Our Emergency Trained Physicians and Nurses have the experience and expertise to assist our clients in making informed decisions about their healthcare choices. This team represents a diverse group of clinicians assembled to provide leadership and guidance to the patients we serve. Through a home based approach our clinicians provide immediate care coordination as well as the guided support many individuals require as they are discharged from an acute care facility.
68 year old female discharged from SNF six weeks post Hip replacement.
Physician assigns a risk assessment level 2 indicating homehealth provider has provided nursing but not physical and occupational therapy due to lack of orders. As a result, patient has not bathed and is at increased fall risk. Additionally, Medication Reconciliation has uncovered patient needing immediate refill of cardiac medication.
Crucial Care Physician rapidly intervenes by writing both medication and therapy orders and coordinates efforts with PCP and Homecare. Therapy and medication arrive at patients home later that afternoon.
65 year old diabetic female two days post discharge notices a developing “sore” and activates the Crucial Care Connect Smart Device.
This provides immediate access to the Clinical Care Team, which includes the Crucial Care Emergency Medicine Doctor. The patient’s RN arrives to assess patient concern, and the Physician provides video-based confirmation of developing pressure wound. Clinical Care Team uses Pathfinder™ Technology to identify the right home based wound care provider for quick intervention.
71 year old female with COPD is being followed by the Crucial Care Without Walls Team.
During an In-Home visit, patient notifies RN that current Oxygen Vendor has missed second straight portable tank delivery. This member is unable to leave the home without a portable tank due to their oxygen dependency.
Clinican consults Crucial Care Physician who accesses Pathfinder™, our Care Coordination Engine, and orders Home Oxygen from another provider within the Humana network. This provides the Aetna member with a higher performing oxygen supplier to allow compliance with followup appointments.
Newly enrolled 72 year old hypertensive female.
Patient scores a 4 on the Crucial Care Real Time Risk Assessment Tool which indicates the need for a 30 day collection and transmittal of biometric data, health assessment information, and monitored changes in existing health patterns.
Patient is given access to our easy to use remote clinical monitoring platform. On day 21 patient data indicates blood pressure above Physician assigned value. Monitoring RN escalates to EMD and initiates clinican-directed interaction via videoconference.