Skilled Nursing
Alanté® improves the skilled-nursing patient outcome and experience. Our CareConnect service utilizes Advanced Practitioners (NPs/PAs) to complete transitional care and in-home visits, enabling seamless care coordination with the patient’s care teams.
For the chronically ill or those requiring palliative care, we assign an RN Care Manager to ensure your patients receive the care outlined in your discharge plan. We can also identify and intervene should changes in condition occur.
Our RN Care Manager follows up with your patients monthly, or more frequently if necessary, to support them in achieving their healthcare and wellness goals post-discharge.
Our services Include:
- In-home nurse practitioners visits after discharge.
- Appointment scheduling and timely follow up visits with PCP or specialists.
- Care management.
- Medication management.
- Care Transitions – hospital, SNF, home health, hospice, transitional care visits with PCP.
- Referrals – physicians, social services, respite, support groups, pharmacy and other community resources.
- Patient education and training.
- Transportation assistance.
- 24/7 response for changes in condition.
- Readmission prevention program.
- Coordination of patients’ medical needs between providers (physician, specialists, home health, palliative care, etc.).
- Monthly or bi-monthly telephonic or telehealth visits with RN Care Manager after discharge.
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Why Skilled Nursing Facilities Choose Alanté®
- Identification of changes in conditions with interventions with patient’s physician.
- Reduction in unnecessary ER visits and rehospitalizations.
- Collection, coordination and integration of patient health information across care providers: PCP, specialists, hospital, home health, hospice, senior living, in-clinic care, chronic care management and remote patient monitoring, on an open standards platform.
- Integration of healthcare information into EMR: medications, physician’s plan of care and physician orders.
- Patient-generated health data and information easily collected and added to the EMR.
- Palliative care after discharge for those patients not ready for hospice, driven by nurse practitioner.
- Improved quality scores and Medicare star ratings.
- Medication management/reconciliation.
- No cost to the skilled nursing facility; all services are billed through the patient’s insurance.