Admission / Treatment & Recovery / Discharge / Telecare & Home Care
Comprehensive Care Coordination (C3)
Insufficient pre-discharge planning and post-discharge management, such as incomplete instructions, medication errors and gaps in follow-up care put Veterans at unnecessary risk. To reduce readmissions that are avoidable, effective care team coordination and communication are critical.
C3 connects existing resources to provide care teams with enhanced communication and coordination, as well as clear, data-driven insight for Veterans at a higher risk of readmission.
Bidirectional VistA interface / real-time information display
Provides separate views for Inpatient, Outpatient and Connected Care
Displays updated risk scores using multiple methodologies (CAN)
Medical Reconciliation Views
In these videos you will see how C3:
Provides a clear, holistic view of the patient
Promotes clinical and community team collaboration to proactively coordinate care and follow up
Executes a tailored care model for Emma that sets her up for a successful discharge and reduced risk of readmission
Provides comprehensive, data-driven insights for Emma to ensure she receives all of the care and support she needs outside clinical settings
Medication Reconciliation
C3 provides users with a variety of comparative analysis and reviews of Inpatient and Outpatient medication orders.
The C3 MedRec provides Inpatient teams an opportunity to review Pre-Admission orders reported in VistA against Post Admission orders and evaluate the orders comprehensively. The Outpatient Reconciliation allows users to review medication orders with views for Pre-Admission, Admission and Post Discharge grid views. The users may also monitor medication order changes Pre-Appointment to Post-Appointment.
C3 helps Veterans Affairs Medical Centers operate as an HRO, focused on VBC principles by providing technology that empowers clinical teams to maximize patient safety, quality of care, and operational efficiency.
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