Systems and methods for providing a continuum of care

摘要

Disclosed herein are embodiments for providing a continuum of care. At least one embodiment includes receiving patient information for a patient, the patient information including medical information of the patient suffering from a specific medical condition and determining whether the patient qualifies for the continuum of care. Similarly, some embodiments include, in response to determining that the patient qualifies for the continuum of care, facilitating a primary patient screening to determine whether the patient has a tangential medical condition. Still some embodiments include creating a continuum of care plan for the patient that utilizes the patient information and results of the primary screening to predict a future medical care need of the patient.