Preventra identifies high-risk discharges, explains the drivers, and gives care teams a prioritized action list — inside their existing workflow.
Most care teams have forecasting tools — but lack prioritized discharge visibility at the moment it matters most. Predictions are generated. Sorting and acting are left to the team.
Preventra closes that gap — adding discharge operational intelligence alongside your existing systems to turn data into immediate, actionable care coordination.
Designed to add intelligence to your existing workflows — not replace them.
No new data infrastructure. Works with your existing clinical and operational data from day one.
Discharge planners and care coordinators get prioritization support without changing how they work.
Start with one unit or cohort. Expand as teams build familiarity. Value realized from session one.
Designed for care environments where readmission rates directly impact shared savings, financial performance, and clinical team capacity.
Every avoidable readmission erodes shared savings. Preventra gives Accountable Care Organization care teams discharge visibility to protect financial performance — without adding operational burden.
High-risk and low-risk patients leave looking the same. Preventra gives discharge planners an automatic prioritization worklist — so critical patients are addressed before they walk out.
Discharge planners and transitional care nurses get clinical prioritization support without learning a new system or changing existing workflows.
Discharge operational intelligence layered into existing clinical environments — without requiring a new platform investment or IT overhaul.
Chief Medical Officers, VP Population Health, and Chief Financial Officers get population-level trends and performance data — without adding complexity to clinical teams.
Medicare Shared Savings Program participants and value-based care networks — built around the financial and operational realities you face every day.
Every patient gets a clear risk score at discharge with key drivers surfaced. Your care team gets a prioritized worklist and recommended coordination actions — without changing how they work.
Every patient receives an explainable risk score before leaving — primary clinical drivers surfaced in plain language. No interpretation required. No additional clicks.
The most critical patients appear first — automatically. No manual sorting. Your team sees exactly where to focus the moment they open their workflow.
Recommended next steps surface alongside each risk score — giving discharge planners a concrete starting point for follow-up scheduling and transitional care coordination.
Built to help care coordination teams identify high-risk patients before discharge — without adding operational burden or requiring new infrastructure.
Identify highest-risk patients before discharge. Prioritized worklists ensure clinical attention reaches the right patients before a preventable readmission occurs.
Discharge planners get automatically ranked patient lists — directing nurse bandwidth to patients who need the most support before leaving.
Transitional Care Management billing opportunities and care gaps surfaced automatically — supporting clinical and revenue cycle workflows simultaneously.
No-show risk flags patients unlikely to attend follow-up appointments — enabling proactive outreach before the care gap becomes a readmission event.
Care teams spend less time sorting data and more time on direct patient intervention. The manual prioritization burden is eliminated entirely.
Every avoidable readmission prevented is shared savings protected. Preventra provides the discharge-level visibility Accountable Care Organizations need to meet financial targets.
Not a new system. Not another dashboard. Operational intelligence built on your existing data — adding discharge visibility, care team prioritization, and coordination support to workflows your teams already use.
Every patient flagged. Every driver explained. Every care team action prioritized — automatically, inside the workflows your team already uses. Complements your Electronic Health Record — doesn't replace it.
How hard? How long? Will IT get overwhelmed? Preventra was built to answer those questions before they're asked — with a phased deployment approach designed around your existing environment.
Works with your existing admission records, discharge patterns, and clinical history. No new data warehouse or infrastructure build required.
Start with one unit or pilot cohort. Expand as teams build familiarity. Organization-wide rollout is not required before value is realized.
Clinical staff begin using the discharge intelligence console without a retraining program. Extended IT involvement is not required for deployment.
From the first discharge prioritization session, care coordinators see a ranked worklist, explainable risk scores, and recommended coordination actions — immediately.
Preventra adds discharge operational intelligence to your existing environment. No new logins replacing existing systems. No retraining programs. No operational overhaul of any kind.
Limited pilot engagements available for healthcare organizations to evaluate discharge risk visibility, care team prioritization, and transitional care workflows — using existing datasets and current infrastructure. No long-term commitment required.
Request a Pilot Conversation →Built for modern healthcare operational environments — data governance and operational security considerations integrated into the architecture, not added afterward.
One discharge operational intelligence layer. Two audiences. Discharge planners get what they need at the bedside. Leadership gets what they need in the boardroom.
Key risk drivers shown in plain clinical language — no training required, no new system to navigate. Designed to support existing transitional care workflows.
Population-level discharge visibility and performance trends — enabling care coordination impact measurement, team benchmarking, and shared savings reporting within existing processes.
Built for the realities of clinical discharge workflows — designed to support existing teams without adding burden to the nurses, discharge planners, and care coordinators on the ground.
Discharge planners can review, interpret, and act on a patient's risk profile in under a minute. Speed matters at discharge. Preventra is built around that operational reality.
No-show risk is a core driver — a factor most discharge tools ignore. If a high-risk patient is likely to miss their follow-up, your team knows before discharge.
Morning rounds worklist or real-time discharge support — Preventra supports both operational models, adapting to how your organization already works.
You already have forecasting and Electronic Health Record infrastructure. Preventra integrates as a discharge operational intelligence layer — no rip-and-replace, no IT overhaul. Built for Accountable Care Organizations, hospitals, physician groups, clinically integrated networks, and value-based care organizations that cannot afford implementation friction.
Preventra is a discharge intelligence layer that gives hospitals and care teams early visibility into which diabetic patients are at elevated risk of returning within 30 days of discharge. It sits alongside your existing EHR and surfaces a clear, explained risk signal at the point where it matters most — discharge planning.
At or near discharge, Preventra reviews information already in the patient's chart — visit history, medications, diagnoses, length of stay — and produces a risk score. Every score comes with a plain-language explanation of what's driving it, so care teams know not just who to prioritize, but why.
No. Preventra is a decision-support layer, not a decision-maker. It surfaces a prioritized, explained signal so your team can direct limited follow-up resources where they're likely to matter most. The clinical call always stays with your team.
Preventra is purpose-built for diabetic patients rather than the general inpatient population, and every prediction includes a patient-level explanation — not just a score, but the specific factors behind it for that patient.
No. Preventra is designed to integrate with the systems you already use rather than replace them. It's an added layer of discharge visibility, not a new system your team has to learn from scratch.
Excess 30-day readmissions can carry real financial consequences under CMS's Hospital Readmissions Reduction Program. Preventra gives your team earlier, more specific visibility into which patients are likely to return, so care coordination resources can be directed before discharge rather than after a repeat visit.
Preventra is delivered as a SaaS platform designed to work with standard EHR data structures. Our team works alongside your IT and implementation staff to scope integration and timeline for your specific environment.
Most existing programs rely on manual chart review or general-purpose risk tools. Preventra adds a layer trained specifically on the patient population you're trying to manage, with transparent, patient-level reasoning behind every flagged case — so your existing program gets a sharper, faster signal, not a replacement.
We help you track the readmission rate among flagged, intervened-on patients against a comparable baseline, so impact is measurable rather than assumed.
At discharge planning, a risk score appears alongside the patient record. No extra data entry is required — Preventra pulls from information already in the chart. Reviewing a flag takes seconds.
You shouldn't trust it instead of your judgment — it's built to support it. Preventra is most useful for patients who look stable at discharge but carry risk factors that are easy to miss in a busy workflow. It's a second set of eyes across dozens of risk factors at once, not a replacement for clinical experience.
Preventra flags — it doesn't prescribe. Your team's care coordination protocol governs the response: a post-discharge follow-up call, a scheduled primary care visit, medication reconciliation, or a referral to a transitional care program.
Yes, always. The score is a data-driven input, not a directive. If your clinical judgment differs from the flag, your judgment takes precedence.
No. It's built to reduce the time spent manually reviewing charts for risk, not add to it — reviewing a flag and its explanation takes moments.
Every 30-day readmission is a second claim. A hospital using a systematic, explainable readmission tool represents a meaningfully different risk profile in your network — fewer repeat claims, and stronger performance on readmission-related quality metrics.
Preventra's discharge-level risk signal is a natural input into population health and care management workflows, helping direct chronic care and medication adherence outreach to the patients who need it most.
Preventra works from structured clinical data already present in standard EHR exports — diagnoses, medications, visit history, and administrative fields like payer type and length of stay. No free-text notes or imaging are required.
The risk score and its explanation give care management teams a clear starting point: not just which patients need outreach, but what's actually driving their risk — enabling more targeted intervention.