Reduce Hospitalizations with
Improved Patient Support
Between Visits
Extend your practice into the home
Partner With Embrace to Provide Additional Preventive Care
Improved patient outcomes result when care is regularly extended into the home. Embrace’s Personal Prevention Care is an integrated suite of value-based care services designed to activate and engage patients and to get them to take ownership of their health trajectory. Our nurse practitioners provide complex patients with cares that encourages them to take action on their care plans. We combine geriatric principles with chronic disease care, medication adherence services, key indicator monitoring, patient psychology and medically-directed wellness to change patient behavior.
Embrace brings these same care delivery techniques to patients living with dementia using the GUIDE Model in conjunction with our Participating Partner physicians.
Personal Prevention CareTM
Keeping Your Patients Healthier Between Appointments
When you partner with Embrace, your patient receives the benefits of comprehensive and integrated care that we call Personal Prevention CareTM. It combines proven healthcare practices administered by our local NPs working at your direction, with our geriatric pharmacist providing medication management and ensuring adherence. When necessary, we also provide remote monitoring devices to track key health indicators and identify situations that require real-time intervention.
By extending your practice into the home, Personal Prevention CareTM ensures your patient gets the best care possible between visits with you.
Personal Prevention CareTM Differs From Chronic Care Management
Personal Prevention CareTM
Integrated preventive care and geriatric pharmacy services ensure better patient outcomes.
Local Nurse Practitioners
Experienced geriatric nurse practitioners local to the patient extend care beyond your office. Coordinated communication keeps the patient on the plan you approved and updates your EMR so you continue to work in the way you are comfortable.
Geriatric Pharmacy
Monitoring & Recording Vitals
If you request, Embrace can provide different monitoring options that our clinicians use to help keep track of key health indicators. This monitoring can provide early warning of emergent situations and enable intervention before situations deteriorate.
Prevention Care Platform
VitaRaeTM, our Prevention Care Platform, is the foundation of Personal Prevention CareTM. It combines a clinical knowledge base, a patient expert system and communication tools that help our nurses know which activities upon which they and your patient should focus.
Local Nurses
Helping Your Patient Achieve Your Goals
Our nurse practitioners specialize in geriatric care. As an extension of your practice, they are responsible for helping your patients achieve the goals you define for each patient through frequent phone calls. They use their knowledge and exclusive Embrace systems to provide guidance and care to keep your patients healthy between visits.
Embrace nurses motivate and encourage your patients to follow their care plan and achieve their health goals, providing support and education that make success more likely than your patient doing it on their own.
Our nurses coordinate care and provide extensive communication with the other members of the care team. By ensuring that contacts with your patients are appropriately documented and that key health indicators are recorded, your ability to diagnose and treat the patient is enhanced. This coordination of care improves outcomes because everyone is working from the best, most up-to-date information.
Let our trained nurses extend your reach and execute your care plans to keep your patients healthier between office visits.
Pharmacy Services
Maintaining Adherence to Keep Patients Healthier
For patients with multiple chronic conditions, taking medications as prescribed is usually the largest single determinant in maintaining good health. Embrace’s pharmacy services are designed to ensure adherence. Embrace’s geriatric pharmacists are dedicated to older adults with chronic conditions.
Our pharmacists are experts in the field of geriatric pharmacology. We’re available for patient discussions on medication efficacy and side effects, and we notify your office in the event that changes to the patients drug regimen are indicated.
Our nurse practitioner reviews medication adherence with your patient, and helps identify any issues and barriers causing them.
During times of transition to and from the hospital, our nurse makes certain that all parties are provided with the most up to date medication lists. Most importantly, we update your EMR when changes occur to ensure you always have the latest reconciled prescription list.
Embrace’s geriatric pharmacists services make certain that older adults get the full benefits from their medications.
Monitoring and Tracking
More Comprehensive Information Enables Improved Diagnosis and Treatment
Monitoring and recording health indicators between office visits enables you to more accurately assess your patient’s progress and status for better care. By monitoring key health indicators, your patient’s nurse tracks their health progress, which allows you to make quicker adjustments to their care plan when needed.
Embrace provides all the hardware and software and helps the patient set up and use the system. Each of these solutions is designed to meet the patient at their clinical and technical ability level.
Prevention Care Platform
Delivers Best Possible Patient Outcomes
Managing one chronic condition is difficult enough for patients. When presented with multiple goals and guidelines, patients with multiple conditions can quickly be overwhelmed. Embrace’s Prevention Care Platform simplifies this problem by developing personal care plans with prioritized and manageable goals which will have the most impact in the near term.
Your personalized care plan for your patient is augmented with pharmacological and psychological information by our Prevention Care Platform. This detailed plan is then implemented by our nurses in measurable and achievable steps. Your patient’s progress is tracked by the clinical knowledge base, and that progress is reported back to your practice and documented in your EMR by the platform’s communication tools. This ensures that you always have the most up-to-date status.
The Prevention Care Platform continuously updates the ‘next best goals’ based upon our patient expert system using the latest geriatric care research, so that nurses and patients are always working on those areas which have the greatest impact on health.
Embrace’s Prevention Care Platform ensures that patients are following a personalized care plan that is constantly updated based upon the best available information and current health status.
