Partners

ConnectedCare™ Partners

Community Wellness Let's Bring Healthcare Home

Community Wellness provides the services and guardrails for transitioning patients safely back home, with attentive telehealth monitoring featuring high-touch patient engagement to reduce hospital length of stay and readmission rates while improving HCAHPS scores, medication adherence, patient satisfaction, longevity, and vitality.

In addition to meeting the CMS requirements for Transitional Care Management (TCM) and ConnectedCare™ – Community Wellness clinical care team delivers “PLUS” services to ensure optimal patient and partner success.

Issues Hospitals are Facing Due to Length of Stay

42% of hospitals have Length of Stay greater than the national average
30% of hospitals have readmission penalties in excess of $100K
Extended Length of Stay can put patients at an increased risk of developing an HAC
Extended Length of Stay may lead to decrease in hospital revenue

FDA Bluetooth Devices

Included devices based on chronic condition(s) enable daily monitoring of conditions while increasing greater access and reach to quality healthcare.

Support Community

Community Wellness provides an online community to support patients and connect them with resources such as medication adherence, nutrition, healthy lifestyle and custom content based on condition(s).

Weekly Clinical Support Sessions

Each patient is matched with a dedicated clinical support coach. Each 20-minute, live session includes discussion around condition(s), symptoms assessment, answering or directing patient questions and concerns. Continuous and ongoing support helps improve patient engagement, literacy and outcomes.

Medication Adherence Tools

It is critical for patients to remain consistent in the utilization of their medication, and our solution provides reminders and tracking to aid in medication adherence and compliance.

Earlier Interventions

Daily vitals monitoring coupled with weekly clinical sessions help aid in earlier intervention of conditions and reduce hospital admissions and significant health events.

Mental Health

As our clinicians build relationships with your patients we have the ability to screen and observe warning signs of depression and other mental health concerns during support sessions.

Hospital To Home

Hospital To Home (TCM – First 30 Days)
Overview – Combining multiple services to create a safe pathway for a patient to leave the hospital Embedded Onsite Hospital Liaison + Transitional Care Management (TCM – First 30 days) + ConnectedCare TM --- Day 31 forward)
Key Product Features or Services – Onsite – Patient Support, Devices, Clinical Nurse/Monitor, high touch 30 day program (TCM)
Target Patients – Hospital Inpatients with one or more chronic conditions, on the cusp of leaving the hospital, medically beneficial for them to participate in TCM & RPM
Targeted Payers – Medicare B (65 years and older), Medicare Advantage, Medicaid
Targeted Outcomes – Value proposition to hospital CEO’s – we can help reduce their “length of stay” days and/or reduce their “readmissions rate”. Even a .5 day reduction in length of stay can save hospitals hundreds of thousands of dollars. Hospitals are fined and penalized for the readmissions rates (patients coming back into the hospital in the first 30 days after discharged). Lastly we help them with their HCAP scores – customer service outcomes.

Let’s take your transitional care to the next level.

Community Wellness’s Virtual Primary Care is more than just a service; it’s a commitment to revolutionizing healthcare delivery. With all the benefits of in-person care, now delivered virtually, we’re here to ensure that quality healthcare is just a click away.