Predict | Transitions of Care

Improve transitions of care and reduce readmissions.

Being discharged from the hospital can be bad for your health. Nearly one in five adult patients experience an adverse event within three weeks of leaving the hospital, and roughly 20% of Medicare patients discharged from a hospital—approximately 2.6 million older adults—are rehospitalized within 30 days, at a cost of over $26 billion every year.

BUILT FOR HEALTHCARE

Ingest, normalize, and blend data
from dozens of health data sources.

Electronic Health Records
Unstructured Clinical Notes
e-Prescribing Data
Vital Signs
Remote Monitoring Data
Medical Claims
Rx Claims
ADT Records
Lab Test Results
Health Risk Assessments
Social Determinants of Health
Operations & Services

Risk of poor care transition and unplanned admission in the next 30 days

HIGH RISK

Patient ID

Gender

Age

Risk Score Percentile

129093652

Female

73

96

Impact on risk

Contributing factor

Value

+23%

# of Unplanned Admissions (12M)

1

+17%

Hemoglobin (g/dL)

11

+12%

# of ER Visits (6M)

2

+9%

Level of Social Support

Low

AI INFORMS ACTION

Pinpoint high-risk individuals and surface actionable risk factors.

ClosedLoop generates explainable predictions using thousands of auto-generated, clinically relevant contributing factors.

Enhance

Enhance patient engagement and self-management education

Promote

Promote consistent caregiver relationships

Improve

Improve medication reconciliation and adherence

EXPLORE MORE USE CASES

Urinary Tract Infections

Digital Health

Payers

Providers

Reduce urinary tract infections and improve outcomes.

Member & Patient Churn

Payers

Providers

Reduce member and patient churn and improve engagement.

Medication Adherence

Payers

Providers

Improve medication adherence and reduce adverse events.

Make AI/ML a core element of your care strategy.

Get in touch today to see the ClosedLoop platform in action.