Solution: Patient Care Coordination

Are your patients empowered?

  • Can your patients manage their own care when they leave the hospital?
  • Do you risk stratify patients?
  • Do you assess patient social determinants and connect patients with community resources?
  • Do you follow up with patients after they are discharged?
  • Are you equipped to help patients make informed health decisions?
Recent studies and evidence show providers and patients with engaging care coordination experience better outcomes, improved care experiences, and fewer unplanned admissions.
Patient Care Coordination

Are your patients empowered?

  • Can your patients manage their own care when they leave the hospital?
  • Do you risk stratify patients?
  • Do you assess patient social determinants and connect patients with community resources?
  • Do you follow up with patients after they are discharged?
  • Are you equipped to help patients make informed health decisions?
Recent studies and evidence show providers and patients who have engaging care coordination enjoy improved outcomes, care experiences, and fewer unplanned admissions.

The path to patient empowerment

Patient
Assessment

  • Evaluate patients based on identified risk factors
  • Identify interventions and goals when performing the assessment

Patient
Stratification

  • Use risk evaluation scores (SCAPs) to assess patient ability to manage self-care and conditions
  • Stratify risk based on scores

Recommended Care Plans

  • Generate specific care plans based on identified conditions, goals, and interventions
  • Make care plans available to all members of the care team

Patient Engagement and Activation

  • Create specific follow-up tasks based on risk and identified goals
  • Review patient goals with each follow-up to track patient health outcomes and reduce risk

Industry Models versus ARGO Risk Model

Predicting patient risk using ARGO’s model results in a 16.5% accuracy improvement over industry models such as the LACE index and Dugger risk model.

Model C-statistic Accuracy Improvement
LACE 0.6098
Dugger 0.6133 0.57%
ARGO 0.71 16.5%

Meet CareChain

Improve health outcomes and empower patients

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