Post-acute Network Management

Chart Access provides secure access to patient records as well as provider messaging for organizations providing care outside of a health system. This solution is currently available for health systems utilizing Cerner Millennium clinicals. When a patient is discharged to a nursing home, skilled nursing unit, etc. those providers at the post discharge facility need an easy way to access hospital and/or clinic records for the patients at their post discharge facility. They also need a way to efficiently communicate with health system providers that are visiting patients at their facility. Today that requires a lot of paper and phone tag. Chart Access eliminates the need for paper exchange and playing phone tag.

At the point of admission, nH Identify classifies patients who are at a high risk for readmission or who have a high need for inpatient post-acute care. Using the data collected early in the patient stay, nH Identify provides a level of care recommendation reflecting the risks and needs of those patients. The tool allows hospital case managers to prioritize resources accordingly, manage acute length-of-stay, and reduce readmissions. This is crucial to improving patient outcomes by beginning each patient’s discharge process at admission and not letting high-risk patients slip through the cracks.

naviHealth Discharge allows inpatient staff to find and e-refer patients to post-acute providers, allowing for electronic document transfer, communication with post-acute staff, and the aggregation of data to build a high-performance network.

GYANT Engage: AI-powered patient outreach delivered through text and secure chat technology. Improves the effectiveness of your existing patient outreach strategy including post discharge follow up, population health projects, and chronic care management.

A person-centric solution for proactive surveillance, coordination, and alignment of health services across the care continuum.