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Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Differentiators
Health equity
Keywords
Media
Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Differentiators
Health equity
Keywords
Media
Company details
Patient Discharge
Patient Discharge

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Categories

Solutions

Description

Product Description:

Reduce Preventable Readmissions:

Telesofia helps hospitals and patients improve their discharge process, using a series of videos that are personalized according to the patient's discharge plan and the hospital's branding and staff.


Readmissions are Avoidable:

One in five Medicare patients are readmitted to the hospital within 30 days, and up to 75% of these readmissions are preventable.

The main causes for potentially avoidable readmissions are:

1-Lack of medication reconciliation.

2-Poor language and literacy-appropriate patient discharge instructions.

3-Failed early outpatient follow-up.

4-Poor coordination of care across the care continuum (including care providers and family members).


Readmissions are Costly:

Unnecessary readmissions are a real concern for hospitals and patients alike. In 2014, Medicare fined 2,610 hospitals for readmissions within 30 days. Medicare estimates the fines in FY 2015 will total about $428 million dollars. 78% of hospitals will be penalized in 2015, a total increase of 14% from 2013.


Better Care with Personalized Discharge Videos: Telesofia's Patient Discharge program provides an end-to-end solution for delivering video instructions to patients. The program includes a series of short personalized videos that clearly demonstrate the steps the patient needs to take after being discharged from the hospital.


Tailored to each patient's specific demographics and medical history, the videos contain instructions on when and how to take medication, why it is important and how the medication works. They also address the patient's other medical conditions when relevant and include practical tips of what the patient can do at home to feel better. Reminders of upcoming appointments are also included as are important warning signs of when to call the doctor.


The Patient Discharge program will generate videos based on the particular hospital's protocol and the individual discharge instructions. They will be sent to patients automatically at the designated time using text message or email. The patient can view the video more than once, on any connected device.


In addition to patient details, the videos can also be customized according to each hospital and physician providing the patient with a seamless discharge experience.


Try Our Video Discharge Platform

Contact Sales@telesofia.com

About Telesofia Medical:

Telesofia Medical has created a platform that automatically generates personalized educational videos for patients and medical staff. The videos help to clarify medical information and increase engagement, satisfaction, understanding, and compliance for patients and medical staff.

The videos are personalized for patients and their specific clinical data, easy to use and understand, and available on any device. Videos can be delivered via text messages and email or embedded in patient portals.

Telesofia is easily integrated into existing workflows and supports a variety of applications, such as explaining proper use of medication, directing preparations for medical procedures, and providing discharge instructions.

Frost & Sullivan awarded Telesofia its best practice award for patient engagement, and the company was named a cool vendor in “Cool Vendors in Healthcare Providers” by the Gartner Research Group.

Product Description:

Avery Telehealth's Readmission Avoidance Program is designed to cut readmissions by up to 30% through tailored telehealth solutions. We streamline the reimbursement process, reduce reliance on in-person visits, and ensure efficient care transitions. Our service includes clear discharge instructions, medication reconciliation, and scheduled follow-up appointments. With tailored telehealth and personalized programs, we collaborate with your primary care and transition teams to optimize your patients' recovery and health outcomes.

About Avery Telehealth:

Avery Telehealth offers comprehensive telehealth solutions tailored for healthcare providers, organizations, and consumers, specializing in remote patient monitoring and readmission avoidance programs. Our full-service platform integrates connected health devices, customizable health programs, and digital health solutions to enhance patient engagement, streamline clinical operations, and improve health outcomes.

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Product Capabilities

Our Readmission Avoidance Program (RAP) uses advanced assessments and remote patient monitoring to promptly and accurately diagnose low-acuity conditions. Our service supports condition-specific clinical pathways and comprehensive patient education, aimed at reducing readmissions by at least 30%. Our service includes tailored 30-, 60-, and 90-day care plans, enhancing patient understanding and management of their health, thereby minimizing hospital readmissions.

Our RAP facilitates seamless communication between clinicians and patients through video consultations and messaging, all integrated into the Avery Telehealth digital health platform. It also offers continuous monitoring of vitals and medical conditions, ensuring that both healthcare providers and patients have easy access to essential health data. To guarantee reliable access, we provide WiFi and cellular-enabled RPM devices and tablet (synchronized with the Avery Telehealth platform).

Our RAP streamlines care coordination among primary care physicians (PCPs), specialists, and patients. Our program provides both healthcare teams and patients with tailored access to chronic care management and remote monitoring, all facilitated through the Avery Telehealth platform.

Our RAP facilitates seamless care transitions by assisting with discharge planning to ensure smooth and timely patient transfers. Leveraging the capability to connect and transfer data across various EHR/EMR systems, our program allows for easy transitions upon patient discharge.

Avery Telehealth offers over 25 clinical pathways designed to address both chronic and acute conditions. Each diagnosis typically includes 6 to 9 patient education and training modules, providing comprehensive support tailored to individual needs.

Our evidence-based review process ensures that all clinical pathways and patient education materials remain current, accurate, and aligned with the latest medical research. Created and maintained by a team of certified health experts, including registered nurses and nurse practitioners, our content undergoes ongoing, rigorous evaluation against the most up-to-date medical literature and clinical evidence.

Our RAP allows healthcare teams to adapt programs to specific local conditions, including RPM devices, practice patterns, workflows, and clinician preferences. The Avery Telehealth platform enhances this capability by enabling modifications to condition-specific programs and educational content. It also allows customization of reporting tools for vital tracking and trend analysis.

Our program is accessible via the Avery Telehealth platform, enabling clinicians to seamlessly customize existing pathways and create new ones.

The Avery Health platform offers comprehensive analytics and reports, allowing clinicians and patients to access various health measurements, such as weight and blood pressure. Users can tailor reports to specific programs and monitor vitals over different periods—from a week to a year and beyond—to track trends and changes. All reports and analytics are customizable and can be easily shared between the healthcare team and patients.

Our Readmission Avoidance Program harnesses the Avery Telehealth platform to efficiently identify and remedy gaps in clinical pathways. By drawing on the latest medical evidence, we tailor 30-, 60-, and 90-day care plans to each patient's specific needs, ensuring thorough care coverage. This focused approach reduces hospital readmissions and improves care transitions.

Use Cases

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

Description:
  • Chronic Care Management (CCM)
  • Social Determinantes of Health (SDoH)
  • Transitions of Care (TOC)
  • Annual Wellness Visits (AWV)
  • Behavioral Health Management (BHM)
Pediatric use cases:

None provided

Users:

The end users are patients, care team members, clinicians, organizations and consumers.

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

Acute care EMR, Ambulatory EMR, ERP system, Patient portal, Pop health platform, Home health, Behavioral health, Other

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, eClinicalWorks, McKesson, Other, Athenahealth

Hardware Compatibility:

Mobile / Tablet (web optimized), Desktop

Client Types

None provided

Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:
  • Reduces readmissions with a comprehensive approach that includes RPM, patient education, and condition-specific clinical pathways.
  • Integrates diagnosis-specific pathways into patient care plans for consistent application of best practices.
  • Provides a guarenteed reduction in readmissions to ensure program effectiveness.
  • Offers extensive, tailored patient education resources crucial for post-discharge engagement and compliance.
  • Utilizes RPM to continuously monitor patients and dynamically adjust care plans, minimizing the need for in-person visits.
  • Streamlines the reimbursement process, specifically addressing telehealth and RPM billing issues, reducing administrative burdens.
  • Enhances HEDIS scores and Medicare Star Ratings by improving quality of care and patient outcomes.
  • Coordinates actively with primary care and transition teams for smooth transitions and continuous care, enhancing patient outcomes.
Differentiators vs Competitors:
  • Guarantees up to 30% reduction in readmissions.
  • Provides customized clinical pathways and patient education based on individual needs.
  • Employs real-time RPM technology for dynamic care plan adjustments.
  • Ensures smooth transitions and continuous care through active collaboration with healthcare teams.
  • Optimizes reimbursement processes for telehealth and RPM, reducing administrative burdens.
  • Offers comprehensive, customized education to enhance patient engagement and compliance.
  • Improves HEDIS scores and Medicare Star Ratings by enhancing care quality and outcomes.
  • Provides specific 30-, 60-, and 90-day care transition plans for chronic and acute conditions.

Health Equity

Keywords

Images

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Videos

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Downloads

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Company Details

Founded in 2011

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