Enhancing patient recuperation post-discharge

Four Seasons Nursing and Rehabilitation Center is a 270-bed facility in Brooklyn, NY, known for their exceptional inpatient and home-based care services. Four Seasons provides long-term care, short-term care, hospice, adult day health care and hemodialysis.

GoMo Health and Four Seasons partnered to enhance patient post-discharge care with a condition-specific readmission reduction program designed to improve transition to home-based care and improve patient health. The program is designed for both patients and their caregivers.

CLIENT OVERVIEW
Website	fourseasons-hcs.com/nrc/
GoMo Health Solutions	Personal Concierge™
Cognitive Techniques	BehavioralRx

Our Goals

Enhance patient recuperation.
Improve post-discharge health.
Reduce the number of readmissions.

GoMo Health leveraged its proprietary emerging science, BehavioralRx, the science of precision health, to build the program and determine the engagement strategy, approach and content delivered.

The following behavioral and cognitive techniques were applied:

Anchoring Technology / Cognitively connecting the desired action with an existing everyday activity
Tailoring Technology / Persuasion through customization
Nurturing Technology / Guiding persuasion
Conditioning Technology / Reinforcing target behavior

A 90 day post-discharge program designed to reduce readmissions

GoMo Health implemented a Personal Concierge™ pilot program for Four Seasons Nursing and Rehabilitation Center specifically focused on readmission reduction. The program provides five personalized plans-of-care, deployed for 90 days post-discharge:

CKD
COPD
CHF
Diabetes
Joint Care

Personalized healthcare information delivered to your fingertips

Upon enrolling in the Four Seasons Concierge Care program, patients receive up to three Care Messages™ per week via email or text message. These messages are designed to help patients understand their care plan and better manage their health at home. They can include health-management tips, condition-specific education, general wellness information, reminders, and escalation paths should their health deteriorate. Care Messages can also be sent to a caregiver or family members to assist patients with their in-home care.