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PhoneDOCTORx (PDRx) is becoming a powerful service in the construction of Accountable Care Organizations (ACOs) and the overall transformation of healthcare with the creation of the Patient Protection and Affordable Care Act which was signed into law in 2010. Healthcare providers form an ACO to provide care to patients within a reformed delivery and payment model based on the quality and efficiency of care. This shifts healthcare to a comprehensive approach to patient care, holding providers accountable and more focused on addressing preventable readmissions and providing higher quality and more efficient patient care across the continuum of healthcare. The Affordable Care Act includes a number of policies to help physicians, hospitals, and other caregivers work together to treat patients across various healthcare settings, reducing costs while improving individual care. Under this new model, the benefits of PDRx align directly with the Accountable Care Act's goals to increase coordination and quality of care and decrease unnecessary and costly transfers to the ED and readmissions.


Studies have suggested that anywhere from 20 to 45% of transfers to Emergency Departments from nursing homes are avoidable. In the past five years, PhoneDOCTORx physicians have responded to more than 36,500 extended care facility calls ranging from non-urgent to emergent in acuity.

Prevention of avoidable transfers eases the financial burden on the healthcare system and allows the patient to remain at the extended care facility—avoiding a physically and emotionally difficult ambulance transfer.


ED transfers, hospital admissions and readmissions can be avoided through PDRx solution choice:

  • Reduced time delays in responding to clinical issues at ECF
  • Visualization of patients can provide physicians important information needed in order to make more informed decisions
  • Access to medical records allows better decision-making and continuity of care (labs, x-rays and medications)
  • Documentation of clinical encounters ensures better continuity of care
    • Adjust pain medications accordingly
    • Ability to control agitation (real-time) without restraints
  • Our physicians provide immediate care and manage the spectrum of acuity

During Hospitalization

  • Risk screen patients and tailor care
  • Establish communication with PCP, family and home care
  • Use "teach-back" to educate patient about diagnosis and care
  • Use interdisciplinary/multidisciplinary clinical team
  • Coordinate patient care across multidisciplinary care team
  • Discuss end-of-life treatment wishes

Additional Benefits

  • Reduced cost associated with unnecessary Emergency Department transfers and inpatient admissions
  • Offer a coverage for after hours for patients peace at mind
  • Provide higher level of acuity of service at ECFs
  • Improve nursing recruitment and retention
  • Assist in attracting primary care physicians (PCPs)
  • Help meet standards and regulations of external reviewing agencies including DPH and JCAHO
  • Increased patient satisfaction
  • Grow admissions and increase occupancy
  • Provide higher levels of acuity of services for ECFs
  • Reduction of avoidable transfers
  • Address pain and behavioral issues immediately
  • Increase patient and provider communications
  • Visualization of patients yields more informed decisions
  • Inclusion in hospitals and health systems preferred provide network due to enhanced service provision of PDRx
  • Increase referrals and referral base
  • Improve rapid turnaround for patients referred to hospital ED for care and/or Lab and Rad. Studies (Midnight Rule)
  • Gold Standard result by consumers asking/making direct requests for specific facilities with PDRx set in place
  • Potential for oversubscription of beds will lead to corporate alternatives assessment
  • Overall decrease of costs to healthcare system with higher level of reporting and communications