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Development of Patient-Centered Care Coordination Platform

hatchworks.com

Medical

Information technology

Health & Fitness

Care Coordination Challenges in Post-Acute Healthcare

Patients transitioning between multiple care facilities create difficulties in tracking medical history, care plans, and treatment continuity. Existing commercial solutions lack scalability and customization for complex clinical workflows, while internal development capabilities are limited outside core nursing care operations.

About the Client

Post-acute care management provider specializing in population health and care transition services

Platform Development Goals

Create customized care management system aligned with clinical workflows
Implement automated patient tracking across multiple facility transitions
Reduce hospital readmissions and length of stay through coordinated care
Support value-based payment models like Medicare BPCI Advanced
Enable seamless data integration between healthcare providers

Core System Capabilities

Real-time patient location and status tracking
Clinical workflow automation engine
Care plan collaboration portal
Transition management checklists
Outcome metrics dashboard
Secure patient data exchange framework

Technology Stack Requirements

Cloud-native architecture (AWS/Azure)

FHIR-compliant data standards

AI-powered workflow optimization

React/Node.js frontend framework

Blockchain for audit trails

System Integration Needs

Electronic Health Records (EHR) systems
Hospital admission/discharge portals
Insurance claims processing systems
Medical device data feeds
Telehealth platforms

Operational Requirements

HIPAA-compliant data security
99.99% system uptime SLA
Multi-tenant architecture scalability
Role-based access control
Disaster recovery with <15min RTO

Expected Business Outcomes

Implementation of this care coordination platform is projected to reduce 30-day hospital readmissions by 25%, decrease average length of stay by 18%, and improve care transition efficiency metrics by 40% within the first year of deployment across partner health systems.