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Software that enables Remote Care Delegation
Our eShift SaaS platform allows home health providers to link remote medical experts to teams of in-home clinicians and assistants, enabled to perform controlled and delegated interventions for patients who would otherwise require expensive institutional care or a higher skilled resource at the bedside.
Benefits
Rapidly upskill lower cost, more available in-home resources to serve more patients at a lower cost per encounter.
Reduce
cost of care
Deliver patient centered care
Patients receive complex, in-person care in the location of choice, their home.
Turn one clinician into many utilizing Remote Care Delegation.
Increase
capacity
eShift engagement tools allow transparent coordination between care teams and settings.
Collaborate with integrated partners
The eShift platform and remote care delegation can add value to any health care organization looking to deliver high quality, efficient in-person care in patient’s homes. We work with public health authorities, insurers, provider networks, hospitals, home health providers and academic institutions who are looking to expand the capacity and complexity of home health care delivery.
Our clients
eShift was first deployed in 2010 for pediatric patients in Ontario, Canada with the aim to replace hospital stay for mechanically dependent, medically fragile children so they could remain at home with their families. Over the last 12 years, multiple providers and clinical pathways in Canada, the United States, the United Kingdom and France have adopted Remote Care Delegation into their clinical workflow, expanding the reach and scope of in-demand community resources to a growing number of patient populations.
Eshift
CANADA
UNITED KINGDOM
UNITED STATES
FRANCE
Case STUDY
CANADA
$7,949 (-59.3%)
$2,901 (-57.9%)
$5,048 (-57.9%)
13% (-41.7%)
28.5 days (-81.0%)
3.3 days (-59.3%)
In 2015, COPD patients in Southwestern Ontario accounted for almost 1/4 of hospital admissions with extended stays and high rates of readmission adversely impacting cost of care and clinical outcomes.
Problem:
The local public health authority and one of the largest acute care centres in Ontario partnered to deliver home-based, eShift enabled care and education to COPD and CHF patients discharged from hospital.
eShift Solution:
A second Ontario health authority adopted this model for home-based COPD and CHF care in 2019 through one of its largest acute centres, with plans to spread across other partner hospitals in the near future.
Spread:
$15,277
Total Cost of Care
$3,275
LHIN Care Path Cost
$12,002
Hospital Cost
22.5%
30-day Readmission
-59.3%
150 days
Community Length of Stay
8.1 days
-81.0%
Hospital Length of Stay
Results:
-11.7%
3.3 days
-41.7%
-57.9%
-47.9%
28.5 days
$2,901
13%
$5,048
$7,949
With eShift
Performance Outcomes
Before
Case STUDY
UK
In the UK, the majority of hospice care is delivered by charitable hospices. In 2016, only 44% of people who could benefit from palliative expert care received care via a hospice.
Problem:
Project ROI
Overall annual savings
Savings per patient
Hospital admissions
Hospital Length of Stay
Results:
-25%
-25%
10:1
£2000
Over £2.4M
With eShift
Performance Outcomes
$2,901 (-57.9%)
$5,048 (-57.9%)
13% (-41.7%)
28.5 days (-81.0%)
3.3 days (-59.3%)
with eShift
with eShift
with eShift
with eShift
with eShift
St. Luke’s Hospice enabled Remote Care Delegation with community nursing to access their palliative care doctors and prescribing nurses through eShift, extending their specialized expertise to end of life patients wishing to spend their final days in their place of choice.
eShift Solution:
Evidence from the Hospice model developed by St. Luke's has recently been published in the BMJ Supportive & Palliative Care Journal.
Spread:
Case STUDY
US
High risk chronic disease patients length of hospitalization and readmission rate was negatively affecting clinical, operational and financial outcomes in the pilot ACO in Metro Detroit.
Problem:
The ACO Home Care provider developed a unique patient and family technician (PFT) role to extend their clinical expertise, through Remote Care Delegation, into the homes of post-acute chronic disease patients deemed to have a high probability of 30-day readmission.
eShift Solution:
The model of care developed in this pilot was adopted by the CC2H team in London, Ontario, where their eShift enabled program for post-acute COPD and CHF patients has been operating since 2015.
Spread:
100%
Results:
30%
30-day Readmission
Case STUDY
FRANCE
eShift enables nurses to document each visit with real-time support from a remote Parkinson's disease specialist clinician. The automated generation of detailed reports for neurologists allows consultation and dialogue on cases and the rapid adaptation of prescriptions.
eShift Solution:
Expansion to all French regions is in progress. The use of eShift for other clinical pathways is under study.
Spread:
Elivie, a home care provider, is responsible for the patients' journey and the link with their hospital. For Parkinson's patients, monitoring symptoms and treatments is a key element of successful care. At home, this follow-up is complex to carry out by non-specialists without supervision.
Problem:
Enhanced collaborative upskilling of community teams
Reinforced link with the prescriber
Improved patient care
Results:
Case STUDY
CANADA
With eShift
Performance Outcomes
Before
-81.0%
-57.9$
-41.7%
-57.9$
-47.9%
28.5 days
$2,901
13%
$5,048
$7,949
-59.3%
3.3 days
The local public health authority and one of the largest acute care centres in Ontario partnered to deliver home-based, eShift enabled care and education to COPD and CHF patients discharged from hospital.
eShift Solution:
A second Ontario health authority adopted this model for home-based COPD and CHF care in 2019 through one of it’s largest acute centres, with plans to spread across other partner hospitals in the near future.
Spread:
In 2015, COPD patients in Southwestern Ontario accounted for almost 1/4 of hospital admissions with extended stays and high rates of readmission adversely impacting cost of care and clinical outcomes.
Problem:
$7,949 (-59.3%)
$15,277
Total Cost of Care
$12,002
$5,048 (-57.9%)
Hospital Cost
22.5%
13% (-41.7%)
30-day Readmission
$2,901 (-11.7%)
$3,275
LHIN Care Path Cost
150 days
28.5 days (-81.0%)
Community Length of Stay
8.1 days
3.3 days (-59.3%)
Hospital Length of Stay
Results:
Case STUDY
UK
With eShift
Performance Outcomes
Before
-81.0%
-57.9$
-41.7%
-57.9$
-47.9%
28.5 days
$2,901
13%
$5,048
$7,949
-59.3%
3.3 days
In the UK, the majority of hospice care is delivered by charitable hospices. In 2016, only 44% of people who could benefit from palliative expert care received care via a hospice.
Problem:
St. Luke’s Hospice enabled Remote Care Delegation with community nursing to access their palliative care doctors and prescribing nurses through eShift, extending their specialized expertise to end of life patients wishing to spend their final days in their place of choice.
eShift Solution:
Evidence from the Hospice model developed by St. Luke's has recently been published in the BMJ Supportive & Palliative Care Journal.
Spread:
Project ROI – 10:1
Over £2.4M with eShift
Overall annual savings
£2000 with eShift
Savings per patient
-25% with eShift
Hospital admissions
-25% with eShift
Hospital Length of Stay
Results:
Case STUDY
US
With eShift
Performance Outcomes
Before
-81.0%
-57.9$
-41.7%
-57.9$
-47.9%
28.5 days
$2,901
13%
$5,048
$7,949
-59.3%
3.3 days
The ACO Home Care provider developed a unique patient and family technician (PFT) role to extend their clinical expertise, through Remote Care Delegation, into the homes of post-acute chronic disease patients deemed to have a high probability of 30-day readmission.
eShift Solution:
The model of care developed in this pilot was adopted by the CC2H team in London, Ontario, where their eShift enabled program for post-acute COPD and CHF patients has been operating since 2015.
Spread:
High risk chronic disease patients length of hospitalization and readmission rate was negatively affecting clinical, operational and financial outcomes in the pilot ACO in Metro Detroit.
Problem:
30%
100%
30-day Readmission
Results:
Case STUDY
FRANCE
With eShift
Performance Outcomes
Before
-81.0%
-57.9$
-41.7%
-57.9$
-47.9%
28.5 days
$2,901
13%
$5,048
$7,949
-59.3%
3.3 days
eShift enables nurses to document each visit with real-time support from a remote Parkinson's disease specialist clinician. The automated generation of detailed reports for neurologists allows consultation and dialogue on cases and the rapid adaptation of prescriptions.
eShift Solution:
Expansion to all French regions is in progress. The use of eShift for other clinical pathways is under study.
Spread:
Elivie, a home care provider, is responsible for the patients' journey and the link with their hospital. For Parkinson's patients, monitoring symptoms and treatments is a key element of successful care. At home, this follow-up is complex to carry out by non-specialists without supervision.
Problem:
Reinforced link with the prescriber
Improved patient care
Results:
Enhanced collaborative upskilling of community teams