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Preventing Re-Admissions

SBR Health’s televideo platform helps case managers better coordinate patient care, resulting in smoother care transitions and higher patient satisfaction rates.

As more organizations move toward a model based on reimbursement for results, rather than procedures, finding ways to reduce readmissions is exceedingly important, as one in five people are readmitted to the hospital within 30 days of discharge. Reasons for readmission vary, but poor care transition, care program compliance and the lack of an ability to constantly monitor the patient's condition are major contributing factors. Better care coordination, case management and increasing the follow-up "sample rate" are ways to reduce readmission rates and are especially important for those organizations moving toward a patient-centered medical home or Accountable Care Organization model.

SBR Health’s platform allows caregivers to discharge patients earlier, thus decreasing the chances of contracting a Hospital Acquired Condition, while at the same time enabling close monitoring of the patient's recovery. SBR’s platform allows the health provider organization to perform better patient progress monitoring once they are discharged by performing follow-up care via virtual visits. This enables caregivers to perform more frequent, short follow up visits, which would not be practical in an office setting, and reduces discomfort and potential harm to the patient by allowing them caregiver access from home, rehab or assisted living facilities. The end result is that post-hospitalization complications are caught earlier, readmissions are reduced and patients receive a higher standard of care.

A study of Medicare patients found that 75 percent of rehospitalizations could have been prevented with better-coordinated care.

Solution in practice:

Monitoring post-operative patients

Problem: Post-discharge home visits are costly and often patient conditions can change rapidly before scheduled follow-up visits can be performed. This can result in expensive emergency room visits and re-hospitalization.

SBR solution:

  • Allow hospitals to discharge their patients sooner.
  • Allow patients to recover in more comfortable surroundings.
  • Save costs associated with transporting patients from nursing or rehab facilities to the hospital or clinic.
  • Give medical professionals the ability to remotely monitor their patients’ conditions at more frequent intervals.
  • Better educate patients and their caregivers to become more active participants in their recovery.
  • Allow medical professionals to remotely triage their patients, thus preventing unnecessary hospitalizations.
  • Measure success by a reduction in readmissions and associated cost savings.