Onboarding & Assessment
What is onboarding?
Identifying patients, using predictive analytics or manual processes
Introducing the bundled payment program to patients and delivering CMS-required materials.
Creating the patient’s Care Team and Assigning a Principal Accountable Practitioner (PAP)
Completing a Risk Assessment:
Predicts a patient’s risk for inpatient readmission
Assignes patients to risk levels that drive post-acute
interventions and scheduled follow-up services
Episode Connect Onboarding and Assessment Tool Set
Predictive Analytics to identify patient
Automated patient profile creation and harvesting of their medical records into Episode Connect.
Module for creation of Care Teams with associated contact information
Risk Assessments and Functional Assessments – easy and quick initial risk assessment tool and customized supplemental assessments for functional, mental health, transportation and social needs
Care At the Right Location (CARL) Tool – assess critical discharge planning domains, including patient independence, living situation, caregiver availability and support, and specific skilled needs. Together, these factors help to recommend the safest and most appropriate next site of care.
An assessment of patient suitability for home or SNF care.
Patient and SNF matching
Determine length of stay and service needs
in a post acute setting
A communications module assuring SNF, HHA or family
receives complete instructions and physician orders.