Home health care coordination, from discharge order to first visit
Home health care coordination is patient logistics for the move home. Case managers send the home health referral, book the ride and order DME on one request, from the web app, the mobile app or the EHR through SMART on FHIR. The agency answers on the same record. VectorCare is not a home health agency and not a broker.
down from 31 minutes, average time to schedule a ride, at one client (ride scheduling only)
approximately 3 patients every minute, across the platform
healthcare facilities use VectorCare
Home health coordination software for hospitals, not a broker
A patient who goes home with home health needs three things on the same day: an agency that accepts, a ride home and equipment at the house. VectorCare is software that puts all three on one request. This is patient logistics for the move home.
A coordination layer
One request carries the home health referral, the ride home and the DME order. Each part shows its own status. Where the EHR supports SMART on FHIR, staff start the request from the chart. Where it does not, staff use the web app or the mobile app.
Not a broker
The hospital chooses and contracts with its agencies, ride providers and DME suppliers. VectorCare does not take the patient or the trip and pass it on. The hospital can keep the providers it uses today.
Not a home health agency or an EHR
VectorCare does not deliver care. The agency decides whether to accept a patient, and the agency delivers the care. The EHR stays the chart. VectorCare orders and tracks the work around the discharge.
Discharge to home health breaks on three threads
The referral goes out by fax. The ride is a phone call. The DME is a third call. Each thread has its own status, and the status lives in people's heads.
The patient is dressed and sits on the bed. The agency has not answered. The oxygen is not confirmed. The family asks for a time, and nobody can give one.
The medicine is done. The logistics are not. Ride waits can cause discharge delays.
The fix is not more calls. It is one place where the three threads meet.
From the discharge order to the first home health visit, on one request
Start the request where staff work
Staff start one request in the VectorCare web app, the mobile app, or from the chart where the EHR supports SMART on FHIR. Where the request starts from the chart, patient details fill in from the record.
Care apps and EHR agents can also request rides through the VectorCare MCP server, in limited release.
Send the referral to the agency the patient chose
The patient chooses the agency, and staff record that choice on the request. Then staff send the home health referral to that agency.
The agency answers on the same record
Home health agencies on VectorCare receive the request and accept or decline on the VectorCare Hub. Hospital staff see the answer on the same record. Nobody calls to ask.
Book the ride home and order the DME on the same request
Staff book the ride home at the right level of service. They order the home health DME the patient needs on the same request. The referral, the ride and the DME each show a status on one record. Case managers message the agency and the providers inside the request.
Home health referral
Status
Accepted
Who answers
The agency the patient chose
Ride home
Status
Booked
Who answers
The contracted ride provider
DME
Status
Confirmed
Who answers
The contracted DME supplier
| Part of the discharge | Status | Who answers |
|---|---|---|
| Home health referral | Accepted | The agency the patient chose |
| Ride home | Booked | The contracted ride provider |
| DME | Confirmed | The contracted DME supplier |
Example statuses. Each part shows its own status on the same request.
Hub, Trust, Pay, Insights, and A.D.I.
The same modules on VectorCare solutions, set up for discharge to home health.
VectorCare Hub
One request for the referral, the ride and the DME. Agencies and providers answer on the Hub.
A.D.I.
Automated Dispatching Intelligence sends the ride and the DME order to credentialed providers under your rules. If a provider declines, the request moves on. The home health referral goes to the agency the patient chose.
VectorCare Trust
Hold licenses, insurance and policy files for the agencies, ride providers and DME suppliers you contract. On vectorcare.com, Trust means vendor credentialing.
VectorCare Pay
Issue the invoice when the trip or the delivery is confirmed complete. Pay against what was delivered.
VectorCare Insights
See request volume and response time by agency and provider.
Built for case managers and care transitions teams
Case managers and discharge planners send the referral, book the ride and order the DME for each home health discharge. Care transitions teams use the same record to see what is still open before the patient leaves.
Rural hospitals use the same rails to reach home health and transport providers across a wide area. Hospice teams use it for hospice handoffs and the services around the patient.
This is post-acute care coordination software for the logistics, not a new clinical system. For the full move, read about hospital to home care.
SOC 2 Type II, HIPAA
VectorCare has completed a SOC 2 Type II audit, is HIPAA compliant, signs BAAs with every covered entity and hosts on AWS in the United States. VectorCare is listed on Epic's Connection Hub. Staff order from the chart through SMART on FHIR. See security details.
Frequently asked questions
- It is the work that lines up a discharged patient's home health visit, ride home and medical equipment. The hospital sends the referral, the agency accepts, and the start of care is set. The ride and the DME must be ready on the same day.
- Usually the case manager or discharge planner. The physician signs the orders. The patient chooses the agency.
- Yes. Staff build one request in the VectorCare web app, the mobile app, or from the EHR where it supports SMART on FHIR. The referral, the ride and the DME order each show their own status on the same record.
- No. Agencies on VectorCare receive the request and answer on the VectorCare Hub. Hospital staff see the answer on the same record.
- No. VectorCare is software. The hospital chooses and contracts with its agencies and transport providers. Agencies decide whether to accept a patient, and they deliver the care.
- At one VectorCare client, the average time to schedule a ride went from 31 minutes to 3 minutes. That figure is for ride scheduling only.
Put the referral, the ride and the DME on one request
See the hospital side and the agency side of one discharge on one record.