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Real-Time Hospital at home Care management
eShift helps maximize Hospital-at-Home (HaH) workforce efficiency, clinical workflow management, and reimbursement control with real-time task-based remote clinical staff management and oversight
Maximizing hospital
at home workforce efficiency
at home workforce efficiency
Accelerates Hospital-at-Home scaling by promoting interdisciplinary MD, PA, NP, RN, LPN, Paramedic staffing models
Support Collaboration
Allows all clinical staff to function at top-of-license through real-time clinical collaboration and management
Increase
efficiency
efficiency
Increases program capacity through improved per-visit and per-provider efficiencies
Increase
capacity
capacity
Improving workflow Management
Enables standardization of clinical practices across HaH and home health staff
Consistency of care
SaaS-enabled tool that seamlessly integrates with and enhances existing EHR platforms
Enhance home health infrastructure
Encourage remote provider independence and confidence through immediate clinical support
Share expertise across care teams
Reimbursement Control
Improvements in workforce efficiency, decreased lengths of stay, and clinical workflows lead to improved DRG episode payment management
eShift’s real-time, task-based care management solution allows HaH programs to empower their clinical staff to work at the top of their licensure by enhancing existing HaH clinical and operational workflows. The platform effectively functions as an ongoing clinical team huddle and allows HaH clinical providers (e.g., MDs, NPs, RNs) to simultaneously direct the care of multiple patients from within the HaH clinical hub while the services are provided at home by other HaH team members (e.g., LPNs, CNAs, Paramedics). All these activities are aligned with state and federal scope of practice requirements.
The eShift platform has been used globally for over 13 years with over 27,000 patients served.
The eShift platform has been used globally for over 13 years with over 27,000 patients served.
the Eshift solution for hospital-at-home programming
ACO Case STUDY
US
US
High risk chronic disease patients length of hospitalization and readmission rate was negatively affecting clinical, operational and financial outcomes in the Michigan Pioneer ACO.
Problem:
The ACO Home Care provider developed a unique patient and family technician (PFT) role to extend their clinical expertise, through Remote Care Delegation, into the homes of post-acute chronic disease patients deemed to have a high probability of 30-day readmission.
eShift Solution:
The model of care developed in this pilot was adopted by the Connecting Care to Home (CC2H) team in London, Ontario, where their eShift enabled program for post-acute COPD and CHF patients has been operating since 2015.
Spread:
100%
Results:
30%
30-day Readmission
Case STUDY
CANADA
CANADA
$7,949 (-59.3%)
$2,901 (-57.9%)
$5,048 (-57.9%)
13% (-41.7%)
28.5 days (-81.0%)
3.3 days (-59.3%)
In 2015, COPD patients in Southwestern Ontario accounted for almost 1/4 of hospital admissions with extended stays and high rates of readmission adversely impacting cost of care and clinical outcomes.
Problem:
The local public health authority and one of the largest acute care centres in Ontario partnered to deliver home-based, eShift enabled care and education to COPD and CHF patients discharged from hospital.
eShift Solution:
A second Ontario health authority adopted this model for home-based COPD and CHF care in 2019 through one of its largest acute centres, with plans to spread across other partner hospitals in the near future.
Spread:
Home Based Care Cost
↓
Hospital Cost
22.5%
30-day Readmission
-59.3%
150 days
Community Length of Stay
↓
8.1 days
-81.0%
Hospital Length of Stay
Results:
↓
-11.7%
↓
↓
3.3 days
↓
-41.7%
-57.9%
-47.9%
28.5 days
13%
With eShift
Performance Outcomes
Before
Total Cost of Care
Case STUDY
UK
UK
The University of Sheffield partnered with St Luke’s hospice (SLH) to support remote care delegation through the eShift platform.
eShift Solution:
The workforce crisis in community health services is compounded by the lack of access to real-time medical and senior decision-making and the requirement for nursing staff to have a wealth of experience and training in order to work autonomously.
Problem:
This study has been published in the British Medical Journal in November 2021.
eShift was further deployed to support rehabilitation in community stroke services in Sheffield in December 2021 (CC4H).
eShift was further deployed to support rehabilitation in community stroke services in Sheffield in December 2021 (CC4H).
Spread:
Results:
Total estimated savings
152 795£
Estimated savings through community visit costs
17 642£
135 153£
Estimated annual saving
for ED admissions
for ED admissions
10:1
Project ROI
-25%
Hospital admissions
-25%
Hospital Length of Stay
With eShift
Performance Outcomes
Case STUDY
FRANCE
FRANCE
eShift enables nurses to document each visit with real-time support from a remote Parkinson's disease specialist clinician. The automated generation of detailed reports for neurologists allows consultation and dialogue on cases and the rapid adaptation of prescriptions.
eShift Solution:
Expansion to all French regions is in progress. The use of eShift for other clinical pathways is under study.
Spread:
Elivie, a home care provider, is responsible for the patients' journey and the link with their hospital. For Parkinson's patients, monitoring symptoms and treatments is a key element of successful care. At home, this follow-up is complex to carry out by non-specialists without supervision.
Problem:
Enhanced collaborative upskilling of community teams
Reinforced link with the prescriber
Improved patient care
Results:
Case STUDY
CANADA
CANADA
With eShift
Performance Outcomes
Before
Before
Performance Outcomes
With eShift
13%
28.5 days
-47.9%
-57.9%
-41.7%
↓
3.3 days
↓
↓
-11.7%
↓
Results:
Hospital Length of Stay
-81.0%
8.1 days
↓
Community Length of Stay
150 days
-59.3%
30-day Readmission
22.5%
Hospital Cost
↓
Home Based Care Cost
Total Cost of Care
↓
-81.0%
↓
-57.9$
↓
↓
↓
-41.7%
-57.9$
-47.9%
28.5 days
$2,901
13%
$5,048
$7,949
-59.3%
↓
3.3 days
The local public health authority and one of the largest acute care centres in Ontario partnered to deliver home-based, eShift enabled care and education to COPD and CHF patients discharged from hospital.
eShift Solution:
A second Ontario health authority adopted this model for home-based COPD and CHF care in 2019 through one of it’s largest acute centres, with plans to spread across other partner hospitals in the near future.
Spread:
In 2015, COPD patients in Southwestern Ontario accounted for almost 1/4 of hospital admissions with extended stays and high rates of readmission adversely impacting cost of care and clinical outcomes.
Problem:
$7,949 (-59.3%)
$15,277
Total Cost of Care
$12,002
$5,048 (-57.9%)
Hospital Cost
22.5%
13% (-41.7%)
30-day Readmission
$2,901 (-11.7%)
$3,275
LHIN Care Path Cost
150 days
28.5 days (-81.0%)
Community Length of Stay
8.1 days
3.3 days (-59.3%)
Hospital Length of Stay
Results:
Case STUDY
UK
UK
With eShift
Performance Outcomes
Before
↓
-81.0%
↓
-57.9$
↓
↓
↓
-41.7%
-57.9$
-47.9%
28.5 days
$2,901
13%
$5,048
$7,949
-59.3%
↓
3.3 days
The University of Sheffield partnered with St Luke’s hospice (SLH) to support remote care delegation through the eShift platform.
eShift Solution:
This study has been published in the British Medical Journal in. November 2021.
eShift was further deployed to support rehabilitation in community stroke services in Sheffield in December 2021 (CC4H).
eShift was further deployed to support rehabilitation in community stroke services in Sheffield in December 2021 (CC4H).
Spread:
with eShift
Performance Outcomes
152 795£
Total estimated savings
17 642£
Estimated savings through community visit costs
135 153£
Estimated annual saving for ED admissions
-10:1
Project ROI
-25%
Hospital admission
-25%
Hospital Length of Stay
Results:
The workforce crisis in community health services is compounded by the lack of access to real-time medical and senior decision-making and the requirement for nursing staff to have a wealth of experience and training in order to work autonomously.
Problem:
ACO Case STUDY
US
US
With eShift
Performance Outcomes
Before
↓
-81.0%
↓
-57.9$
↓
↓
↓
-41.7%
-57.9$
-47.9%
28.5 days
$2,901
13%
$5,048
$7,949
-59.3%
↓
3.3 days
The ACO Home Care provider developed a unique patient and family technician (PFT) role to extend their clinical expertise, through Remote Care Delegation, into the homes of post-acute chronic disease patients deemed to have a high probability of 30-day readmission.
eShift Solution:
The model of care developed in this pilot was adopted by the Connecting Care to Home (CC2H) team in London, Ontario, where their eShift enabled program for post-acute COPD and CHF patients has been operating since 2015.
Spread:
High risk chronic disease patients length of hospitalization and readmission rate was negatively affecting clinical, operational and financial outcomes in the pilot ACO in Metro Detroit.
Problem:
30%
100%
30-day Readmission
Results:
Case STUDY
FRANCE
FRANCE
With eShift
Performance Outcomes
Before
↓
-81.0%
↓
-57.9$
↓
↓
↓
-41.7%
-57.9$
-47.9%
28.5 days
$2,901
13%
$5,048
$7,949
-59.3%
↓
3.3 days
eShift enables nurses to document each visit with real-time support from a remote Parkinson's disease specialist clinician. The automated generation of detailed reports for neurologists allows consultation and dialogue on cases and the rapid adaptation of prescriptions.
eShift Solution:
Expansion to all French regions is in progress. The use of eShift for other clinical pathways is under study.
Spread:
Elivie, a home care provider, is responsible for the patients' journey and the link with their hospital. For Parkinson's patients, monitoring symptoms and treatments is a key element of successful care. At home, this follow-up is complex to carry out by non-specialists without supervision.
Problem:
Reinforced link with the prescriber
Improved patient care
Results:
Enhanced collaborative upskilling of community teams
