Managing care for patients with multiple chronic conditions can be challenging, especially when it involves breaking cycles of Emergency Department (ED) visits for issues that could be managed in a primary care setting. Identifying at-risk patients early is key to making proactive care possible.
That’s where Pearl Health’s predictive algorithm comes in, providing primary care providers (PCPs) with preventative outreach tools like alerts to identify patients at risk of preventable ED visits.1
Here’s a look at how Pearl’s technology made a difference in one patient’s care journey:
Patient Profile: Sam Brown
- Male, 65 years old2
- Healthcare History: Morbid obesity, paraplegia, type II diabetes, opioid use disorder, chronic pain
- Recent History: Over 20 ED visits within two years for conditions including vomiting, pain, and UTIs
Pearl’s Predictive Signal in Action
The Impact
With timely intervention enabled by Pearl’s predictive insights, Sam successfully reduced unnecessary hospital visits and achieved the following outcomes:
- $5,0363: Average savings for each ED visit prevented by proactive care.
- 67% Fewer ED Visits4: Within six months of action on Pearl’s alerts, Sam’s PCP-led care drastically reduced his reliance on the ED.
- Improved chronic condition management: Sam received comprehensive care and increased engagement with his PCP.
- Stronger patient-provider relationship: Sam felt empowered to turn to his PCP for care, establishing trust and a new pattern of preventive care.
Why This Matters
Preventing repeated, unnecessary ED visits relies on creating a proactive and patient-centered healthcare experience. By leveraging predictive insights like Pearl Health’s Urgency Reason Alerts, providers can focus their efforts on high-risk patients, manage chronic conditions more effectively, and provide the right care at the right time.
For patients like Sam, this approach not only improves outcomes but also reshapes the way they interact with the healthcare system. With Pearl’s tools, PCPs are empowered to guide patients toward healthier, more stable lives.
Learn More
Discover how Pearl Health’s tools are enabling providers to deliver proactive care for patients with chronic conditions and avoid preventable ED visits.
The Pearl Platform empowers and enables independent clinician decision-making, never replacing it. Providers on the Pearl Platform are responsible for all their clinical judgments, including those relating to the diagnosis, treatment, and prevention of disease and/or other clinical conditions.
Patient’s identifying information has been fictionalized.
- ED visit cost is based on a general analysis of 2024 claims data for Pearl’s network.
- Comparing the number of ED visits 6 months before the PCP took action on Pearl’s predictive signal with the number 6 months after.
