Improve Transitions From Hospital And Post-Acute Care To Home

 

Social/Behavioral Determinants of Health

Social/Behavioral Determinants of Health

 

CREATE A PERSON-CENTERED CARE PLAN THAT INTEGRATES HEALTH RISK ASSESSMENTS, SOCIAL/BEHAVIORAL DETERMINANTS OF HEALTH AND HOME/COMMUNITY BASED SERVICES

  • Based on the Institute of Medicine's (IOM) ground breaking clinical study, we have incorporated custom fields to efficiently capture an individual’s determinants of health - their life goals, financial situation, social support and personal needs – which studies have shown play a critical role in improving patient engagement and overall health outcomes.

  • Quickly profile patients, standardize care pathways and streamline documentation using our suite of ‘best practices’ geriatric care assessments and workflow management tools.

  • Using the LivWell Service Cloud <link>, clinicians can easily assign services-based interventions and generate a personalized services plan, at the point-of-care!


NEXT GENERATION TRANSITIONAL CARE SOLUTION DESIGNED FOR REAL-TIME COMMUNICATIONS ACROSS YOUR CONTINUUM NETWORK

  • Securely generate patient referrals, share continuity-of-care documents and receive service request confirmations in real time for better patient care.

  • Configurable business rules and workflow automation tools enable group- or escalating-referral logic, so referring-provider stays in control, and not the other way around. 

  • Care Managers can perform geriatric care assessments and care plan generation while visiting the patient in the home.

  • Easy-to-use service provider portal for continuum partners to securely review and respond to patient referrals; generate reports; and capture visitation notes.

 

Patient Health Questionnaire (PHQ-9)


Comprehensive KPI Reporting & Dashboard Analytics

 

INTUITIVE CUTTING-EDGE ANALYTICS WITH NO-COMPROMISE SECURITY FEATURES IN A COST-EFFECTIVE PACKAGE

  • Personalized and configurable KPI Dashboards based on organizational role, to review individual- and population-level risk scores, service level analytics and utilization.

  • Best-in-class, cloud-based security features encrypt PHI data at-rest and during transport; secure-authentication of users and clients to reduce intrusion.

  • Import and export data in CSV or Excel, or better yet, contact us to learn more about our integrated API and SAML 2.0-based SSO solutions.