Help patients beyond discharge

Outside hospital walls, patient care is unpredictable. Situational, social, or logistical difficulties arise when patients return home to recover, and possibly deal with a medical crisis, new diagnosis, or change in medication therapy. If not addressed, this can result in readmissions and high costs, particularly for patients with stroke and other neurologic diagnoses.

Help patients beyond discharge

Outside hospital walls, patient care is unpredictable. Situational, social, or logistical difficulties arise when patients return home to recover, and possibly deal with a medical crisis, new diagnosis, or change in medication therapy. If not addressed, this can result in readmissions and high costs, particularly for patients with stroke and other neurologic diagnoses.

Nearly 20% of hospitalized Medicare patients will be

readmitted within 30 days

Improve Clinical Outcomes and Reduce Readmissions

Many companies will cover some of what you need to improve patient safety across the continuum of care. We provide a holistic turnkey solution for your patients’ needs from the moment they leave the hospital.

Medify’s multidisciplinary team of transition coaches, available 24/7, will-

  • Actively Monitor Your Patient’s Health 24/7
  • Perform regular check ins and emergency prevention
  • Track medication compliance and reconciliation
  • Identify ‘‘red flags’’ and indications that would prompt patients to contact providers
  • And always stay connected on call

Learn more on Remote Patient Monitoring

  • We help change each patient’s health journey
  • We analyze your patients health Information
  • We create a personalized health plans

Learn more on Chronic Care Management

We Help patients return home and navigate recovery through situational, social, or logistical difficulties by-

  • Reviewing discharge information
  • Reviewing the patient’s need for diagnostic tests and treatments
  • Maintaining close follow-up with a primary provider
  • Educateing the patient, family, guardian, or caregiver to support self-management, independent living, and activities of daily living
  • Establishing or re-establishing referrals and arrange needed community resources
  • Helping identify available community and health resources
  • Helping schedule required community providers and services follow-up

Learn more on Transitional Care Management

Health System Ready

  • Our platform fully integrates with your existing EMR workflow
  • We provide patients with the best FDA and AMA approved medical monitoring devices (at no cost to the patient)
  • Our AI tools and team of experts collect, analyze, and share data between multiple teams and locations, so your team can make the best decisions

Growth and Financial Stability

  • Health systems and hospitals are increasingly utilizing RPM, CCM and TCM services as a differentiator to enhance patient loyalty and engagement.
  • Covering these Medicare services not not only benefits your patients but also contributes to your bottom line:

Let’s transform healthcare together

Get in touch

We’d love to hear from you. Ask questions, introduce yourself, or learn more about how Medify’s solutions can help.