Vision
To enable the provision of appropriate support for high and medium risk chronic-care patients in their home.Mission
An online system to ‘watch over’ the health, health care and social support of persons who are at risk of hospitalisation.
To enable regular or as needed outbound phone calls to consenting patients
To identify any signs of deterioration and worsening in a person’s condition that would require attention that day, tomorrow or soon.
To provide output from calls to the patient’s care team in a timely and intelligible fashion so that they address the patients’ needs
To monitor the health, wellbeing and support capacity of patient caregivers.
To enable patients to better self-manage their health conditions through regular conversations and feedback
To filter the high risk from other levels of risk to assist with the workload management of the clinicians
To provide a journey record so that we can understand and assist individuals and groups more effectively
To provide a journey record so that we can analyze and predict deteriorations more accurately