Predict hospitalization risk in blind-spot between doctor visits

A graph of hospitalization risk A graph of hospitalization risk
  • Doctor visits inform episodic claims-based predictive models
  • Frontline staff surveys power Care at Hand predictive model

Prevent admissions using existing frontline staff

A graph of hospitalization risk A graph of hospitalization risk

Evidence-based smart surveys identify early medical and psychosocial warning signs

  1. A patient and care taker
    Number indicator one

    Existing frontline staff help with ADLs, education or care coordination in-person or over the phone

  2. A smartphone prompt
    Number indicator one

    Smart surveys with adaptive questions completed in 3 minutes on mobile device or desktop

  3. Analytics trending downwards
    Number indicator one

    Evidence based algorithms assign risk score and trigger about 1 alert for every 5 surveys

  4. Clinical staff
    Number indicator one

    Nurse triages alert before problems get more serious

Population Health Management

Dashboards and reports provide unique insights, predict who is most at-risk for becoming a high-utilizer.

Multiple people on a city grid

Care Pathways

Validated decision support based on risk score, providing recommendations, frequency, and duration of care.

Risk levels

Quality Improvement & Measurement

Identify opportunities for rapid-cycle improvement, like worker performance and HEDIS measures.

Analytics on a smartphone and laptop


Integrate our algorithms into your existing system. Avoid double documentation while benefitting from industry leading risk-prediction.

Analytics swapping between a smartphone and laptop

Consulting & Training Services

  • Quality improvement training and implementation.
  • Care coordination program development and implementation.
  • Support with business acumen.
  • Development, support, and implementation of marketing and sales strategy to obtain new contracts for your business.
  • Root cause analysis to identify barriers to improve program performance or organizational growth.
  • Needs assessment to identify opportunities to improve program performance or organizational growth.