Watching over the client between visits
People living at home are most vulnerable between visits. Auto-syncing connected devices send vital signs to the record, so a change can be picked up before the next scheduled visit.
The people at this step
Sees the alert when a reading crosses its threshold, and follows it up.
Reviews the client by video and changes the plan when the readings call for it.
Uses a scale, a cuff or a glucose sensor with no phone set-up required.
Step by step
- Readings arrive on their own
Connected devices sync to the clinical record without the client doing anything.
- A threshold is crossed
Clinical threshold alerting for chronic conditions raises the change for the care team.
- A review by video
The client is seen by video from home, on the same record.
- Prevention built in
Screening is part of the client's care pathway, at entry and at set intervals.
What the next step gets
The care given between visits is on the same record the month-end claim reads.
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