123-456-7890Clinical Care
Novolink's clinical care model represents a revolutionary approach to managing high-complexity patients with chronic conditions. Our comprehensive, home-centered care breaks the cycle of hospital readmissions and dramatically improves quality of life while reducing overall healthcare costs.
With Novolink, Patients Go Home and Stay Home
Our clinical care model redefines what "going home" means for patients with complex chronic conditions. At Novolink, home isn't just a place between hospital stays. It becomes the primary stage for recovery, comfort, and renewed independence. With a powerful trifecta of expert care teams, cutting-edge monitoring tech, and tailored interventions that bring hospital-grade care right to your living room, we don't just send patients home — we empower them to thrive there.
We're not just thinking outside the box — we're thinking outside the hospital, where real healing happens.
Key Components of Our Clinical Care Model
Specialized Care Teams
Our multidisciplinary care teams form the backbone of Novolink's clinical care model. Led by expert physicians across various specialties, these teams ensure each patient receives comprehensive, tailored care. The team typically includes:
- Cardiologists
- Pulmonologists
- Nephrologists
- Infectious Disease Specialists
We coordinate with other specialists as needed, along with Advanced Practice Registered Nurses (APRNs) for regular in-home visits. This collaborative approach allows for seamless communication between specialists, resulting in truly holistic patient care.
Home-Centered Care Model
Novolink brings advanced medical care directly to the patient's home, creating a comfortable and familiar environment for healing and long-term health management. Our model includes:
- Intensive in-home support
- Regular visits by nurse practitioners or paramedics
- 24/7 on-call clinical support
We seamlessly address patient care between in-home and telehealth services, offering weekly check-ins and specialist consultations as needed. This approach allows us to provide hospital-grade care while keeping patients in the comfort of their own homes.
Comprehensive Services
Our care model encompasses a wide range of medical and support services to address all aspects of a patient's health. These include:
- In-home physical examinations and treatments
- Medication reconciliation and optimization
- Diagnostic testing (bloodwork, imaging, pulmonary function tests)
- IV therapy when needed
- Mental and behavioral health services
- Social work support for optimizing the home care environment
This comprehensive approach ensures that all of a patient's healthcare needs are met under one coordinated care plan.
Proactive Intervention
At the heart of our approach is a focus on preventing complications and avoiding hospitalizations through early detection and rapid response. We utilize advanced remote patient monitoring technology to continuously collect and analyze vital signs and other relevant data. Our proactive approach includes:
- Real-time analysis to identify concerning trends
- Immediate notification of care team when issues are detected
This is coupled with evidence-based protocols built into our EMR, allowing for swift implementation of interventions when needed. By identifying and addressing potential issues early, we can often prevent the need for hospital readmissions.
Patient and Caregiver Education
We believe in empowering patients and their caregivers to participate actively in the care process. Our education program includes formal training for caregivers and personalized education on patient-specific needs and warning signs. Key components of our education program include:
- State-approved home health aide curriculum for caregivers
- Hands-on training in specific care techniques
We also provide guidance on when to self-manage versus seeking professional help. This approach improves patient outcomes and provides peace of mind and confidence to caregivers, making them integral members of the care team.
Continuum of Care
Novolink provides a seamless continuum of care, adapting to each patient's changing needs over time. We develop tailored care plans based on individual patient needs and preferences, with the ability to quickly escalate or de-escalate care as required. Our continuum of care focuses on:
- Long-term stabilization and improved quality of life
- Ongoing assessment and adjustment of care plans
We also coordinate closely with primary care physicians and specialists to ensure truly integrated care throughout the patient's journey.
Benefits of the Novolink Model
Our clinical care model significantly benefits patients, healthcare providers, and payors, improving individual patient outcomes and contributing to more efficient and effective healthcare delivery overall.
- Dramatic Reduction in Hospital Readmissions: Our model breaks the cycle of frequent hospitalizations by up to 75%, minimizing disruption to patients' lives and reducing exposure to hospital-acquired infections.
- Enhanced Patient Satisfaction and Quality of Life: We allow patients to receive advanced care in the comfort of their homes, promoting greater independence and autonomy and reducing stress on patients and their families — resulting in a 91% patient satisfaction rate.
- Significant Cost Savings: Novolink's model results in a 66% reduction in total healthcare costs, with an average savings of $74,000 per member and a 489% ROI for healthcare partners.
- Support for Primary Care Physicians: We help alleviate the burden on PCPs managing complex patients, providing specialist expertise and resources for challenging cases to ensure seamless communication and care coordination — resulting in a 94% provider satisfaction rate.
- Data-Driven Decision-Making: We provide real-time patient data and analytics to enable early intervention and proactive care management, supporting continuous improvement of care protocols and facilitating evidence-based treatment decisions.
- Holistic Approach to Patient Care: We address physical, psychological, and social aspects of illness, integrating mental health and social work support and tailoring care plans to individual patient needs and preferences.
Innovative Care Delivered by Experienced Specialists
Our multidisciplinary team brings together clinical specialists, healthcare innovators, and technology experts. Together, we're revolutionizing home-based care for high-risk patients.
Transforming Care for High-Complexity Patients
75%
Reduction in Inpatient Admissions
94%
Provider Satisfaction
66%
Reduction in Total Cost of Care
Partner With Novolink
For Payors
Let’s work together to transform care for your most expensive patient cohort.
