better care for a better
quality of life
CareAlly provides guidance and support to people with serious illness.
The Solution
![](https://www.careallyhealth.com/wp-content/uploads/2022/08/patient.png)
Patient
Receive the right care, aligned with their values and goals
![](https://www.careallyhealth.com/wp-content/uploads/2022/08/provider.png)
Provider
Are supported in delivering higher-quality care, improving outcomes and increasing patient satisfaction
![](https://www.careallyhealth.com/wp-content/uploads/2022/08/payer-2.png)
Payer
Improved quality and communication for complex patients. Less hospitalizations and cost
CareAlly offers Providers a low-cost, virtual serious illness solution:
- Dynamic risk stratification of patients to tailor services to needs
- Real-time notification of ED and Hospital admission/discharge for immediate response
- 24/7 after-hours clinical triage and support
- Patient/Caregiver/Family always have a CareAlly available for guidance and support
- CareAlly staff coordinate directly with the patient’s existing medical team
- Combining the expertise of Palliative Care with longitudinal Care Management
- Experienced palliative care nurses and social workers who are also care management trained/certified
- Individualized and dynamic care plans made collaboratively with the patient
- Complex Care Guidance for patient/family by consistent CareAlly staff
- Expert communication skills for 1:1 and family discussions
- Care coordination across the continuum to ensure smooth care transitions
- Chronic Care Management and Principle Care Management Services
- Medication reconciliation and education regarding each prescription
- Routine, proactive symptom assessment to avert crisis
- Disease self-management training and support
- Family/Caregiver assessment and support
- Clinical interventions to promote healthy coping and adjustment
- Every interaction focused on aligning patient’s values, priorities and goals with their treatment
- Advance care planning is an ongoing, relational collaboration to help the patient/surrogate discover what quality of life means to them
- Cultural humility, respect and active listening results in goal concordant care
- Assistance with advance care planning documents to reflect their goals
- Communication of patient wishes for treatment with entire care team
- Care coordination across the continuum to ensure smooth care transitions
- Chronic Care Management and Principle Care Management Services
- Medication reconciliation and education regarding each prescription
- Routine, proactive symptom assessment to avert crisis
- Disease self-management training and support
- Family/Caregiver assessment and support
- Clinical interventions to promote healthy coping and adjustment
- Social Determinates of Health Focus to ensure lack of resources does not result in health inequities
- Screening
- Assessment
- Connecting to local resources
- Follow up
- Removal of Barriers to Access
- Extensive and continual training of staff to ensure respect, knowledge and skills to ensure inclusivity for underserved communities
- Specialty services available anywhere with virtual and/or phone services
- Focus on rural health needs – not reliant on internet connectivity for services
- Health technology navigation for patient’s other medical provider appointments/access to patient portals
" I like to tell my patients that the health care system is like a giant conveyor belt carrying you along with “evidence-based guidelines” and “standard practice”. People feel pushed and prodded, confused and stressed by a system that doesn’t listen well. My role is to get to know you as a person and understand what makes you, well you. What brings you joy and meaning and purpose? What causes pain and stress? Once I understand you, then we can talk about how to give you more joy in life and time with those you love. And I think that is the purpose of CareAlly. "
– John Morris, MD
Chief Medical Officer/Co-Founder
Goal concordant care equates to high quality and high value care
- Care at home whenever possible
- Anticipatory guidance, based on patient goals of care, prepares patient/family for focused and efficient medical appointments to solidify treatment plans
- Advance care planning discussions and documents guide any future hospitalization
- Appropriate utilization of post-acute services
- Timely Hospice referrals and utilization when appropriate