Kindred Transitional Care and Rehabilitation provides continued care to a broad range of patients with a diverse set of needs. Often, these patients have complex health issues but are sent to the facility from an inpatient hospital stay with minimal information included in their chart. Kindred looked to CareWeb to help fill in gaps about their patients to ensure they continue moving forward with their recovery.
CareWeb has become part of Kindred’s admissions process, providing important information on the patient’s medical history, medications and previous clinical testing, like imaging reports and lab draws. This information enables Kindred to know what has been going on with the patient proactively and implement their care plan from the first moments of arrival.
The information available via CareWeb includes conditions for
which the patient has been seen, and what specialists have been involved in the patient’s ongoing care. This knowledge helps the staff set a discharge plan for these patients, which can include making follow-
up appointments for the patient before they even leave the facility. Kindred can share their discharge plan electronically via CareWeb to these specialists for better care coordination.
During their stay at Kindred, if a patient goes to the hospital, CareWeb is used as part of their root cause analysis to see if the staff could have done anything differently to avoid an inpatient visit.