FountainView Care Center is a premier skilled nursing and rehabilitation center dedicated to providing superior care and quicker recovery to patients. FountainView and GoMo Health have designed a readmission reduction program that helps people take care of themselves post-discharge.
To create a smooth transition plan from inpatient to outpatient, provide a better understanding of daily healthcare issues and empower patients for better self-care management, reducing unnecessary readmissions.
GoMo Health leveraged its proprietary emerging science, BehavioralRx™, the science of patient engagement, 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 a desired action with an existing everyday activity.
- Tailoring Technology: Persuasion through customization
- Tunneling Technology: Guided persuasion
- Conditioning Technology: Reinforcing target behavior
In 2017, FountainView Care Center, a New Jersey Skilled Nursing Facility and GoMo Health launched the first of its kind 30-60-90 day readmission reduction program upon discharge for chronic conditions including diabetes, COPD, congestive heart failure (CHF), chronic joint care (CJC), chronic kidney disease (CKD) and sepsis. The system includes a custom-designed Health Risk Assessment (HRA) onboarding survey that identifies the patients’ procedure(s) or condition(s), and captures data (i.e. weight), to stratify and place them in an appropriate engagement track.
GoMo Health’s Concierge Care® program, enables patients, caregivers and family members to be included in post-discharge communications, health education and crucial reminders. This inclusive approach is designed to improve communications between everyone in the patient’s community of care, providing a better understanding of daily issues and relevant topics for patient-caregiver-family member discussions.
Following enrollment by a discharge administrator, nurse or case manager as part of the discharge process, patients, caregivers and family members receive three personalized GoMo Care Messages per week for up to three months, based on the select plan of care. GoMo Health Concierge Care® provides a unique and cost-effective approach to reduce readmissions and improve communications for high-risk populations.