Healthcare Post-Discharge Reporting Platform
HIPAA-compliant SaaS hosted on AWS + Supabase, enabling healthcare providers to streamline reporting and reduce compliance risks.
Our foundational principles are firmly rooted in delivering value-based care that’s not only accessible but also exceptional in its delivery. With a unique amalgamation of technology, expert care management, and unyielding commitment to patient-centric service, we’re not just healthcare providers; we’re architects of superior post-acute care experiences, where every interaction is crafted with precision and empathy.
Objective
Puzzle Healthcare aims to revolutionize post-acute care by seamlessly integrating innovation, compassion, and clinical expertise. Our objective is to create a connected care journey that begins at hospital discharge and extends well into the patient’s recovery, ensuring continuity, coordination, and quality at every step. By partnering with hospitals, skilled nursing facilities (SNFs), and payors, we strive to reduce readmissions, enhance patient outcomes, and deliver truly value-based care that is personalized, efficient, and sustainable.
Exhibit
Proactive Care Management: Automated patient tracking with disease-specific care managers assigned at discharge, supporting continuous care through SNF and 90-day post-discharge using milestone alerts and outreach workflows.
Partnered Care Approach: Integrated EHR data exchange enabling risk stratification and dynamic discharge planning, with automated follow-up task generation for seamless hospital-care team collaboration.
Integrated Care Management: HIPAA-secure messaging platform with role-based access for real-time team communication, alerting on patient needs to reduce readmissions and manage exacerbations.
Facility Enhancement: Facility dashboard linked to Medicare data for compliance monitoring, length-of-stay analytics, and risk stratification accuracy, improving operational decisions and resource use.
Benefits
Hospital services: Tangible improvements in hospital metrics, robust partnerships with SNFs, and a significant reduction in readmission penalties, all converge to uplift the patient care experience from admission to post-discharge.
SNF services: With Puzzle, SNFs will experience improved patient care, streamlined admission processes, and enhanced facility metrics.
Payor Services: Invest in care that is value-based and outcome-focused, ensuring that patients receive the best care without the financial strain.
On-Site Support: With on-site physiatry providers, we facilitate pain management, therapy progress, and coordinate effectively with the post-discharge care teams.
Comprehensive Pain Management: Address and manage pain effectively, reducing one of the primary triggers for readmission. Techniques, including trigger point injections, are employed to manage pain at its source.
Value Proposition
Puzzle Healthcare redefines post-acute care through a unique, technology-enabled care model that bridges the gap between hospital discharge and long-term recovery. By integrating proactive care management, facility collaboration, and on-site clinical support, Puzzle enhances patient outcomes, reduces readmissions, and streamlines transitions across the care continuum. With a focus on personalized, value-based care, Puzzle empowers hospitals, SNFs, and payors to deliver exceptional healthcare experiences while achieving measurable operational improvements.
Outcome
Through Puzzle Healthcare’s comprehensive and collaborative approach, healthcare facilities experience measurable improvements in patient care, operational efficiency, and financial performance. Hospitals benefit from reduced readmission penalties, SNFs see enhanced care quality and smoother admissions, and payors gain confidence in delivering cost-effective, outcome-driven services. Patients, in turn, enjoy a more supportive, continuous recovery journey backed by dedicated care teams and advanced communication tools.
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