The lack of post-discharge planning, follow-up care, home monitoring, and communications results in unnecessary readmissions.
Goals and Objectives
Reduce unnecessary readmissions and keep patients safely at home.
Risk assessment tools that cover all aspects of a patient’s health and environment, remote patient monitoring for post-discharge care plan execution, collaboration and communication tools, and integration of health and community resources
Use Case Summary
The objectives of value-based health are to improve quality of care and manage costs. Initiatives need to go beyond the four walls of healthcare institutions and address all health-related needs to be successful.