Liberty HomeCare and Hospice Achieves 7.1% 30-Day All-Cause Hospital Readmission Rate with HRS

Share Article

Liberty HomeCare and Hospice's telehealth program achieved a 7.1% 30-day all-cause hospital readmission rate over the first six months of 2019, treating over 450 patients.

At the end of the day, our goal is to enable patients to live healthier lives and recover in the comfort of their homes.

Liberty HomeCare and Hospice achieved a 7.1% 30-day all-cause hospital readmission rate over the first six months of 2019. In partnership with Health Recovery Solutions (HRS), a nationally recognized telehealth software company, Liberty HomeCare and Hospice has provided comprehensive remote monitoring and telehealth services to over 450 patients, achieving patient satisfaction scores over 95%.

The centralized telehealth model employed by Liberty HomeCare and Hospice is a critical element in their care continuum and thus, in their reduction in hospital readmissions. Utilizing a centralized model enables Liberty’s team of LPNs to monitor all patients enrolled in the telehealth program at the Central Station. Clinicians at the Central Station continuously monitor patient statuses via HRS’ ClinicianConnect dashboard, acting as co-case managers to Liberty’s primary case managers operating in the field.

Liberty’s clinical team leverages the full capabilities of the HRS telehealth software to provide comprehensive care to high-acuity patients. Upon receiving a risk alert or abnormal biometric reading, Central Station clinicians immediately review the patient’s most recent visit notes, medications, and biometric readings and contact the patient and the patient’s primary case managers to determine a course of action. To further enhance patient interventions, Liberty’s telehealth team has recently begun to incorporate video conferencing and virtual visits with patients into their clinical workflow. The constant contact between Liberty’s Central Station and primary case managers enables the primary case managers to respond immediately when a patient becomes high-risk, ultimately preventing an ER visit or hospital readmission.

“At the end of the day, our goal is to enable patients to live healthier lives and recover in the comfort of their homes,” said Donna Turlington, VP of Homecare, Hospice & Palliative Care Services at Liberty HomeCare and Hospice. “As a result of the additional support telemonitoring provides, we’re seeing more patients be proactive in their care, noticing when their symptoms are acting up, and visiting their primary care physicians before their health reaches a crisis point.”

Liberty HomeCare and Hospice treats a multitude of patient populations, including CHF, COPD, and CABG patients. In addition, Liberty offers telehealth services to patients with co-morbidities and an increased risk for re-hospitalization. Once enrolled in Liberty’s telehealth program, patients receive a 4G tablet, preloaded with HRS' remote monitoring platform, along with an array of Bluetooth monitoring devices with which to take their vital signs. Via the tablet, patients receive medication reminders, answer daily survey questions, and watch disease-specific educational videos. All patient data is uploaded in real-time to the clinician’s dashboard, accessible from their desktop or mobile devices. The HRS software also acts as a communication platform, enabling clinicians, patients, and caregivers to connect via text, call, or video conference.

“Liberty HomeCare and Hospice has strategically set themselves apart from the competition by providing a team of trained clinicians to monitor patient metrics in real-time,” added Turlington. “In addition to continuous patient monitoring, Liberty offers in-house management of telehealth monitors, allowing for next-day setup and the ability to provide virtual visits when necessary.”

Due to the success of Liberty’s telehealth program, in the coming months, Liberty will look to expand telehealth services to treat hospice and palliative care patients, incorporate caregivers in patient recovery via HRS’ CaregiverConnect mobile app, and implement a private-pay program so patients may continue to receive telehealth services after their episode of care has ended.

Nolan Santosa, Director of Client Success at HRS, added, “Donna and her team have established a robust and highly effective model for delivering telehealth care to Liberty patients. Telehealth is going to be an important option under PDGM, and Liberty is well-positioned to provide virtual care and remote patient monitoring to their high-acuity patients.”

About Health Recovery Solutions:
Health Recovery Solutions (HRS) offers a turnkey telehealth platform that reduces hospital readmissions and improves clinical outcomes for patients across the health spectrum. HRS provides leading medical centers and home care agencies with disease management software available on 4G tablets, mobile devices, or desktop applications. Through its platform, HRS engages patients in their care plan and arms caregivers and clinicians with the tools to coordinate care, bridge communication gaps, and improve clinical outcomes. To learn more about Health Recovery Solutions, visit or call 347-699-6477.

About Liberty Homecare and Hospice Services:
Liberty HomeCare & Hospice Services is a leading provider of homecare, hospice, and palliative care services in North Carolina, South Carolina, and Virginia. Serving more than 14,000 patients annually, Liberty is one of the largest independently owned healthcare providers in the Southeast. Liberty’s comprehensive services are designed to meet the evolving needs of patients. Liberty HomeCare and Hospice has continued to focus on reducing hospital readmissions by increasing education and communication with their patients. This focus empowers patients and enables clinicians to provide high-quality care that meets the needs of each individual reflected in award-winning patient satisfaction scores. To learn more about Liberty Homecare please visit our website at or call 1-800-999-9883.

Share article on social media or email:

View article via:

Pdf Print

Contact Author

Tess Meehan
Visit website