulting in increased patient compliance, reduced hospital/ER utilization and improved patient outcomes.

Innovative Healthcare Delivery (IHD) improves quality outcomes and reduces costs for health plans, hospitals, corporate employers and self-insured clients utilizing a high touch, patient centric non-clinical approach. We specialize in simplifying and personalizing the healthcare experience for every patient, every time. We identify Social Determinants of Health barriers and address them in a meaningful way to improve quality of life and medical outcomes while creating a better patient experience. Our organization is committed to the effective delivery of programs that assist Employer Groups, Self Funded Plans, Fully Insured Plans, State and Federal Plans and Hospitals. Our programs are designed to complement existing resources available in the market and foster a comprehensive approach to patient care through a cohesive delivery system. The end result is a patient base that is engaged, educated and empowered to make better healthcare decisions.

HQP's unique system of Advanced Preventive Care (APC) uses community-based nurse care managers ("Preventionists") to better control chronic conditions, avoid complications, and improve the quality of life. APC is a unique system of care for older adults with chronic conditions to identify and mitigate as many risks to health as possible, especially focusing on risks that are important, but not as readily recognized or addressed by our existing health system. When reliably delivered and replicated to appropriately selected populations it saves lives and reduces overall health care costs significantly.

Health Quality Partners (HQP) is a 501(c)(3) non-profit R&D organization committed to designing, testing, and disseminating more effective systems of care for vulnerable patients. HQP's unique design and system thinking approach has proven to reduce suffering, improve health outcomes, and can lower the overall cost of health care. This has already been convincingly demonstrated among higher risk chronically ill older adults. As tested within the Medicare Coordinated Care Demonstration and with Aetna, HQP’s model of Community-based Advanced Preventive Care, significantly reduced hospitalizations, deaths, and total Part A & B Medicare expenditures.

The most studied and evidence-based preventive care model for complex, chronically ill older adults. Proven in a ~13 year large-scale randomized clinical study in the Medicare Care Coordination Demonstration. Demonstrated mortality benefits (reduction of 22% at 5 years, lower hospital and emergency utilization, and cost savings ($563 PMPM* net of program costs adjusted for 2019 USD).

The most studied and evidence-based preventive care model for complex, chronically ill older adults.