Ensure safer hand-offs and improve patient outcomes

Ensure safer hand-offs and improve patient outcomes


When caring for patients in distress, every second counts. Evidence suggests that the sooner a patient can be discharged to continue recovery at home, the faster and more effectively they heal.

Efficient patient care and throughput depend on swift risk response, clinical team alignment, and real-time adjustments to patient plans as necessary. But this kind of team collaboration is not easy for overburdened healthcare professionals. Communication issues often continue at the point of discharge. Nearly half of the medical errors occurring with discharged patients are the result of unclear communication. 

Poor or unclear discharge instructions not only have an adverse effect on patient health, but they also have costly consequences for organizations.

  • ≅ 20% of Medicare patients are readmitted within 30 days of discharge
  • 30%+ of Medicare patients are readmitted within 90 days of discharge
  • 79% of readmissions result from uncoordinated patient care and are preventable


Diagnotes supports effective care team collaboration through the patient's full journey, from admission through discharge and beyond.

Upon intake, a Diagnotes Patient Room is created with HL7 integration of the electronic health record. Care team members are automatically added for quick and easy access to relevant care information, a record of prior clinician collaboration, a place to interact, and a link to a Diagnotes Team Room if desired. Caregivers across departments can securely discuss patient cases in real-time with comments available to all Room participants.

As patients move through the care process, their associated Patient Rooms automatically update with location, care status, and clinical team members. When it’s time for a patient to be discharged, care team members can coordinate on the appropriate care plan.

Discharge teams can share instructions with patients via the Diagnotes for Patients app. If the patient is to be discharged to another facility, teams can ensure a smooth transition. With the Diagnotes for Patients app, patients can ask for clarification. Clinicians can perform follow-up examinations with Diagnotes virtual visit capabilities, whether the patient is at home or in another facility.


Medical errors due to poor communication are virtually eliminated.

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8900 Keystone Crossing, Ste 540
Indianapolis, IN 46240

(317) 395-7080

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