Rely Health Navigation for Hospital Medicine

Problem

Internal medicine departments often face challenges in scaling their case management support teams to ensure comprehensive follow-up for all discharged patients. Most teams can only support high-acuity patients or those with long-term placement plans, such as those needing skilled nursing or rehab. Consequently, nearly 50% of patients leave the hospital without a comprehensive follow-up plan and navigation support.

Our Solution

Rely Health offers a cost-effective, scalable back office virtual suite of navigators designed to manage patient populations post-hospital discharge. Our solution focuses on acquiring and retaining patients within in-network service lines and placing them into appropriate community or outpatient support programs to ensure continuity of care.

Services: Navigation Hub

A team of virtual patient care navigators ensures that all patients receive high-quality care through proactive engagement after discharge. This approach enhances lifetime value by fostering strong patient relationships and improving overall patient satisfaction.

The Rely Health Solution

• No-Lift Coverage: We manage the populations you cannot, scaling to cover every member of your daily census. Our virtual team engages with patients via their preferred contact method.
• Personalized Workflows: Each patient receives personalized SMS, email journeys, and phone calls based on their next best step in their healthcare journey. This approach emphasizes patient retention and appropriate placement.
• Longitudinal Follow-up: Our infrastructure supports the creation and adaptation of workflows that automatically engage patients well after their visit through a hybrid AI and live patient care navigator model. This ensures long-term sustainability and adaptability to the hospital's needs.
• Training: Rely Health provides comprehensive training for the navigation team, covering the Patient Relationship Manager (PRM) and workflows. This training ensures staff proficiency and compliance, enabling effective deployment of new tools to maximize the benefits of the proposed solution.
• Enhanced Reporting & Demographics Tracking: Our web-based PRM, integrated with your EHR data, automates demographic data collection and generates customized reports for administrative needs. This improves data accuracy and provides valuable real-time insights for better decision-making and compliance.

Program Benefits

Implementing the Rely Health Navigation Hub optimizes patient interactions by freeing up your care management/transitional care team’s time by nearly 75%, allowing more one-on-one interaction with high-acuity patients and expanding longitudinal care pathways. Our virtual program ensures comprehensive follow-up for all patients, driving new patient acquisition and retention. It also improves hospital utilization rates by directing patients to appropriate PCP, outpatient, or community resources.

• Turn-Key Service: No overhead performance management or technology lift required.
• Dashboards & Analytics: Monthly charts for leadership demonstrating real-time health metrics.
• AI-Driven Scale: We achieve 10-15x more scale than in-house resources, ensuring comprehensive follow-up and engagement for every patient.

Summary

Rely Health’s back office care navigation program for hospital medicine teams to modernize discharge, improve care plan delivery & adherence, lower healthcare costs, enhance quality metrics, boost patient trust, and foster long-term patient relationships. This approach contributes to the sustainability and growth of your practice.

Contact Rely Health to optimize your Care Navigation.