Post-Discharge Patient Solutions

Post-Discharge Follow-Up That Drives Better Outcomes

After discharge, many patients are left with unanswered questions, forgotten instructions, or barriers to recovery. Altrix Group’s Post-Discharge Patient Solutions ensure structured, timely check-ins using our proprietary Call Navigator platform, helping reduce readmissions, increase adherence, and improve the recovery experience.

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What We Do

Place follow-up calls within 24–72 hours of discharge

Confirm care plan understanding

Identify risks, medication issues, or unmet social needs

Document patient status and route concerns for follow-up

Escalate to clinical staff when intervention is needed

How It Works

Our care coordinators use the Call Navigator platform to guide each patient conversation. The tool ensures consistency, captures outcomes, and supports real-time data tracking without requiring access to your EMR. This enables safe, efficient follow-up that’s easy to implement across units or facilities.
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Key Benefits

Reduced preventable readmissions

Improved compliance with discharge instructions

Better visibility into post-discharge risks

Peace of mind for staff and patients alike

Ideal Partners

Hospitals aiming to improve 30-day outcomes

Case managers or discharge planners with limited staffing

Facilities seeking to meet follow-up benchmarks or HCAHPS goals

Ready to extend care beyond the hospital?