What We Do

Care Coordination &
Care Management

As the industry shifts to a value-based approach, care teams must proactively identify what they should be doing together to achieve better outcomes. This task is especially challenging when working with at-risk patients, including those with chronic or comorbid conditions that require close coordination across a wide range of providers and settings.

Our population health platform helps a team to be a team, integrating disparate information from across the care continuum, including social determinants of health, so that organizations can share information and collaborate in real-time. We provide a 360-degree, longitudinal view that enables care teams to create personalized care plans and act on timely intelligence with appropriate interventions to reduce admissions, avoidable readmissions, and ED utilization—ultimately improving patient and population health.

GSIHealthCoordinator Supports... Impact:

Information sharing with interdisciplinary care teams and care managers spanning multiple organizations

Delivers real-time clinical, social, and behavioral information to a patient-centric care team, ensuring transparency and alignment

Care team collaboration

Build care teams to coordinate patient care spanning medical, social, and behavioral care across multiple inpatient, ambulatory, and community-based settings

Universal care plan

Track and coordinate issues, goals, and interventions in a comprehensive care plan, highlighting each patient’s medical, behavioral, and social needs, accessible to the entire team

Service tracking and reporting for care management, patient outreach, and encounters

Flexible and comprehensive analysis and reporting, enabling you to track the performance of your care teams, identify areas for improvement, ensure payments, and enforce consistency and compliance

Care manager

Assign a central point of contact to make the care team more efficient, support transitions in care, fill in the gaps, and effectively manage patients to improve their health

Real-time alerts and messages

Provide instant notification and communication, enabling referral management and timely interventions to prevent admissions and readmissions

Patient engagement

Enables teams to more effectively communicate with the patient about their care needs and intervention steps, and promote medication adherence and the use of ambulatory care before patient conditions become critical

Consent management across population and providers

Enables information sharing, integration, and analysis across networks and organizations according to privacy laws, patient preferences, and organizational policies