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Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
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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:

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:

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:

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:

• 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:

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:

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

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