We help patients to make sense of all thier health records and care plans from their multiple providers. We aim to reduce the complexity for the patient through ongoing support, reviewing any changes, and ensuring the patient understands what those changes mean to their overall care-plan.
We help identify and address patients' social determinants of health such as housing needs, lack of insurance and unemployment, we help patients connect with the needed resources.
Research shows patients only understand about 50% of their discharge instructions once they get home. Our care team serves as a resource to answer any questions that may come up to keep patients on the right track.
We help patients and caregivers coordinate thier mental health needs. We can also help providers follow-up with patients at risk for opioid addiction by acting as an extention of their care team and support to the patient.