Enhancing Patient Care, Coordination and Reporting Through COVID-19 and Beyond

CareMore and Aspire Health, an integrated care delivery system, serves approximately 3,000 high-risk Medicare patients with complex needs in Metro Denver and surrounding areas. They also act as an extension of primary care in the state, providing chronic disease management and a 24/7 on-call medical advice line.

CareMore and Aspire Health began using Contexture Notifications and PatientCare 360 in 2019. The care delivery system also implemented COVID-19 Lab Notifications in their Colorado region as part of their direct response to the coronavirus pandemic.

“When we see patients showing up to the emergency department for needs that we can manage virtually or in the home, we reach out to let them know we are available to help,” says Bruce Smith, MD, FACP, CareMore Health’s Colorado associate regional medical officer. “As patients understand that we are here to address urgent needs as well as chronic medical problems, they call us first to avoid unnecessary trips to the emergency department.”

Information from Contexture tools help the Colorado team brainstorm appropriate interventions to care for patients based on their needs. The COVID-19 Lab Notifications, as well as PatientCare 360, inform weekly huddles where the most high-risk patients are discussed, and the multi-disciplinary care team determines the best way to support patients’ unique medical, social and emotional – and sometimes financial – needs.