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Inpatient Post-Discharge Patient Navigation

Inpatient Post-Discharge Patient Navigation

Inpatient Post-Discharge Patient Navigation

5 verified clients
Inpatient Post-Discharge Patient Navigation
Inpatient Post-Discharge Patient Navigation


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Avia Summary

Inpatient Post-Discharge Patient Navigation is a solution provided by Care Continuity which was founded in 2008. It belongs to multiple categories of digital health solutions including Smart Hospitals, Care Transitions, Referral Management, Concierge Care, Personalized Care, and Conversational AI.
It has 5 verified clients.
Inpatient Post-Discharge Patient Navigation integrates with major EMRs such as Epic, Cerner, and Meditech.
Some other resource(s) that may be helpful in learning about Inpatient Post-Discharge Patient Navigation include: Mytonomy guide: Selecting a Modern Enterprise Patient Education Solution and A buyer’s guide to conversational AI

Care Continuity's Inpatient Post-Discharge Patient Navigation solution leverages technology and targeted patient outreach to increase inpatient attachment rates for follow-up care, improve utilizaiton of your provider network, reduce inpatient readmission rates, and provide actionable intelligence on the strength of your provider network. 

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Product capabilities


Care Continuity's software solution support bi-directional integration with the ability to ingest applicable data from a health system's EHR, as well as repopulate any applicable system post-navigation.

What is interoperability?
Conversational AI solutions should seamlessly integrate with the EHR and other existing systems, databases, and digital channels.
EHR integration

Acute care EMR, Ambulatory EMR, Ancillary EMR, ERP system, Patient portal, Pop health platform
Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, McKesson
Not applicable
Use cases and differentiators

A health system is struggling to reduce inpatient readmissions which is negatively impacting their Star ratings. The system believes the readmissions are avoidable if discharged patients attended necessary follow-up and speciality appointments in a timely matter. However, with the data they have, it is difficult to segment their readmission issues by service line, discharge diagnosis, and facility/clinic. 

By leveraging Care Continuity's Inpatient Post-Discharge Patient Navigation services, the health system was not only able to reduce readmissions through better navigation tactics, but they also unlocked valuable insights into network performance. 

Medium to extra large health systems

Leading EHR functionality takes a very basic approach to patient navigation. When utilized, the EHR prioritization queue is binary, labeling every patient as urgent or non-urgent. Instead, Care Continuity not only expands the total number of evaluated data points needed to properly prioritize a patient, but Care Continuity also expands the priority listing to 10 levels, allowing for a more nuanced and tailored navigational experience. 

In addition, the EHR functionality requires the health system to staff a team of navigators. Unfortunately, this largely non-clinical function is staffed by clinical staff, severely hampering their ability to work at the top of their license. 

Care Continuity pairs their purpose-built software with a team of trained, non-clinical concierges who are experts in patient experience and proper navigation.

With more than a decade of experience working with the nation's leading health systems, Care Continuity has had the honor of navigating millions of patients through the healthcare continuum. 

Leveraging purpose-built software with proprietary algorithms designed to efficiently navigation patients, Care Continuity can provide a customizable, high-ROI solution for health systems of any size.

Company information

Founded in 2008



Sample Inpatient Post-Discharge Navigation Dashboard
Sample Drilldown of Inpatient Navigation Dashboard
ROI-Minded Approach to Patient Navigation
Prevent Patient Leakage with AI
Patient Navigation Shouldn't Be One-Size-Fits-All
The Benefits of Data-Driven Patient Navigation

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