Reduce Hospital Readmissions
Automated post-discharge outreach, high-risk identification, and real-time escalation that prevent avoidable 30-day readmissions and protect value-based care performance.
A complete toolkit to prevent avoidable readmissions
Post-Discharge Outreach
Automated voice, text, and email check-ins within 48 hours of discharge surface concerns before they escalate into emergency visits.
High-Risk Identification
Risk-stratification algorithms flag patients most likely to be readmitted so care teams can prioritize limited resources effectively.
Medication Adherence
Verify patients are taking prescribed medications, understand their regimen, and can access refills through automated check-in questions.
Care Transitions
Structured handoff workflows ensure patients understand their discharge plan, follow-up appointments, and warning signs to watch for.
Real-Time Escalation
Concerning patient responses trigger instant alerts to care coordinators, enabling same-day intervention before a readmission occurs.
Readmission Analytics
Track readmission rates by diagnosis, unit, and payer alongside engagement data to continuously refine your prevention strategy.
Reach Every Patient Within 48 Hours
Automated, multilingual outreach contacts patients shortly after discharge to check on symptoms, medication compliance, and care plan understanding. Issues are escalated to care teams in real time.
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Focus Resources Where They Matter Most
CipherHealth's risk models combine clinical data, social determinants, and engagement history to identify patients at highest risk. Targeted interventions drive down readmission rates without overwhelming staff.
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Bridge the Gap Between Hospital and Home
Structured transitional care workflows verify that patients attend follow-up appointments, fill prescriptions, and recognize red-flag symptoms — closing the gaps that lead to avoidable readmissions.
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“CipherHealth's post-discharge outreach helped us cut readmissions by 25% in the first year. The automated escalation pathways mean our nurses intervene the same day a patient reports trouble.”
Reduce readmissions, improve outcomes.
Schedule a personalized demo and discover how CipherHealth helps health systems prevent avoidable readmissions and succeed in value-based care.
