What We Do

Population Management

Easily view changes in conditions on all at-risk individuals in all settings including: skilled nursing facilities, senior living communities, and even recovery at home. Elevate alerts to support teams & see responses in real-time as teams respond to the individuals need. Population management dashboards can be customized to meet the needs of administrative and clinical staffs and corporate wellness programs to meet your organizations goals.

Active Case Management

Following the plan on a daily basis is critical for high risk individuals, yet difficult to maintain over the long term without the tools and personnel in place to eliminate gaps or errors in care and long term wellness. Every person receives undivided attention from their OverSightMD Care Team representative that is dedicated to understanding their care and wellness needs.  

Continuous Engagement

Staying engaged with individuals that are recovering at home can be a challenge. The OverSight care teams follow specific engagement protocols that strengthen communication and uncover valuable insight into their wellbeing. Our wellness assessments cover a large range of topics including: activiy & wellness, changes in conditions, self-reported vitals, caregiver updates, care coordination with doctors and home health agencies, medical supply problems, medication needs, and transportation.

Care Continuum Interoperability

The OverSightMD platform integrates with electronic health records(EHR’s) such as EPIC, CERNER, All Scripts, MatrixCare, and more. This makes deploying OverSightMD easy. We can receive and share information & history, vitals, nursing notes, orders, and much more directly from each care organizations system. For home health agencies and caregivers without EHR’s using OverSightMD’s mobile solution is HIPAA secure and simple to use.

Real-Time Clinical Communication

The OverSightMD dashboard views and proprietary alert & handoff system enhances real-time communication internally and across the care continuum. We deliver the capability to effectively communicate and keep accountable other organizations involved with a care and wellness of every person under management. Our built in analytics and protocols expedite communication between clinicians to focus on the most at-risk scenarios at any given time.

Provider Tracking

We monitor the care and support provided by all healthcare organizations. 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 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.

How We Do It

Keeping the Care Contiuum Connected