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Video: GuidingCare Continuum of Care

In today's fragmented healthcare system, the risks for patients, providers, and health plans continue to escalate. HealthEdge's GuidingCare Continuum of Care solution suite addresses these challenges by managing the entire continuum of care to reduce risks and improve health outcomes. Here’s a closer look at how it works:

Integration at Urgent Care:

  • A health plan member at an urgent care center is prescribed an antibiotic.
  • The physician lacks the complete medical record but uses GuidingCare to access the patient's medication claims data.
  • The system identifies a potential medication toxicity risk due to a drug interaction with the patient’s COPD medication.
  • The care manager alerts the pharmacist, who informs the physician, resulting in an alternative prescription.

Transition of Care:

  • After an inpatient procedure, a nurse evaluates a patient for transition of care.
  • The patient is at risk for falling, triggering a GuidingCare alert.
  • The care manager orders a cane to be delivered to the patient's home to mitigate the risk.

Post-Surgery Discharge:

  • A patient being discharged after surgery requires assistance with daily activities.
  • The care manager receives an ADT (Admission, Discharge, Transfer) notification via GuidingCare.
  • Home health care services are promptly arranged to support the patient’s recovery at home.

Key Features of GuidingCare Continuum of Care:

  1. Comprehensive Data Integration - Ensures that all stakeholders have access to critical patient information.
  2. Proactive Risk Management - Identifies and mitigates potential health risks through timely alerts and interventions.
  3. Seamless Transitions of Care - Facilitates smooth transitions between different care settings to maintain continuity and quality of care.
  4. Enhanced Patient Outcomes - Focuses on delivering better health outcomes through coordinated care efforts.

HealthEdge's GuidingCare solution is designed to serve health plans and their members effectively and efficiently, reducing risks and improving overall health outcomes. Join us in transforming healthcare delivery with innovative solutions that cater to the complexities of modern medical needs.

Discover how GuidingCare can enhance your organization’s care management efficiency — learn more today.