Monitoring all patients
Overview of your care management program
9
Critical events
2 in last 24h
5
Pending approvals
4 urgent
16
Open tasks
5 high priority
15
Total patients
100% engagement
Early warning indicators
Multiple unresolved alerts and high-risk status suggest increased readmission risk in next 7 days.
Health Partners Network has 2 urgent approvals awaiting review. Follow up with ACO physician.
Schedule First Month Review calls to assess progress and adjust care plans.
AI-identified patients awaiting enrollment review
HFpEF diagnosis, multiple comorbidities
Identified 1 day ago
HFrEF diagnosis, recent discharge
Identified 2 days ago
Acute decompensation, high-risk profile
Identified 3 days ago
Barbara Garcia
Enrolled 12 days ago
William Martinez
Enrolled 15 days ago
Joseph Harris
Enrolled 16 days ago
Maria Rodriguez
Enrolled 18 days ago
Susan White
Enrolled 19 days ago
Patient missed Furosemide dose
Richard Davis • -367m ago
Patient missed Digoxin dose
Thomas Lee • 17h ago
Follow up on weight gain
Barbara Garcia • Dec 15
Follow up on weight gain
Susan White • Dec 15
Weight gain of 4-5 lbs detected within 48-72 hours. Patient may need diuretic adjustment.
William Martinez • Dec 15
Robert Chen
2 active alerts
James Wilson
1 active alert
Patricia Anderson
1 active alert
Linda Taylor
1 active alert
Richard Lee
2 active alerts