Streamline discharge planning to reduce hospital readmissions. This workflow ensures accurate patient information gathering, comprehensive care plan development, and timely communication with primary care providers and community resources.
Type: Fill Checklist
In this critical step of our patient management process, Identify High-Risk Patients plays a pivotal role in ensuring timely interventions. This workflow step involves the thorough analysis of patient data to determine those who are at higher risk of complications or poor health outcomes. Using established clinical criteria and advanced analytics tools, healthcare professionals systematically review patient records, medical histories, and current health status to identify potential red flags. Factors such as comorbidities, medication adherence, laboratory results, and social determinants of health are carefully assessed to pinpoint patients who require more intensive monitoring or specialized care. The outcome of this step is the creation of a list of high-risk patients who will be prioritized for additional resources, support, and follow-up services. This proactive approach enables healthcare providers to mitigate potential risks, improve patient outcomes, and ultimately enhance overall care quality.
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