Patients discharged from home health services frequently decline in the community and eventually require additional home health services. When decline occurs, too often patients are referred to a competitor for treatment. This lack of continuity of care post-discharge can lead to negative outcomes. The Impact Act of 2014 places further importance on preventing readmissions as home health agencies are measured on their ability to keep patients safe at home for 30 days post home health agency discharge.
Nurture is designed to help providers intervene before a negative outcome occurs, which has been proven to improve patient retention. By staying in touch with recently discharged patients, providers can continue to maintain a relationship, build brand awareness, monitor for decline, and intervene by assisting in care coordination.
Leverages EMR data and deploys a proprietary predictive model that generates a risk stratification for likelihood to decline post discharge
Includes milestones to monitor recently discharged patients who may need additional care and organizes staff follow up
Offers dashboards and reports that display utilization, patient outcomes, and identifies opportunities for improvement for your post discharge calling program
Generate patient loyalty by building brand awareness
Reduce rehospitalizations after discharges
Increase coordination of care across the continuum
Improve patient satisfaction
Improve relationships with referral sources
Unique program to market to payors
Increase efficiency of existing post-discharge calling programs
“We all wish that we could do just a little more for our patients, keep them close a little longer. Nurses and therapists worry what will become of their patients after discharge, and patients are often concerned about being left on their own. So while we can’t continue with a patient indefinitely, we can extend our engagement with them in hopes both of giving them the best chance at a positive outcome and of simply providing a sense of comfort. But this is a pretty ambitious endeavor and, in most cases, resources are a factor. What Nurture has enabled us to do is easily identify those patients most at risk and, therefore, most in need of post-discharge follow up. Nurture has given us a solid foundation of objective data on which we have built a program to address what we intuitively know to be true- that we have a continued duty to these people who have trusted us to care for them. The fact that our organization has recognized and invested resources in this principle matters to patients. The continued contact underscores what was often a pretty personal experience for the patient, that of building relationships with clinicians inside their own homes. We’ve found this to be an incredibly unique opportunity to build loyalty within a clinically sound framework.”
KELLY STANLEY RN, BS, DIRECTOR OF PATIENT OUTREACH,
ALMOST FAMILY – FLORIDA REGIONAL OFFICE