When patients leave the hospital or emergency department, the effectiveness of follow-up becomes crucial to their recovery, and to your bottom line. IBM® Phytel® Transition’s delivers automated proactive post-discharge assessments, alerts, notifications and reports—enabling close monitoring for high-risk patients, and prompt attention to all patients who require additional assistance.
Proactively manage patient populations
Improve HCAHPS scores, qualify for performance incentives, and enhance patient retention and acquisition.
Lower readmission rates
Avoid readmission penalties and reduce overall cost of care.
Streamline care coordination and reduce administrative costs.
Identify at-risk patients
Decrease adverse events and expedite follow-up by care managers and primary careproviders.
IBM Phytel Transition key features
Identify risk fast, easy, and reliable
Take action to maximize the quality of your care
Track progress to effectively coordinate and manage
If the practice’s current processes are not sound, then automating those processes will only make the practice more efficient at being inefficient. It’s best to start the PHM journey by examining current processes for managing patient populations and then applying Lean Six Sigma principles to improve them.