Transitional Care Management
Help patients beyond the hospital
Outside hospital walls, patient care is unpredictable. If not addressed, situational, social, or logistical difficulties arise when patients return home to recover can result in high costs and inefficient care.
ConnectedMD offers turnkey solutions to help providers, hospitals and health systems improve communication and care coordination to better engage patients and caregivers in discharge plans and coordinated care post discharge.
Our services include:
Medicine reconciliation and management
Obtaining and reviewing discharge information
Reviewing the need for diagnostic tests/treatments and/or following up on pending diagnostic tests/treatments.
Educating the beneficiary, family member, caregiver, and/or guardian.
Establishing or re-establishing referrals with community providers and services, if necessary.
Assisting in scheduling follow-up visits with providers and services.
❋Help patients navigate recovery through all of life’s challenges
Streamlining Medicine Reconciliation and Management
Empowering Through Education
Ensuring Seamless Transitions
Building/ Rebuilding Referrals
Assessing Diagnostic Test and Treatment Needs
Scheduling Success
Designed to complement health systems
ConnectedMD’s team fits within existing ecosystems to improve outcomes for patients and make life easier for clinical staff
-25%
All-cause
Hospitalization
Lower Hospital Readmissions
-50%
Heart Failure
Readmission Rates
Navigate early risk barriers
We identify red flags using discharge instructions and patient screener questions
Extend care further
Partner with patients beyond the hospital so they can recover with confidence
Personalize care
ConnectedMD makes contextual care available to every patient
Facilitate direct access to healthcare resources
Empower your patients to access Medify’s array of healthcare solutions for seamless care coordination, data analysis, monitoring, and education
Improved Visibility
Gain complete visibility of patients’ status based on real-time data captured directly from your patients and updated in your EMR
Increased Staff Productivity
Preventative care management programs don’t have to burden your already-busy staff
More In-Network Referrals
Medify makes referrals easy, developing programs that help patients quit smoking or follow an exercise plan, while having the ability to flag, while also having the ability to flag the need for referrals when specialists involvement is necessary
Improved Patient Outcomes
Medify makes referrals easy, developing programs that help patients quit smoking or follow an exercise plan, while also having the ability to flag a need for referrals when specialists involvement is necessary