The IVR Care Transition System

• A fully automated telephonic system that calls out to patients and administers a series of surveys
• Evidence-based survey content was developed by team collaborators with clinical expertise in chronic disease management, multi-morbidities and transitions of care
• The IVR Care Transition System is designed as a stand-alone “plug and play” system and can be used in any clinical setting to provide support for patients
• The IVR Care Transition System includes a dialer system, secure server, database, dashboard, and clinical documentation components that are fully integrated into a single, cost effective system
• The IVR Care Transition Systems Team continues to develop new survey modules to address additional chronic diseases

The Value of IVR Care Transition System solutions

Our comprehensive and cost effective system provides tools to support:

• Reduction in preventable rehospitalizations and associated patient risks and costs
• Reduction in preventable emergency department visits and associated patient risks and costs
• Improvement in the quality of care across healthcare settings
• Improvement in patient access to care across geographic boundaries
• Enhanced provider patient communication
• Real-time information and data about patient needs before issues reach a critical state

IVR Care Transition System solutions are Patient-Centered

• Patients select the call schedule (increases response rates)
• Human voice – not a computerized voice (enhances sense of caring)
• Patients enter data about health status including signs and symptoms of potential disease exacerbation, medication management issues and follow-up care needs
• Overcomes literacy barriers (surveys are administered via telephone)
• System is designed to be friendly, simple and intuitive
• Can be used on any cellular or land-line telephone or any smart device capable of receiving a phone call

IVR Care Transition System solutions are Clinician Centered

• Designed to complement existing workflows
• System automatically triages priority to those patients indicating greatest need for support
• Enhances communication among multiple providers within and across care settings
• Contains a build-in system for clinical documentation
• The database for capture of clinical information is capable of running reports and trending patient responses and needs
• Interface architecture was designed with input from clinical system users