Virtual Care and Chronic Care Management
Advancing the chronic care management (CCM) of patients is critical. Implementing virtual care is a must-have for providers seeking to improve how they manage and engage patients with chronic conditions.
- Healthcare organizations can actively reduce the recurring cycle of readmissions for patients with chronic diseases by enabling the exchange of essential information — such as medication reconciliation, appointment reminders, and admission decisions — and by connecting providers and chronic care patients in a more efficient and effective manner.
- The overall care team (which may include several providers as well as a pharmacist) can better monitor patient in real-time and collaborate to resolve emerging patient issues throughout the care continuum.
As the number of Americans with chronic diseases is estimated to continue increasing, a virtual care communication platform is mission-critical for healthcare organizations to incorporate in their care delivery models.
More Touchpoints; Less Rehospitalizations
With Synzi, home health clinicians are helping patients receive the ongoing support they need to manage their conditions and minimize the risk of readmission. By maintaining frequent contact with these patients, home health clinicians can adjust patient care as needed and quickly intervene if the patient’s situation needs immediate intervention.
- Video-based virtual visits enable agency clinicians to review the patient’s condition, address patient’s barriers and issues to lifestyle changes, and perform medication reconciliation and medication therapy management (MMT) with prescribers and pharmacists in real-time.
- Synzi’s end-to-end solution also helps agencies monitor patients’ vital signs and day-to-day health with digital assessments and remote patient monitoring. These features help agencies explore if the plan of care needs to be changed prior to the next interaction and/or facilitate real-time interventions to help prevent adverse outcomes.
- Ongoing messaging (with reminders about medication, nutrition, and exercise) help patients remain on track with their role in self-care and improve their compliance. Messaging can be pushed to patients on a regular basis and also remind patients to complete assessments and provide updated vital measures.
Better management and engagement of these patients helps agencies minimize the number and length of hospital stays, leading to improvements in quality of life and cost of care.
Enhancing Patient Satisfaction with Virtual Care
By enabling patient access to convenient virtual care, patients with chronic conditions are more satisfied with the flexibility in how, when, and where they interact with their providers. Plus, patients are able to have any adherence issues, such as medication reconciliation, addressed in real-time.
Patients’ out-of-town family members can also be included in the virtual visits with the home health clinician and specialists. These virtual visits allow remote family to become more involved in their loved ones’ care while alleviating the guilt often associated with not living close enough to provide hands-on support.
And, both patients and caregivers appreciate the convenience of being able to immediately access their home health clinicians for critical health-related needs and/or quick questions regarding their condition.