Aftercare patient case management does not need to overburden staff and electronic health records. Most EHR’s were not designed with aftercare solutions in mind. They lack the ability to be inclusive to all providers in the care continuum. They are often overburdened with legacy clinical notes and insignificant details that must be sifted through by your staff following up with a post discharge patient. It is much more effective to utilize an aftercare solution that predetermines what is going to be relevant for the patient at home. Beginning to prepare for aftercare on the date of admission reduces communication gaps that occur during patient transitions from the hospital to skilled nursing or directly to home.

Having easy access to information that can be shared with any provider in the care continuum not only makes case management easier it reduces errors and eliminates preventable readmissions due to insufficient patient information.

Aftercare Case Management Essentials

• Current Medical Condition and Recent Medical History Summary
• Primary Contacts & Alternative Contacts for Each Patient
• Primary Care Physician Contacts & Other Medical Doctors Involved in Case
• Preferred Ancillary Providers
• All Current Medications and Orders
• All Recent Patient Communications & Self Reported Conditions

Using a transparent, cloud based, HIPAA compliant communication platform to share all this critical patient data improves the transfer of information between providers. Being inclusive with the care continuum reduces staff coordination required to manage aftercare cases and ensures everyone performs their own individual duties with accurate patient information. OverSightMD achieves including all providers into the care continuum by granting access for all approved providers from the hospital, skilled nursing facility, PCP’s & house call MD’s, and ancillary care providers. Watch the patient dashboard for real time updates of your entire aftercare patient population.