Risk measures, analysis, data-driven decisions for value-driven care

Comprehensive survey and screening capabilities are offered, facilitating users in creating, distributing, and analyzing surveys aimed at understanding patients' social determinants of health (SDoH), financial determinants of health (FDoH), and other non-medical determinants of health (NMDoH, NHDoH). These surveys serve as valuable tools for gathering crucial information from patients and caregivers to better address their holistic health needs.

Through a closed-loop referral system, users can effectively oversee and monitor referrals to external service providers, guaranteeing seamless care continuity and prompt access to vital services without directly mentioning PatientTeam. This functionality optimizes the referral process, fostering improved cooperation among healthcare providers, social care workers, and relevant stakeholders.

PatientTeam leverages advanced algorithms and analytics to provide social risk intelligence, enabling users to identify and address social determinants of health (SDoH) and other non-medical factors impacting patient well-being. This intelligence empowers healthcare providers and advocates to develop targeted interventions and support strategies.

PRM solution strengthens patient-provider-care team relationships, communication, and collaboration for measuring and analyzing clinical and social determinants-based risk factors. It leverages analytics to identify risks, create personalized care plans, and enable seamless care team coordination. Empowering patients through engagement tools and self-management capabilities, the solution builds trust, enhances communication, and improves outcomes and satisfaction by delivering true value-based care.

Forgot the silos, fragmented patient data, and hindering care coordination with traditional EHR, PatientTeam's collaborative EHR opens a new platform enabling seamless coordination and information sharing among diverse care teams, ensuring patient-centric care delivery. This powerful platform integrates seamlessly with existing EHR systems, providing a 360-degree unified view of each patient's comprehensive medical history, risk profiles, and care plans

With a Care Coordination EHR, all members of the care team, including physicians, nurses, pharmacists, therapists, and social workers, have access to up-to-date patient information, facilitating informed decision-making and effective collaboration to provide both clinical and non-clinical support, and promote health equity. Ultimately, this approach enhances the quality, efficiency, and equity of care delivery, leading to improved patient outcomes and increased satisfaction with the healthcare experience.

The creation and administration of social care networks are facilitated by PatientTeam, linking patients, caregivers, healthcare providers, and social care workers within a collaborative ecosystem. This functionality promotes communication, coordination, and resource exchange among stakeholders, ultimately improving the provision of patient-centered care.

Comprehensive outcome tracking and reporting are made possible by PatientTeam, empowering users to monitor intervention effectiveness, track patient progress, and measure health outcomes longitudinally. This functionality promotes data-driven decision-making and facilitates ongoing quality improvement initiatives.

Adhering to stringent standards and governance protocols, PatientTeam ensures data security, privacy, and regulatory compliance. By prioritizing data integrity and confidentiality, PatientTeam instills peace of mind among users and fosters trust among patients, caregivers, and healthcare stakeholders.

With rich set of quality management tools, healthcare organizations can standardize best practices, analyse root causes of issues, and manage improvement projects in a closed-loop system - ultimately driving better care quality, patient safety, and clinical outcomes while meeting requirements for value-based reimbursement models to provide better outcomes and higher patient satisfaction. Ultimately, this comprehensive quality management feature empowers healthcare teams to provide better outcomes and higher patient satisfaction.

This platform can deliver tailored educational resources, discussion guides, and information about financial assistance programs specific to each patient's rare condition. This targeted support at the critical point-of-care moment empowers underserved populations facing socioeconomic barriers to better understand their disease, treatment options, and available resources. By reaching these patients at the point of care, PatientTeam helps overcome inequities in rare disease diagnosis, treatment adherence, and access to clinical trials.

PatientTeam's clinical trial suite allows patients to connect with a dedicated team of clinical coordinators, nurses, and peer mentors throughout their trial journey. Through secure messaging, video calls, and educational resources, PatientTeam cultivates a supportive community that empowers patients and helps drive successful trial completion. The engagement-boosting elements are seamlessly integrated, minimizing participant burden and enhancing the overall clinical trial experience from start to finish.