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

Categories

Solutions

Description

Product Description:

Our provider led teams capable of laboratory testing, IV medication administration, procedures , and diagnostics are also being utilized by partners for scheduled post acute visits in two primary ways:

ED-To-Home - Reduce Observations & Improve ED Bounce Backs with scheduled in-home visits 24-48 hrs post discharge from the ED, by trained providers who can provide medical intervention as needed

Hospital-To-Home - Reduce Readmissions & Improve LOS/Throughput with scheduled in-home visits 24-72 hrs post discharge from inpatient setting

About DispatchHealth: High-Acuity Care @Home:

DispatchHealth delivers care across the healthcare continuum to keep patients healthy at 

home—from caring for the highest acuity patients with urgent or hospital level needs to supporting transitions of care and ongoing management of chronic conditions—we believe home is where your health is.

DispatchHealth was founded in 2013 to create an integrated, convenient, high touch, care delivery solution that extends the capabilities of a patient’s care team and provides definitive, quality care in the home while decreasing costs. Currently, DispatchHealth serves patients in markets across the US and is poised for continued rapid growth to meet consumer demand.

Partnering with DispatchHealth puts the power of a complete system of in-home care at your fingertips, ready to deploy where and when you want it.

DispatchHealth works closely with health systems, payers, providers, and others to deliver care in the home to help address capacity constraints at brick and mortar facilities, as well reducing medical costs in at-risk/VBC populations through ED, Inpatient, 911 and Observation diversions.


Medical teams are available during the day and also on weekends, evenings and holidays, and can be requested via online, over the phone, or through care coordination referral. DispatchHealth is contracted with most major insurance companies and accepts Medicare and Medicaid.

To learn more about how DispatchHealth can help your health system reduce the total cost of care, improve clinical outcomes, and delight patients by moving high-acuity care into the home visit: https://www.dispatchhealth.com/partners/

Product Description:

OnCare360 addresses the patient’s journey between point-of-care visits with a continuous care management platform that captures and transmits daily health data through devices, wearables, and patient interactions. OnCare360 takes a 360-degree approach to managing value-based care by combining Care Management (CCM, RPM, TCM, PCM, RTM), medication, adverse event, and general wellness, clinical communication, and data analytics to create a circle of support between patients, providers and payers.

About OnCare360 Inc.:

OnCare360 addresses the patient’s journey between point-of-care visits with a continuous care management platform that captures and transmits daily health data through devices, wearables, and patient interactions. OnCare360 takes a 360-degree approach to managing value-based care by combining Care Management (CCM, RPM, TCM, PCM, RTM), medication, adverse event, and general wellness, clinical communication, and data analytics to create a circle of support between patients, providers and payers.

Compatibility level

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Clients

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Product Capabilities

OnCare360 collects a wide range of data, including clinical information such as vital signs, diagnoses, medications, and post-discharge details; care management data like time spent on coordination and care plan updates; and patient-generated health data from RPM and RTM devices. It also gathers social determinants of health (SDOH) data, including housing, transportation, and other socioeconomic factors, along with behavioral health metrics such as mental health screenings and care plans. Preventive care data, such as Health Risk Assessments (HRA), Fall Risk Assessments (FRA), and Advance Care Planning (ACP) directives, are also collected, as well as engagement data from patient portals, communication logs, and reminders. Additionally, OnCare360 tracks billing and compliance data, including CPT codes and audit-ready documentation.

OnCare360 provides advanced analytics to support comprehensive care management and decision-making. These analytics include real-time dashboards for tracking patient outcomes, care plan adherence, and program performance across RPM, CCM, TCM, and other CMS programs. Risk stratification tools identify high-risk patients for targeted interventions, while utilization metrics assess resource efficiency and care delivery effectiveness. The platform also offers insights into social determinants of health (SDOH), highlighting barriers to care and tracking the impact of interventions. Additionally, OnCare360 generates compliance reports, billing accuracy metrics, and CPT code utilization summaries to ensure regulatory alignment and optimize reimbursements. This robust analytics suite enables providers to measure outcomes, improve workflows, and deliver data-driven care.

OnCare360 enables seamless bidirectional communication between healthcare providers, patients, and care teams to enhance coordination and engagement. The platform integrates secure messaging, patient portals, and real-time alerts to facilitate ongoing interactions. Providers can send care plan updates, educational materials, appointment reminders, and alerts to patients directly through the system, while patients can respond with questions, upload health data, or report symptoms via the portal or integrated communication tools. For care teams, OnCare360 supports collaborative workflows, allowing providers, nurses, and social workers to share updates, assign tasks, and communicate in real time. This two-way communication ensures that all stakeholders stay informed and aligned, fostering timely interventions and better care outcomes.

OnCare360 ensures providers can engage eligible patients through cellular-connected devices, eliminating the need for Wi-Fi and enhancing accessibility for underserved populations. For patients with higher technical literacy, OnCare360 offers an intuitive mobile app to streamline access to care plans, reminders, and educational resources. This combination ensures tailored engagement for diverse patient needs.

OnCare360 offers pre-built, condition-specific care plans and pathways that are fully customizable to meet the unique needs of each patient. These templates are designed to support clinical decision-making and streamline patient engagement, providing actionable guidance for care delivery. Integrated directly into the platform, these care plans align with automated workflows, ensuring seamless implementation while enabling providers to personalize interventions, enhance adherence, and optimize outcomes with ease.

OnCare360 seamlessly integrates with existing EHR systems, supporting both HL7 file-based integration and SMART on FHIR protocols. This interoperability ensures smooth data exchange, enabling providers to synchronize patient information, care plans, and clinical workflows directly within their EHR environment. By leveraging industry-standard frameworks, OnCare360 enhances operational efficiency and reduces duplication of effort, allowing healthcare teams to focus on delivering high-quality, coordinated care.

OnCare360 streamlines logistics management, staff training, patient onboarding, and ongoing tech support to enhance the clinician and patient experience. The platform provides intuitive workflows that simplify patient onboarding, ensuring smooth enrollment in care programs with minimal administrative effort. Staff training modules offer step-by-step guidance on using OnCare360’s features, enabling care teams to adopt the platform quickly and effectively. Additionally, the system includes robust tech support, with dedicated resources to address patient and provider needs, reducing disruptions and ensuring seamless operation.

OnCare360 leverages AI-based assistants, tailored learning content, and educational materials to engage patients and support behavior change. The platform delivers personalized insights, automated reminders, and easy-to-understand resources, empowering patients to track progress, set goals, and stay motivated in achieving better health outcomes.

Use Cases

Description:

Presentation:

Meet Max. He is a pleasant 61-year-old male with a medical history of congestive heart failure. Max was hospitalized for 6 nights after presenting in the ED with atrial fibrillation with rapid ventricular response and lower extremity edema. Max was identified as being at high risk for readmission after discharge. His hospital case manager requested Bridge Care to follow up with Max within 48-72 hours.

DispatchHealth Visit

-Upon arrival at Max’s home, he was happy to report that we has continued to feel better since being released from the hospital. Max reported having occasional shortness of breath and lower extremity edema but denied any chest pain or shortness of breath at time of visit.  During the visit the DispatchHealth APP assessed his vitals, reviewed discharge paperwork, and completed their clinical exam.  It was discovered that Max’s O2 was 88%.  A breathing treatment was administered improving the O2 saturation and  a script for ongoing Ipratropium/Nebulizer was called in. APP checked labs on-site discovering Max was hypokalemic, a dose of potassium chloride was administered on-site and a prescription for oral potassium was ordered for follow up treatment.

-During the musculoskeletal exam it was discovered Max has post-inflammatory hyperpigmentation venous statis discoloration with erythema bilateral lower extremity to the level of the mid tibia and tender to palpation, 3+ pitting edema from feet to upper calves bilaterally, parts of the dorsal aspect of each foot is macerated due to excess moisture, and peripheral pulses 2+ bilaterally. IV Furosemide 20mg was administered to add in the reduction of the extremity edema. A follow-up visit was scheduled in two days with Bridge Care team. They are happy to report Max was improving and reports he is feeling better every day.

Outcome:

Thanks to the DispatchHealth Bridge Care team Max was able to avoid a trip back to ED, his PCP was updated on the new medical findings and care provided, and Max was able to recover comfortably at home. 

Pediatric use cases:

We are able to treat patients ages 3+ Months and older.

Users:

Health System patient patient populations

Description:

• A primary care practice is overwhelmed with the administrative burden of managing a large population of patients with chronic conditions like diabetes and hypertension. Care plans are outdated, follow-ups are missed, and staff struggle to accurately track time for billing compliance with Chronic Care Management (CCM) services. This results in poor patient outcomes and underutilization of reimbursement opportunities.

• A cardiology practice focuses on managing patients with advanced heart conditions but faces challenges in coordinating Principal Care Management (PCM) for these high-risk individuals. Providers find it difficult to track detailed interactions, update care plans, and collaborate with primary care teams, leading to gaps in care and reduced efficiency in managing a single complex condition.

• A regional hospital experiences high readmission rates and struggles to optimize patient length-of-stay due to ineffective Transitional Care Management (TCM). Many patients discharged after acute care fail to schedule follow-ups, adhere to discharge instructions, or receive timely medication reconciliation. Additionally, inefficient discharge planning leads to extended hospital stays, straining resources and affecting patient flow. Without a centralized system to monitor post-discharge care, track follow-up visits, and coordinate transitions, the hospital faces challenges in improving recovery outcomes, reducing readmissions, and achieving value-based care benchmarks.

• A rural health clinic struggles to monitor patients with chronic diseases due to limited access to in-person care and delayed identification of worsening symptoms. Patients are often unaware of their health trends, leading to avoidable complications. The clinic needs a solution to integrate FDA-approved RPM devices and deliver real-time insights for timely interventions.

• A payvider serving a diverse population finds that many patients face significant social determinants of health (SDOH) barriers, such as transportation challenges, food insecurity, and housing instability. These barriers prevent patients from adhering to care plans and attending follow-ups, resulting in increased healthcare costs and poor outcomes. The organization lacks tools to systematically capture and address these non-medical factors.

Pediatric use cases:

None provided

Users:

Physician Practices, Hospitals, Health Systems, Accountable Care Organizations, Primary Care Providers, Speciality Providers

EHR Integrations

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, Pop health platform, Home health, Community based organizations

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

Epic, Cerner, athena

Hardware Compatibility:

Not applicable

Integrations:

Acute care EMR, Ambulatory EMR, ADT, Website / public online sources

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Cerner, eClinicalWorks, Allscripts, Meditech, NextGen, Athenahealth

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized), Mobile / Tablet (native app), Other

Client Types

Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

Availability and Scale: Services are available 365 days a year, which is extremely important in order to treat patients on weekends and holidays. With multiple vehicles and teams in a market, we provide dedicated capacity to partners to treat the patients who most need our services. This capacity also grows overtime to meet demand

Care Coordination: Dispatch care teams work with our providers to gain access to patient notes and acute care information to best address post-acute needs. Once our visit is complete we share clinical notes with the patients' care managers, PCP and others on the care team within 24 hours (usually sooner) to ensure the patient is properly tucked back into their support.

Patient Experience: On average, the Net Promoter score for patients treated in our Post-Acute service lines are 98, demonstrating the importance of following up with patients post-discharge. 

Differentiators vs EHR Functionality:

OnCare360 enhances care management by addressing key gaps:

1. Comprehensive Care Management: Specialized tools for CMS programs like CCM, RPM, TCM, and SDOH, including workflows, time tracking, and care plan templates.

2. Automated Compliance: Built-in CPT code tracking and billing workflows ensure accurate reimbursements and CMS compliance.

3. Patient Engagement: Offers portals, reminders, and secure messaging for proactive communication and improved adherence.

4. Advanced Analytics: Real-time dashboards track care outcomes, program performance, and at-risk patients.

5. SDOH Integration: Dedicated tools to assess and address social barriers to care, linking patients to resources.

OnCare360 complements EHR systems by focusing on care delivery, compliance, and patient-centric tools.

Differentiators vs Competitors:

OnCare360 stands out with its comprehensive, integrated platform designed to streamline workflows and improve patient outcomes:

1. All-in-One Platform: Combines tools for RPM, CCM, TCM, PCM, AWV, SDOH, ACP, and more, eliminating the need for multiple systems.

2. Program-Specific Features: Tailored workflows, care plan templates, and automated time tracking for each CMS program ensure ease of implementation and compliance.

3. Patient Engagement Tools: Secure portals, reminders, and educational resources promote adherence and satisfaction, surpassing basic communication solutions offered by competitors.

4. Compliance Automation: Preloaded CPT codes, billing accuracy checks, and audit-ready documentation reduce errors and maximize reimbursements.

5. SDOH and Holistic Care: Advanced tools to assess and address non-medical factors, linking patients to resources and improving health equity.

6. Scalability and Flexibility: Suitable for small practices, large health systems, and ACOs, with customizable workflows for diverse needs.

7. Real-Time Insights: Analytics dashboards provide actionable data on care outcomes, performance metrics, and patient risks.

OnCare360 delivers unmatched versatility, compliance, and patient engagement features.

Keywords

Images

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Videos

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OnCare360 TCM Patient Education Video.mp4

Downloads

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OnCare360 Care Management Services.pdf

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Company Details

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