SHH Engage
Virtual Engagement with High Risk Patients
SHH Engage
adds a layer of extra support for Skilled Home Health patients by providing personalized and interactive automated phone calls, paired with manual calls that assess for significant changes in health status and alert appropriate professionals to contact the patient.
Local clinical team members are alerted when a patient’s health status changes, allowing increased oversight even when we are not in the home.
Quick follow-up of alerts ensures interventions happen fast to reduce unnecessary hospitalizations.
- Local clinical team members are alerted when a patient’s health status changes, allowing increased oversight even when we are not in the home.
- Outbound calls include 3-7 questions, some of which are targeted based on patient diagnosis. Any “yes” answer triggers a follow-up call and local clinical teams are notified for further intervention.
- The Engage team ensures that any automated and manual calls are conducted in conjunction with Skilled Home Health in-person visits, aiming to be performed on alternate days.
- The SHH Engage program targets the top 25% at-risk patients on Elara census, but this does not limit those that can be enrolled in the program if they are current with Elara Caring SHH.
