Meet Your DSRIP Goals

Customized patient engagement and care management to help achieve DSRIP goals and value-based care

Integrated Technology to maximize DSRIP and PRIME initiatives

Care Transitions

Care Management

Patient Outreach, Engagement and Monitoring

Used in several states’ DSRIP and PRIME initiatives, CipherHealth solutions help patients stay actively engaged and connected to care, driving lasting improvements.

For Patients

Calls and text messages on a daily, weekly, monthly, or yearly basis engage patients with timely and relevant touch points, keeping them informed and activated throughout their care continuum.

For Providers

With care management and proactive outreach, care teams are able to effectively improve patient outcomes, reduce costs, and meet project milestones.

Patient Journey

Throughout the Care Continuum

Step 1

As Patients move between care settings and their community, they receive follow up calls that enable their care team to quickly identify and resolve issues

Step 2

Patients receive meaningful and consistent touch points to ensure they stay on the path to wellness. For example, they can be effectively engaged in cardiovascular disease management, behavioral health surveys, or post-discharge follow-up

Step 3

Patients with complex health conditions receive coordinated care from their assigned care teams. Critical communications and interventions to proactively manage their conditions are delivered seamlessly and effectively.

Results

59%

Decrease in questions about medications from patients at Lutheran Medical Center, a 359-bed urban hospital

52%

Reduction in readmissions at a 229-bed academic hospital

74%

Engagement rate at a GI practice

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