MODULES
The Tel-Assurance® platform is a patient-centered technology, that allows care coordinators and physicians to assign modules of program content to each patient, as their condition dictates or care situation changes. Tel-Assurance modules track daily clinical condition, self-care needs and treatment plan adherence, as well as allow for screening and identification of high risk conditions, such as frailty, depression or health risk.
This modular functionality allow care coordinators and other care team members to capture a broad view of their patients, whether it be during an initial 30-day period following a hospitalization, or long term for populations with chronic conditions. Information is organized and presented at the patient level, allowing high volume panel management and work queuing. From the patient's perspective, there is a seamless, intuitive experience, regardless of which modules they are scheduled to receive.
The Care Transitions Module identifies more than just changes in clinical status; it also confirms prescription fills, assures that follow-up appointments have been set and are kept, assesses home care needs, and screens for high risk issues known to drive readmissions, such as frailty and depression.
In addition to our Care Transitions Module and Chronic Condition Modules, Tel-Assurance also offers a Population Health Risk Assessment Module, which can be used to automate and streamline the assessment of large populations, while identifying those individuals within the population that represent higher risk. This approach goes well beyond predictive modeling or vital sign monitoring in home bound patients to allow full scale, cost effective population management.