What We Do
Patient Population Management
Active Case Management
Continuous Patient Engagement
Care Continuum Interoperability
Real-Time Clinical Communication
We monitor the care and support provided by all healthcare organizations supporting a patient. Through our patient engagement process we receive detailed feedback directly from the patient or their responsible party on the care being delivered and any concerns. All collected information is immediately displayed in real-time dashboards and reports that are easy to navigate. Our dashboard highlights active cases every day that need intervention to improve the patient outcomes and final performance scores for providers.
Real-Time Patient Risk Stratification
We take a holistic approach to identifying and tracking risk for every In-Patient and Post-Acute patient. Understanding the risk profile allows each responsible care giver to proactively mitigate risk for each patient under their charge. In-Patient risk profiles change due to negative changes in condition or positive improvements and these are presented to clinical teams in easy to view dashboards. The long term recovery of Post-Acute patients is directly related to their social determinants and we evaluate risks in the home, the level of available support, and a list of other factors to generate our after care risk assessment. We maintain risk profiles on patients as they transition across all levels of care.
Care Continuum Scorecard
We maintain real-time insight on the performance of all providers across the care continuum with scorecards per entity. This includes hospitals, skilled nursing facilities, home health agencies, home care companies, assisted living facilities and other care communities. Our real-time insight map is regularly updated with the latest information available from public and private sources and is made available to clinical and social services teams making referral recomendations for patients everyday. OverSightMD sets itself apart from every other performance monitoring tool available to healthcare companies by integrating active case data into our scorecards.