• Use real-time hospital encounter data to facilitate follow-up visits with patients within 7 days
• Monitor and track hospital utilization at the patient and population-level to target those most in need and drive strategic improvements
• Access updated contact information to help get in touch with patients
• Improve performance on value-based care measures through enhanced care coordination

• Reduce readmission rates by enabling providers to perform timely follow-up and care coordination
• Identify gaps in post-discharge follow-up care and facilitate targeted outreach
• Integrate information on established care relationships between patients and primary care clinics to support the discharge planning and referral process

• Enhance coordination with healthcare providers caring for your patients to advance whole-person care
• Use real-time data on healthcare utilization to support transitions from the hospital setting to community setting
• Promote healthcare providers’ understanding of their patients’ social service needs
• Access recently updated contact information for your patients to assist with outreach

Monitor and track hospital utilization at the patient and population-level to target those most in need and drive strategic improvements
Access recently updated contact information for your patients to assist with outreach
Use real-time hospital encounter data to facilitate timely follow-up with patients and reduce risk of readmissions