This Lumeon blueprint decreases the risk of readmission by delivering bundled interventions that enable a smoother transition from hospital to home.
It stratifies patients according to risk predictors and coordinates targeted multidisciplinary follow-up, including home health visits, PCP follow-up, nutritionist review and functional status monitoring. Virtual guidance is provided to low-risk cohorts, allowing care team resource to be focused on high-risk patients.
Find out how this blueprint enables you to:
- Reduce readmission rates using risk prediction algorithms and risk-stratified pathways
- Support earlier intervention using continuous virtual monitoring and PROs
- Direct multidisciplinary care teams and enhance visibility of a shared plan of care
- Use automation to scale case management
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