Improving two-way communications between providers and their patients

Developed through a partnership at Beth Israel Deaconess Medical Center (an affiliate of Harvard Medical School) NexJ Transitional Care Management enables providers to create and deliver shared care plans that supports patients during transitions in care, such as post-discharge or between doctor’s visits. Patient-friendly, shared care plans are used to communicate to patients and to their full Circle of Care:

  • Information about the patient’s condition
  • What treatments have happened to date
  • A roadmap to health including what treatments are expected next
  • What to do in case of adverse events
  • Notes for their next visit

With the shared care plan, patients and their family are more informed and less likely to return to hospital for care that can be best managed elsewhere in the community. Instead, patients are more likely to get the right care, at the right time, in the right place.  If patients have any questions, they can chat with their healthcare provider using the platform.

NexJ Transitional Care Management

Multiple care plans can be created for the same patient for different conditions. When providers are given access to the patient’s health information, they can collaborate on the patient’s health and wellness and ensure that a shared care plan prescribed for one condition doesn’t negatively impact the shared care plan for another.  This improves patient safety and quality of care. As well, it reduces costs by not having to prescribe duplicate tests and treatments.


Key Benefits

Reduce Readmission Rates

Reduce Re-Admission Rates
Patients are less likely to call upon the health system or show up in Emergency for care that can be best managed elsewhere in the community.

Patient Satisfaction

Care & Comfort for Patients Post-Discharge
Patients have more information on their condition, a better understanding of how to manage it, and support from their full circle of care.