Homegrown IT identifies patients who need coordinated care

New York-based Northwell Health Solutions hospitals rely on a homegrown health IT tool to identify and locate patients who would benefit from intensive care coordination. The Care Tool pulls information about a patient from any electronic source. If they meet the criteria, patients are identified in real time when they present at a Northwell facility. Care navigators ask them to participate in post-discharge care navigation while they’re still in the hospital.