Navigating TEAM: A Playbook for Hospitals and Health Systems in Post-Acute Care Coordination
- PointClickCare
- Nov 12
- 1 min read
Updated: 7 days ago
This playbook provides hospital and health system leaders with a comprehensive guide to understanding and preparing for the TEAM model, specifically addressing post-acute care coordination. It unpacks the critical elements required today for getting ahead of the new rules and pressures to improve clinical and financial performance beyond the four walls of the hospital.
NAVIGATING TEAM PLAYBOOK
Illuminating the Post-Acute Black Hole: The Critical Role of Data, AI, and Predictive Analytics
One of the biggest challenges hospitals face in preparing for TEAM is the lack of visibility into what happens to patients once they leave the hospital. Traditionally, hospitals lose sight of patients as they transition to post acute care settings. To succeed under TEAM, hospitals must gain real-time insights into their patients’ post-acute journey, including their progress in skilled nursing facilities (SNFs) and other care settings
Post-acute care has long been a “black hole” for hospitals—an area of uncertainty that’s difficult to navigate and even harder to manage. With the TEAM mandate, this blind spot is no longer sustainable. Hospitals must leverage data and predictive analytics, not just as a tool, but as a necessity.By analyzing patient data, hospitals can identify at-risk patients, assess emerging trends, and develop proactive interventions. Predictive analytics becomes the key to preventing readmissions and costly adverse events, turning uncertainty into actionable insight and giving care teams the foresight they need to prevent negative outcomes before they happen.
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