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Saving care coordinator time while reducing readmission risk

Challenge:

When a patient is discharged, the risk of readmission is captured automatically through a risk assessment score in the EHR. For the Froedtert & the Medical College of Wisconsin health network, nurse care coordinators enrolled patients manually into Getwell Loops based on this score (12-day outreach for low risk, 30-day for high/medium risk). To deploy at scale and save clinician time, the Froedtert & MCW health network team wanted to be able to enroll patients automatically based on the patient’s risk assessment score.

Solution:

Xealth created a workflow based on the patient s discharge risk score that automatically enrolls qualified patients into their designated GetWell Loop. More than 17,000 patients have been enrolled in the GetWell Loop (approximately 10,000 30-day outreach and 7,000 for 12-day outreach). Providers use GetWell to monitor progress, and have actively tracked more than 6,000 patients leveraging GetWell’s monitor view integration to view and monitor the patient’s status via Xealth.

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Rather than adding a manual process to clinics and asking administrators to send the information, Xealth quickly took the assets and distributed them based off the scheduling feed.

The Speedy Roll-out of Video Visit Set-up Instructions Saves Appointment Time

Challenge:

Due to COVID-19, many visits were suddenly converted to virtual, prompting a large volume of patients and clinicians into unfamiliar video visit technology. Technical barriers can waste appointment time, or even intimidate a patient, causing a no-show.

Solution:

UPMC quickly needed to distribute set-up instructions to all patients who had telemedicine visits scheduled, without burdening clinicians with additional work. Xealth automatically sent education materials to patients with telemedicine as the visit type.

UPMC first created a pdf, then an animated video, to assist patients in setting up their devices for their virtual visit. Rather than adding a manual process to clinics and asking administrators to send the information, Xealth quickly took the assets and distributed them based off the scheduling feed.

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