Care providers at Courage Kenny Rehabilitation Institute knew there had to be a way they could be more proactive with patients. The Minneapolis-based rehabilitation institute, now part of the 13-hospital, 61-clinic Allina Health system, annually treats more than 95,000 people trying to regain functionality after suffering strokes, spinal cord injuries and traumatic brain injuries, as well as other short and long-term disabilities. But too often, the institute found itself without the information needed to take the initiative and connect with patients.

“The traditional way we see patients is through a referral from a physician after discharge from one of our hospitals,” explains Kyle Grunder, director of provider operations and program development at the institute. “But when we dug deep into the data, we found that didn’t happen as frequently as it should, and even when patients were referred, they didn’t always make an appointment in the timeframe they needed to. What we needed was a way to catch those patients farther upstream and intervene when their health data indicated they needed it most. ”

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