Practice Areas
Working as an extension of hospital clinical teams, our focus is on improving outcomes, preventing avoidable readmissions, and closing care gaps.
Post-Discharge Care
365Telecare’s connection with patients begins before discharge. Using motivational interviewing, our teams build trust and connect with the patient during the care transition and at regular touchpoints during and beyond the first 30 critical days. Care teams work with patients on areas including self-care management, medication management, and disease-specific issues, and identify and mitigate any issues that might lead to readmission.
Care Gap Closure
Teams of clinically trained staff mobilize to close a high volume of care gaps to improve quality scores. Experienced in contacting hard-to-reach populations, care teams case manage each identified patient to close critical care gaps. Teams ensure that claim information makes it through the system efficiently and effectively in order to increase gain sharing and reimbursements.
Frequently Asked Questions
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Are you a software platform?
Our teams of trained and experienced caregivers work to make personal connections with patients through phone, video calls, and/or text on a regular basis in order to prevent readmissions and close care gaps. Using our custom-built software, our teams stay organized and engaged in well researched, pre-scheduled contact points which have been proven to lead to long-term success in preventing hospital readmissions.
How do you work to close care gaps?
Our care teams work one-on-one with patients to facilitate transportation, appointments, medication follow-up, at-home screenings, and more.
Do you work with payers?
Yes. We work with both payers and healthcare organizations to close care gaps and avoid readmissions to lower costs.
How do you find nurses/care teams?
Our clinically trained care teams come from our own database of thousands of experienced and vetted healthcare professionals. Many of our nurses and administrators have worked with us for years.
How do you increase quality scores?
Our care teams are trained in motivational interviewing to create effective transitions and ensure adherence to hospital quality measures throughout the payer-defined episode of care.
