Patient care plan

Improve post-acute care with a comprehensive patient care plan.

For healthcare organizations working to improve the patient journey through post-acute care, a well-managed patient care plan can help to increase quality outcomes, reduce costs and eliminate waste.

Post-acute care has become an area of intense focus for healthcare organizations seeking to navigate the shift to value-based reimbursement. By more carefully crafting and managing a patient care plan, organizations can improve coordination in post-acute care, reduce hospital readmissions and ensure accurate and seamless communication between providers, patients and their caregivers.

An effective patient care plan must anticipate a patient’s post-acute care needs at discharge and identify the post-acute care providers that can best serve the patient, preventing hospital readmissions and enabling a smooth journey through the post-acute care process to discharge to community.

For healthcare organizations seeking to improve patient outcomes and clinical risk management with a more robust solution for developing a patient care plan, naviHealth can help.

Managing a patient care plan with naviHealth.

naviHealth has been managing post-acute care and care transitions with health plans,health systems and post-acute providers for more than 18 years. We provide healthcare organizations with post-acute care expertise and scalable technology to optimize clinical, financial and quality outcomes across the care continuum.

Our solutions include:

  • Clinical support services that can embed on-site, becoming an integral part of the care team. Our expert clinicians can help evaluate functional progress and medical complexity, and assist in developing a patient care plan that ensures patients are discharged to the appropriate post-acute setting.
  • Data-driven technologies that identify high-risk patients through clinically-validated and evidence-based assessments. Our patient placement systems allow case managers to find appropriate and available downstream providers while building high-performing networks.
  • Advisory solutions that can help to increase productivity, improve resource allocation, enhance network relationships and increase patient satisfaction.

An Experienced Partner

We’ve spent more than 18 years pioneering ways to improve every aspect of care transitions for health plans, providers and patients. From discharge planning efficiencies to managing risk for payors and providers, naviHealth is equipped to provide you with a tailored suite of capabilities.

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Creating a personalized patient care plan with nH Predict.

naviHealth nH Predict is an SaaS-based software solution that enables organizations to personalize a post-acute patient care plan to ensure patients get the right amount of care in the most appropriate setting for the optimal amount of time. nH Predict builds a patient care plan using an algorithm that incorporates patient function, additional risk factors and data gleaned from approximately 2 million records of real patient outcomes gathered over 15 years. With nH Predict, organizations can develop a patient care plan that predicts the optimal first PAC setting, length of stay, expected functional improvements and burden of care after discharge.

Learn more about developing a patient care plan with naviHealth.


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