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Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Awards
Differentiators
Keywords
Media
Company details
Acute Care at Home
Acute Care at Home

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Categories

Solutions

Description

Product Description:

Advanced Care - in-home hospital alternative 

 

DispatchHealth provides hospital-level care in the comfort of a patient’s home. Such patients typically present with general medical conditions that could otherwise result in a hospital admission. DispatchHealth calls this hospital alternative service Advanced Care. Advanced Care reduces unnecessary and costly hospital stays, which improves hospital capacity and throughput while producing superior outcomes for the patient. 

Create "Virtual Bed” revenue & inpatient capacity.

Care team: Our Advanced Care team is led by a hospitalist physician and supported by a nurse practitioner or physician assistant, 24/7 nurse command center and other caregivers (RNs, PT/OT partners) as needed. 

Our in-home hospital alternative care solution, Advanced Care, provides qualifying adult patients with advance medical care, social support, and 24/7 monitoring up to 30-days—all within the comfort of home. 

 

DispatchHealth’s Advanced Care program can help you: 

- Decrease inpatient hospital admissions and improve hospital system capacity 

- Reduce unnecessary ER visits, SNF stays, and ancillary service utilization 

- Drive significant medical cost savings including reduction in 30-day readmission rates 

- Improve health outcomes and achieve unparalleled patient satisfaction 

- Support the Acute Hospital Care at Home CMS waiver program 

- Enable community providers to directly admit patients 

Learn more here: DispatchHealth.com/AdvancedCare

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:

Eligible patients are discharged to the myLaurel clinical team from the hospital early, opening bed capacity and improving throughput across the ED, Observation, Inpatient, Post-Surgical and Post-Acute areas. myLaurel treats the patient in the home and virtually over the next 7- 30 days to ensure high-quality outcomes and no readmission for the same or related condition. The patient is then scheduled back into the health system network, typically through primary care, to maintain continuity of care with the health system. If the patient enters the ED at any point while under myLaurel’s care, the health system does not pay myLaurel.

About myLaurel:

myLaurel™ was founded on the idea that the best way to deliver high-quality care is to deliver it in the home. We are the leader in home-based acute care tailored to the needs of frail, elderly, or complex patients. Our innovative models reduce avoidable hospital admissions and readmissions while improving throughput, shortening length of stay, and maintaining high standards of care, safety, and satisfaction.  

Utilizing an interdisciplinary team of telehealth physicians, in-home paramedics, and RN care managers, myLaurel ensures patients avoid the conventional acute care journey from ER to admission to post-acute care. The innovative care model creates dramatic cost savings, helps patients prevent hospital-acquired conditions, and radically improves the patient and caregiver experience.

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

Use Cases

Description:

Who:

An 85-year-old woman who as chronic COPD with 3 inpatient hospitalizations in the past year for COPD exacerbations.  Has decompensated over the past two days with increased O2 requirement, cough, and fever.

Source:

Hospital ED evaluates patient confirms COPD exacerbation with an X-ray confirming pneumonia. In coordination with DispatchHealth Advanced Care team patient is admitted and onboarded to the AdvancedCare program

Care Coordination:

When Dispatch team arrives on site, they further risk stratify the patient for appropriateness with diagnostic capabilities on scene (physical assessment, lab- BMP, BNP, lactate, troponin, ECG, Xray). Patient receives daily hospitalist provider and twice daily RN visits, 4 days of IV antibiotics for pneumonia, and a high dose steroid taper, scheduled nebulizer therapies, and IV fluids.

PCP and pulmonologist engaged as a part of the care team up front. PT evaluates the patient in her home and works though safe bathing during her illness.  

As the patient returns to baseline respiratory status and no fever, she is transitioned to transitional phase of care to complete a 15-day episode of care daily. During that time, the patient’s steroid taper is adjusted and new prophylactic antibiotics added due to new symptoms in concert with the patient’s pulmonologist. 

Follow up appointments with PCP and pulmonologist are arranged and transportation is organized. Medication regimen and in-home management system is reviewed and adjusted. The patient’s scale for daily weights (she also has chronic CHF) was malfunctioning and “hasn’t worked in months” so a new one is arranged.  PT reviews conditioning that is commensurate with chronic illnesses. The patient and care team revisit and revise goals of care and advanced directives based on the patient and her daughter’s understanding of her chronic illness. 

Pediatric use cases:

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

Users:

Patients ages 3+ Months and older

Description:

Navigating complex health issues while balancing the demands of daily life can be incredibly challenging. For Chelsea F., a 34-year-old woman with a history of congenital duodenal atresia, gastroparesis, gluten intolerance, and multiple food allergies, this reality hit hard when a series of severe health complications led her to seek help in the emergency room.

The Clinical Challenge

Chelsea's story began with a frustrating cycle of frequent ER visits. Over the span of just one month, she was admitted to the emergency room seven times due to persistent and severe nausea and vomiting. Alongside these symptoms, she experienced worrying neurological issues, including paresthesia (tingling or numbness), dizziness, weakness, difficulty walking, and visual impairment.

Upon admission to the hospital, an endoscopy was performed, which yielded no significant findings. Despite this, Chelsea's condition was severe enough to necessitate a thorough evaluation and treatment plan. The medical team administered a combination of intravenous medications: droperidol for nausea, famotidine for stomach acid reduction, magnesium for electrolyte balance, and normal saline for hydration.

“myLaurel was a lifesaver,” Chelsea recounts. “I was supposed to stay in the hospital for three more days for a certain IV treatment, but because of myLaurel, I was able to go home and spend precious time with my five-year-old daughter.”

— Chelsea; patient, mom

A Turning Point: Neurological Insights

The breakthrough came when the neurology team identified Chelsea's neurological symptoms were likely due to deficiencies in essential B vitamins, specifically thiamine (vitamin B1) and niacin (vitamin B3). This revelation pointed to a crucial aspect of her treatment: aggressive vitamin repletion. 

Transitioning to Home

Despite the promising new treatment plan, Chelsea faced a dilemma. The thought of spending additional days in the hospital beyond her almost two-week stay was daunting, particularly as she had a young daughter at home who was only able to visit her once while she was in inpatient treatment. Fortunately, Ochsner Health called on their home-care partner, myLaurel, which provided a solution allowing Chelsea to early discharge from the hospital and continue her treatment from the comfort of her home.

The myLaurel Experience

Chelsea’s experience with myLaurel was marked by both convenience and quality care. The home care team visited Chelsea’s home for intravenous treatments over the course of three days, with the first treatment beginning the day after she was discharged. Chelsea was prescribed a regimen of thiamine, starting with 500 mg IV three times a day for two days, then a reduced dosage of 250 mg IV daily for five days, and then 100 mg orally daily for the foreseeable future.

“The service was professional and caring,” Chelsea notes. “The in-home providers were consummate professionals, friendly and efficient, and the treatments were completed quickly—usually in about 30 to 45 minutes. They were accompanied by a physician over telehealth.”

“I was very impressed by how quickly the physicians actually dug into my history and understood it before they started talking to me.” 

The flexibility of receiving care at home allowed Chelsea to focus on her recovery and family life. “Being at home made a huge difference,” she says. “I didn’t have to stay in the hospital an additional three days for a treatment that took a half-hour and could be present for my daughter, who was about to start kindergarten. I’m doing better, little by little.” 

Final Thoughts

Chelsea’s journey underscores home-based care's profound impact on a patient's quality of life. For patients like Chelsea, balancing complex medical needs with family responsibilities can be daunting. MyLaurel’s ability to deliver high-quality care at home offers a vital alternative, ensuring that patients receive the treatment they need while maintaining their daily routines and family connections.

“I’m not one to let strangers in, but the people I met with were all very nice and very kind, and I had no problem letting them in to help me. The myLaurel team called for my first treatment and then called ahead over the next two days when they were on their way.”  

As Chelsea continues her recovery, with follow-up appointments to monitor her vitamin levels and neurological health, she remains grateful for the support and flexibility provided by myLaurel. Her story is a testament to the transformative power of home-based care in managing chronic and complex health conditions.

Conclusion

For those navigating similar health challenges, Chelsea’s story highlights the benefits of exploring home care options. myLaurel offers a compassionate and practical solution for patients and their families by bridging the gap between hospital-based treatments and home life.

Chelsea shares a tearful final thought: "It frees you up to live the rest of your life. The freedom to be at home and still live your life was a humongous plus to this whole experience.”  

Pediatric use cases:

None provided

Users:

18+ patients, within service areas, partnered health system patients. 

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

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, McKesson, Other, Allscripts/Eclipsys, Athenahealth, Azalea Health/Prognosis, CPSI, Evident, Healthland, MEDHOST, MedWorx, QuadraMed, Self-developed, Would prefer not to disclose, Point Click Care

Hardware Compatibility:

None provided

Client Types

Awards

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Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

Scalability: We have the proven ability to scale our programs as we have done so for the past 8+ years across the country. With our employed provider group, extensive capabilities, and technology platform.

On-Scene Provider Care: Ability to treat medically complex patients safely with exceptional outcomes, such as 0% for Unexpected Mortality, Serious Safety Events and SNF Admit Rate.  

Ability to Handle 15 or 30 Day Episodes:Allows us to treat patients beyond just their illness, leveraging the amount of time we spend in the home time to bring more value to partners (i.e. attestation, SDOH, Goals of Care, etc.) 

Highest Risk Patients for True Inpatient Replacement: 95% of Admitted Patients Have an Average Charlson Comorbidity Score >5 (highest risk group). Meaning complex patients can be safely treated in the home, freeing up valuable capacity and resources at health systems for higher margin DRG’s.

High Patient Acceptance Rate: Drives more admissions based on the trust we build with patients and their families, resulting in more utilization of program

Payor Relationships: Proven experience contracting with both national and local payors, providing health system partners confidence in long term value potential

Differentiators vs EHR Functionality:

Can work with any external EHR. 

Differentiators vs Competitors:

Why we're unique:

Flexibility:

The myLaurel care model is tailored and based on patient need allowing us to match visit frequency and intensity.

Expansion of your care with network integrity:

All patients we see are direct referrals from the hospitals we serve. We are fully integrated into your clinical teams, operating off the same playbook. Our primary goal is to provide your patients a soft landing and timely access to post-acute care and then tuck them back into your system.

Clinical expertise & capabilities:

Uniquely built to care for patients in their home.   

myLaurel possesses a broad scope of capabilities, including real time diagnostics (e.g blood tests, 12-lead EKG), therapeutics (e.g IV, IM medications, oxygen and IV fluid via our in-home care team), labs/mobile imaging, prescriptions via tele support, and care coordination - with a supportive hand-off to your home health and/or primary care team. 

Complex patient care:

Elderly, frail, complex, comorbid - this is our area of expertise. 

Scale: 

-Designed to help you serve a larger funnel of patients versus other post-acute models - with the flexibility in co-design of who we treat 

-Partnering with myLaurel enables expanded capacity and efficiencies immediately without the extensive resources, time, overhead, training, and logistic configuration of facility planning or pursuing your own in-home post-acute model.  

Speed to value turn-key implementation: 

Clients are up and running in 90 days or less. We bring the resources, diagnostics, formulary, supplies, and operations bundled and ready to execute, with a single internal champion needed from your side to get going.  

Outcomes-based contracting:

We put our fees at risk for readmission while under our care, aligning our clinical team more closely with our hospital partners.  

Did we mention the 3:1+ ROI? 

Keywords

Images

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Videos

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Downloads

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DH-AVIAInnovations-2Pager.pdf
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myLaurel Acute Care Overview 2024 (3).pdf

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Company Details

Founded in 2016

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