Patient Care Follow-Up

IVR Patient Care Follow-up


 Why do we need it?  

  • Healthcare Demand: Today, there are more Americans over the age of 65 than at any other time in U.S. history. Between 2010 and 2030, the population of senior citizens will increase by 75 percent to 69 million, meaning one in five Americans will be a senior citizen; in 2050, an estimated 88.5 million people in the U.S. will be aged 65 and older.
  • Nurse Shortage: According to the United States Registered Nurse Workforce Report Card and Shortage Forecast published in the January 2012 issue of the American Journal of Medical Quality, a shortage of registered nurses is projected to spread across the country between 2009 and 2030.  In this state-by-state analysis, the authors forecast the RN shortage to be most intense in the South and the West.
  • Physician Shortage: Under every combination of scenarios modeled, the United States will face a shortage of physicians over the next decade, according to a physician workforce report released today by the AAMC (Association of American Medical Colleges). The projections show a shortage ranging between 61,700 and 94,700, with a significant shortage showing among many surgical specialties.
  • Mandates: As mandated by the ACA, the National Strategy for Quality Improvement in Health Care was created in March 2011 by the Agency for Healthcare Research and Quality (AHRQ) to guide quality improvement efforts at the local, state, and national levels through three key aims:

  1. Improving overall quality by making healthcare more patient-centered, reliable, accessible, and safe. 
  2. Improving the health of the population by supporting proven interventions to address behavioral, social, and environmental determinants of health.
  3. Reducing the cost of quality care for individuals, families, employers, and government.

  • ACO - (Accountable Care Organization) By maintaining condition-specific consistent contact with your patients, you can track the patients’ progress while reinforcing physicians’ instructions and medication compliance, updating the medical records and alerting staff if any interaction is required. A well-designed program to interact with the patients and your staff will free up your staff time, track their health, and increase your patients’ satisfaction - while reducing your costs associated with patients’ care.
  • PCMH - Patient-Centered Medical Homecare coordination is an essential component of the PCMH. Care coordination requires additional resources such as health information technology and appropriately trained staff to provide coordinated care through team-based models. Orbital provides a complete solution to help manage your patients’ recovery and status between multiple facilities while reducing the cost of care.  
  • Keep in contact with all of your patients on a regular basis. 

  • Update the records for both the hospital and care facility and track progress on the patient as well as the staff.  

  • Detailed records provided will help determine the patients’ progress or needs, while identifying any staff or care issues of concern.  
  • PHM - Population Health Management is distinguished from disease management by including more chronic conditions and diseases. New reimbursement models are built around pay for performance - a value-based reimbursement approach - which places financial incentives around patient outcomes and has drastically changed the way US hospitals must conduct business to remain financially viable. The need to manage more patients with fewer resources (Doctors, Nurses, etc.) is clear and technology will be required to meet the demands for PHM.   

The following road map has been suggested for helping healthcare organizations navigate the path toward implementing effective population health management. 

·  Establish precise patient registries 

·  Determine patient-provider attribution 

·  Define precise numerators in the patient registries 

·  Monitor and measure clinical and cost metrics 

·  Adhere to basic clinical practice guidelines 

·  Engage in risk-management outreach 

·  Acquire external data 

·  Communicate with patients 

·  Educate patients and engage with them

·  Establish and adhere to complex clinical practice guidelines  

·  Coordinate effectively between care team and patient 

·  Track specific outcomes  

Orbital Patient Care Follow-up Solution: What can you expect?

Savings in preventable admissions, readmissions, ER visits, and the costs of patient care, improved patient satisfaction, improvement to your care coordination efforts, detailed reporting that tracks patients’ progress, staff efficiency, and specific care progress (who, what, and when). Immediate EMR updates.  

Ability to monitor all patients and any conditions, including multiple comorbidities, identify patients at risk, reduce readmissions and unnecessary ER visits, alert any staff or coordinators when an intervention is needed, and free up your staff to work with more patients.

· High Risk Patients. At any time, a "low" risk patient can become a "high" risk patient. By monitoring patients on a regular basis, you can track progress and make changes  to their health plan before it becomes serious.    

Patient Satisfaction 

· Patient satisfaction remains highest amongst monitored patients. Studies show a  very high score for hospitals engaged in Tele-Health programs.    CONCLUSIONS: Patients reported high satisfaction with their telehealth  experience. Convenience and perceived quality of care were important to  patients, suggesting that telehealth may facilitate access to care.

Cost of Care
There is no upfront cost for this service, no license fees or hardware or software  to purchase. This solution is provided via a Cost Saving Revenue Share Model  and can be implemented in 2-4 weeks.        

The BEST Solution 

  • Orbital’s solution provides the simplest method to keep your patients fully engaged in their  healthcare plan as designed by your Doctors and Nurses. The path to improving patient health is  continual condition-specific two-way communication. Reaching out on a regular basis, talking to your  patients, updating their medical records, and alerting your staff to any worsening conditions provides  the best process to manage all of your patients… not just the high-risk patients. 


  • Orbital provides all of this automatically, consistently, with no staff effort until the intervention is  needed - and then tracks the follow-up care performed. The data captured will help you measure  patient progress, staff efficiencies/shortages, care program needs and so much more. Let us do a  quick demo to show you why Orbital’s CLOUD BASED SOFTWARE solution is the best for you and your  patients.