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ACHC Accredited

Transitional Care & Readmission Management Program

Our program is specifically designed to prevent inpatient readmission or re-hospitalization of patients. Thus, we fill gaps in care after discharge from inpatient settings

We help hospitals and acute care settings avoid readmission penalties by ensuring that patients discharged into our care are stabilized and monitored using our remote patient monitoring (RPM) systems and devices from our Telehealth Department.

We reduce readmissions and build stronger referral relationships with risk-bearing payers. We have the analytical capability, tools and resources that affords our clinical teams the predictive and analytical capability to identify patients with increasing or high-risk of readmission.

The key to our success is our ability to monitor patients after discharge with enough precision to identify trends and changes in conditions before they grow into more serious issues requiring emergent care or readmission/re-hospitalization.

Why Our Program is the perfect solution…

  • We manage and monitor patients post discharge and when indicated, put “hands on the patient.”
  • We act as an alarm and early warning system for fragile and at risk populations. Early intervention is one of the best ways to reduce care costs.
  • We respond to the most common low cost interventions to prevent ED visits and readmissions:
  • Medications: reconciliation, med prep, pharmacy coordination, patient education.
  • Medical equipment: DME coordination, assistance with setup, patient education.
  • Appointments: Coordination with PCP, transportation & assistance with appointments.
  • We alert physicians to sudden changes in a patient’s condition, medication reactions, problem with DME and appointment issues.
  • Our analytical tool that enable us to collects and measure raw data across an entire patient episode for accurately predicting patient risk for significant health decline and/or hospitalization. All responses, diagnoses, severity factors, vital sign trending and visit note entries are mined for key data points and analyzed to assign each patient to one of five risk categories from: “Low” to “Very High” with “Guarded”, “Elevated” and “High” levels in between.

Contact a Voltamac Representative to learn more about our Transitional Care Services.

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