Transform outcome tracking and help reduce risk

How do you monitor how patients are getting on after they’ve left the clinic or hospital?

As value-based reimbursement models become the norm, this question is of pivotal importance for providers.

In order to maximize revenue under these new systems, providers need to establish reliable post-discharge strategies that reduce readmissions or prevent patients moving back into higher risk categories.

Care Pathway Manager enables providers to exchange data and resources with large volumes of patients, using digital wellbeing pathways and telehealth to promote early intervention.

Key benefits:

Post-acute risk monitoring

Using Care Pathway Manager, providers can send automated emails and e-questionnaires to check in with patients every couple of days.

E-questionnaires are configurable to almost any type of patient-recorded outcome measure, from how they are feeling overall, to their wound measurements or readings from remote monitoring kits.

By associating a scoring system and data thresholds to patient responses, Care Pathway Manager can automatically alert physicians to patients who aren’t recovering as expected.



Chronic condition management

Digital wellbeing pathways can also proactively address the needs of people who are at longer-term risk from chronic conditions (such as diabetes).

Patients can be put onto pathways that are associated with particular types of goals e.g. changing diet or completing physical therapy exercises to mitigate risk associated with their condition.

Through a mixture of e-questionnaires and automated resources, they are encouraged to log progress towards their goal and can also upload data such as blood glucose levels.

If data goes out of compliance, providers can trigger various automated activities or alert the relevant personnel (e.g. a diabetologist or nutritionist) to intervene.

Lumeon Navigator

Our intelligent app functions as a companion to each patient’s healthcare journey, sending them a program of automated activities, wellbeing information, questionnaires and reminders, until their healthcare goals are achieved.

Patients can also use the app to manage and book appointments, view their progress towards their goals, as well as directly messaging their care team.



Use case

A patient is referred to an orthopedic specialist who advises surgery after an x-ray reveals a torn meniscus.

Patient and specialist agree a short-term goal of being able to walk for 10 minutes without pain and a longer-term goal of being able to play soccer again.

After surgery, and in-between physical therapy appointments, the patient receives digital exercise plans and well as online forms that correspond to his goal. He regularly logs whether he can complete them, and how much pain he is in.

If the responses are not in line with the expected recovery pattern for his age group the physician will be automatically alerted and can intervene to get the patient back on track. When his short term goal is achieved, the physician is also notified so he can meet with the patient and switch him to a more extensive exercise program to help him meet a longer term goal.