What's Next in HealthMicrosoft

Care Transitions

Manage patients through multiple settings in which they receive care.

Microsoft Amalga, Microsoft HealthVault, and Get Real InstantPHR can help you optimize patient care transitions by more effectively using and sharing data within your organization, with other care providers, and with your patients.
Care Transitions – What’s Next in Health

Background

High hospital readmissions not only put your reputation for quality at stake, but also put your reimbursement dollars from Medicare and other payers in jeopardy. Improved care transitions can help reduce costly hospital readmissions.
Proactively managing patients at risk for readmissions while they are within the walls of your hospital is a first step toward reducing the impact of readmissions. It’s also critical to continue to enable effective care and management of your patients once they leave your institution, whether it’s in community care settings or in the home. This means providing a complete and accurate discharge record to the physicians who will care for your patients once they have left the hospital and providing a clear care plan to your patients upon discharge.
Microsoft Amalga, Microsoft HealthVault, and InstantPHR¹(IPHR) can help you optimize patient care transitions by more effectively using and sharing data within your organization, with other care providers, and with your patients.

Overview

Amalga, HealthVault, and IPHR¹ together help hospitals manage patients through multiple settings in which they receive care or manage their health: in the hospital, with post-discharge care providers, and at home. Together these products help in:
  • Reducing readmissions to mitigate financial impact, and improve quality
  • Avoiding duplication of services
  • Enabling patients to be more engaged in their care
  • Improving operational efficiency through automation
  • Increasing compliance with recommended guidelines in care transitions

Features & Benefits

These products work together to enable you to:
  • Identify patients at risk for readmission.
  • Identify, track, and manage frequent emergency department (ED) utilizers, patients with a high probability of readmission, and patients who have returned to the ED within 72 hours or 30 days of discharge.
  • Analyze readmission patterns post-discharge by leveraging easy-to-use dashboards & analytic tools.
  • Communicate patient discharge information.
  • Provide referring physicians with patient information post-discharge.
  • Enable patients to store personal health information and discharge summaries in Microsoft HealthVault, to simplify sharing with family and providers.
  • Engage patients with consumer health tools and personalized care plans.
  • Recommend connected tools and devices for self-care.
  • Provide physician communication tools to help guide a patient through a care plan.

Learn more about optimizing care transitions


Featured Video

Managing hospital readmissions with Microsoft Amalga

Illustration of how the Amalga product can, through predictive modeling, provide data to healthcare enterprises that will help reduce preventable readmissions.

Microsoft Amalga, Vergence, and Microsoft HealthVault together create the connected health intelligence platform. The platform enables health enterprises to streamline operations, coordinate care, and engage patients.
¹ A product of Get Real Consulting

Contact Us
Learn more about optimizing care transitions. Click Contact Us to send an email to hlthprod@microsoft.com.

Webinar: Machine Learning and Predictive Modeling in Healthcare

On-Demand Recording
See the use of machine learning to construct predictive models for outcomes in healthcare.

Eric Horvitz, MD PhD, Distinguished Scientist, Microsoft Corporation, focuses on the challenge of predicting readmissions and demonstrates how the predictive models can be used within cost-benefit analyses that provide guidance on practice and policy.

Modern Healthcare Webinar: Charting Your Course Towards Accountable Care

On-Demand Recording
A team of experts offer insights on charting your course through challenges such as driving clinical integration, fostering patient engagement, and managing care across transitions to embrace the new care delivery models and promote higher quality care.

Webinar: What If You Could Reduce Readmissions with Data Automation and Predictive Modeling?

On-Demand Recording
Learn how to manage hospital readmissions through predictive modeling to risk-stratify readmission probability at the time of inpatient discharge.

Webinar: Coordinating
Care Across Communities with Microsoft HealthVault Community Connect

On-Demand Recording
Dr. Marc Pierson, VP of Clinical Information and Quality at PeaceHealth St. Joseph Medical Center; Lori Nichols, Director at Whatcom Health Info Network; and Brady Davis, VP of Business Development and Strategy at Congral discuss how PeaceHealth St. Joseph Medical Center is improving patient adherence to care plans and community-based care coordination with Microsoft HealthVault Community Connect and Shared Care Plan.

Webinar: Improving Care Coordination with Online Services

On-Demand Recording
Karen Green (CIO, Brooks Rehabilitation) and Eric Moll (CAO, Mason General Hospital) discuss how Microsoft technologies can help you unlock new services models to support your patients, referring providers, and bottom line.

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Microsoft in Health

Microsoft is committed to improving health around the world through software innovation. Over the past 13 years, Microsoft has steadily increased its investments in health, with a focus on addressing the challenges of health providers, health and social services organizations, payers, consumers and life sciences companies worldwide. Microsoft closely collaborates with a broad ecosystem of partners and develops its own powerful health solutions, such as Amalga, HealthVault, and a portfolio of identity and access management technologies acquired from Sentillion Inc. in 2010. Together, Microsoft and its industry partners are working to deliver health solutions for the way people aspire to work and live.