The landscape of post-acute care has changed.

Success now hinges on the ability to adapt.

A CHANGING ENVIRONMENT
Two major factors are shaping the post acute environment.
01
Patients are sicker
- Strained hospital capacity and changes in reimbursement models are driving hospitals to discharge patients earlier. The results are higher patient acuity and complexity entering post acute care.
- Healthy patients with primarily rehabilitation needs are now receiving care at home.
02
Patient outcomes will determine revenue.
Post-acute reimbursement models are shifting rapidly. Good outcomes will be rewarded and poor outcomes penalized.
ADAPT
The solution is to bring the level of post acute care closer to the level of the hospital.
Facilities that can successfully deliver advanced care will thrive. Those that cannot risk insolvency.
Telshur transforms post acute care, closing the gap between the SNF and the hospital.

Elevate provider capacity at the point of care

Enable SNFs to easily connect with the right provider at the right time.

Often difficult to reach the right provider.
Group size is commonly 10 + providers.
Anyone can be covering due to vacation, sickness or holidays.
No searching for who is on call.
No messages sent to the wrong person.

Reduce care chaos

Information simultaneously coming from text, phone, fax and verbal communication can easily lead to confusion, delays and errors.
A single searchable, platform enables providers to stay on top of patient issues.

Increase access to the bedside

In person - A provider must go from room to room to track down a nurse.  
By phone - it frequently takes 10-15 minutes on hold and multiple calls. After 5, it is common for no one to pick up the phone.
Providers can easily reach care staff at any time to check or monitor a patient's condition.

Workflow and Prioritization

The high volume of communications and requests makes it very difficult for providers to sort through what are urgent needs and which ones can be managed later.
Organized workflows enable providers to quickly prioritize urgent issues.

Higher frequency touches

Existing systems make it difficult for providers to stay continually updated on patient conditions.
Providers are dialed into patient care issues through frequent communications and interactions with bedside nursing.

Ensure coordinated care across providers and services

Easily see active issues across shifts

Ongoing issues are difficult to track in the rapid turn over of provider and nursing care teams.
The entire care team can easily see prior and active care issues without searching records or time-consuming sign-out.  

Searchable action record

The flow of care, how decisions were made, and who was involved is difficult to review.
All team interactions are easily reviewed and searched.

Sign out

Verbal or written sign-outs between leaving and oncoming teams is time consuming and commonly not accomplished in busy shifts.
A continuous action record removes the need to sign-out most issues, improving care and saving time.

Lab and radiology follow up

Tracking the full process, from provider order, to provider interpretation, is challenging and commonly not completed.
All lab and radiology orders are automatically entered into a point of care task management system that can be managed collectively by the team.

Communication for complex care

Complete clinical information

Providers commonly are not given a complete clinical picture.
The results are suboptimal decision making, poor outcomes and greater likelihood of transfer to the ED.
A issue specific digital SBAR helps bedside nursing collect and document relevant information. 
Providers are given the information needed to confidently make decisions.

Presented in a highly consumable and actionable format

Verbal and text communications are commonly fragmented and difficult to assimilate.
Structured information is presented in an easily understood and actionable layout.

Advancing continuous improvement and adaptability

Point of care key performance indicators

The lack of tracked Key Performance Indicators (KPIs) hinders our ability to assess and enhance team functionality.
Telshur stores critical information that determine the capacity of the clinical system including:
- Frequency of communication
- Review of clinical issues
- Who was involved and when
- Response times

Med error reduction

In the post-acute environment, medication errors are not uncommon, often exacerbated by the increasing time constraints faced by nurses.
A digital verification system removes piles of paper and enables nurse teams to quickly check progress and medication accuracy.

Response management / root cause analysis

The flow of care is inadequately tracked, leading to loss of information of who did what and when. When issues arise, backtracking to the root cause is often impossible due to absence of data.
An extensive data trail empowers leaders to swiftly analyze the origins of problems and devise effective solutions.