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Software that enables Remote Care Delegation™️

Our eShift SaaS platform allows providers to link remote medical experts to teams of clinicians and assistants, enabled to perform controlled and delegated interventions for patients who would otherwise require a higher skilled resource at the bedside.

Reduce
cost of care

Rapidly upskill lower cost, more available resources to serve more patients at a lower cost per encounter.

Patients receive complex, in-person care in the location of choice.

Deliver patient centered care

Increase
capacity

Turn one clinician into many utilizing Remote Care Delegation.

Collaborate with integrated partners

eShift engagement tools allow transparent coordination between care teams and settings.

Benefits

Our clients

The eShift platform and Remote Care Delegation can add value to any health care organization looking to deliver high quality, efficient in-person care. We work with public health authorities, insurers, provider networks, hospitals, skilled nursing facilities, home health providers and academic institutions who are looking to expand the capacity and complexity of home health care delivery.

Eshift

eShift was first deployed in 2010 for pediatric patients in Ontario, Canada with the aim to replace hospital stay for mechanically dependent, medically fragile children so they could remain at home with their families. Over the last 13 years, multiple providers and clinical pathways in Canada, the United States, the United Kingdom and France have adopted Remote Care Delegation into their clinical workflow, expanding the reach and scope of in-demand community resources to a growing number of patient populations.

Problem:

High risk chronic disease patients length of hospitalization and readmission rate was negatively affecting clinical, operational and financial outcomes in the Michigan Pioneer ACO.

eShift Solution:

The ACO Home Care provider developed a unique patient and family technician (PFT) role to extend their clinical expertise, through Remote Care Delegation, into the homes of post-acute chronic disease patients deemed to have a high probability of 30-day readmission.

Spread:

The model of care developed in this pilot was adopted by the CC2H team in London, Ontario, where their eShift enabled program for post-acute COPD and CHF patients has been operating since 2015.

30-day Readmission

30%

Results:

100%

Case STUDY
US

3.3 days (-59.3%)

28.5 days (-81.0%)

13% (-41.7%)

$5,048 (-57.9%)

$2,901 (-57.9%)

$7,949 (-59.3%)

Problem:

In 2015, COPD patients in Southwestern Ontario accounted for almost 1/4 of hospital admissions with extended stays and high rates of readmission adversely impacting cost of care and clinical outcomes.

eShift Solution:

The local public health authority and one of the largest acute care centres in Ontario partnered to deliver home-based, eShift enabled care and education to COPD and CHF patients discharged from hospital.

Spread:

A second Ontario health authority adopted this model for home-based COPD and CHF care in 2019 through one of its largest acute centres, with plans to spread across other partner hospitals in the near future.

Before

Performance Outcomes

With eShift

13%

28.5 days

-47.9%

-57.9%

-41.7%

↓

3.3 days

↓

-11.7%

↓

Results:

Hospital Length of Stay

-81.0%

8.1 days

↓

Community Length of Stay

150 days

-59.3%

30-day Readmission

22.5%

Hospital Cost

↓

Home Based Care Cost

Total Cost of Care

Case STUDY
CANADA

eShift Solution:

The University of Sheffield partnered with St Luke’s hospice (SLH) to support Remote Care Delegation through the eShift platform.

Problem:

The workforce crisis in community health services is compounded by the lack of access to real-time medical and senior decision-making and the requirement for nursing staff to have a wealth of experience and training in order to work autonomously.

Spread:

This study has been published in the British Medical Journal in November 2021.

eShift was further deployed to support rehabilitation in community stroke services in Sheffield in December 2021 (CC4H).

Performance Outcomes

With eShift

Hospital Length of Stay

-25%

Hospital admissions

-25%

Project ROI

10:1

Estimated annual saving
for ED admissions

135 153£

17 642£

Estimated savings through community visit costs

152 795£

Total estimated savings

Case STUDY
UK

Results:

eShift Solution:

eShift enables nurses to document each visit with real-time support from a remote Parkinson's disease specialist clinician. The automated generation of detailed reports for neurologists allows consultation and dialogue on cases and the rapid adaptation of prescriptions.

Spread:

Expansion to all French regions is in progress. The use of eShift for other clinical pathways is under study.

Problem:

Elivie, a home care provider, is responsible for the patients' journey and the link with their hospital. For Parkinson's patients, monitoring symptoms and treatments is a key element of successful care. At home, this follow-up is complex to carry out by non-specialists without supervision.

Results:

Improved patient care

Reinforced link with the prescriber

Enhanced collaborative upskilling of community teams

Case STUDY
FRANCE

$7,949

$5,048

13%

$2,901

28.5 days

-47.9%

-57.9$

-41.7%

↓

-57.9$

↓

-81.0%

↓

3.3 days

↓

-59.3%

eShift Solution:

The local public health authority and one of the largest acute care centres in Ontario partnered to deliver home-based, eShift enabled care and education to COPD and CHF patients discharged from hospital.

Spread:

A second Ontario health authority adopted this model for home-based COPD and CHF care in 2019 through one of it’s largest acute centres, with plans to spread across other partner hospitals in the near future.

Problem:

In 2015, COPD patients in Southwestern Ontario accounted for almost 1/4 of hospital admissions with extended stays and high rates of readmission adversely impacting cost of care and clinical outcomes.

Results:

Hospital Length of Stay

3.3 days (-59.3%)

8.1 days

Community Length of Stay

28.5 days (-81.0%)

150 days

LHIN Care Path Cost

$3,275

$2,901 (-11.7%)

30-day Readmission

13% (-41.7%)

22.5%

Hospital Cost

$5,048 (-57.9%)

$12,002

Total Cost of Care

$15,277

$7,949 (-59.3%)

Case STUDY
CANADA

Before

Performance Outcomes

With eShift

$7,949

$5,048

13%

$2,901

28.5 days

-47.9%

-57.9$

-41.7%

↓

-57.9$

↓

-81.0%

↓

3.3 days

↓

-59.3%

eShift Solution:

The University of Sheffield partnered with St Luke’s hospice (SLH) to support Remote Care Delegation through the eShift platform.

Spread:

This study has been published in the British Medical Journal in. November 2021.
eShift was further deployed to support rehabilitation in community stroke services in Sheffield in December 2021 (CC4H).

Performance Outcomes

with eShift

Results:

Hospital Length of Stay

-25%

Hospital admission

-25%

Project ROI

-10:1

Estimated annual saving for ED admissions

135 153£

Estimated savings through community visit costs

17 642£

Total estimated savings

152 795£

Problem:

The workforce crisis in community health services is compounded by the lack of access to real-time medical and senior decision-making and the requirement for nursing staff to have a wealth of experience and training in order to work autonomously.

Case STUDY
UK

Before

Performance Outcomes

With eShift

$7,949

$5,048

13%

$2,901

28.5 days

-47.9%

-57.9$

-41.7%

↓

-57.9$

↓

-81.0%

↓

3.3 days

↓

-59.3%

eShift Solution:

The ACO Home Care provider developed a unique patient and family technician (PFT) role to extend their clinical expertise, through Remote Care Delegation, into the homes of post-acute chronic disease patients deemed to have a high probability of 30-day readmission.

Spread:

The model of care developed in this pilot was adopted by the CC2H team in London, Ontario, where their eShift enabled program for post-acute COPD and CHF patients has been operating since 2015.

Problem:

High risk chronic disease patients length of hospitalization and readmission rate was negatively affecting clinical, operational and financial outcomes in the Michigan Pioneer ACO.

Results:

30-day Readmission

100%

30%

Case STUDY
US

Before

Performance Outcomes

With eShift

$7,949

$5,048

13%

$2,901

28.5 days

-47.9%

-57.9$

-41.7%

↓

-57.9$

↓

-81.0%

↓

3.3 days

↓

-59.3%

eShift Solution:

eShift enables nurses to document each visit with real-time support from a remote Parkinson's disease specialist clinician. The automated generation of detailed reports for neurologists allows consultation and dialogue on cases and the rapid adaptation of prescriptions.

Spread:

Expansion to all French regions is in progress. The use of eShift for other clinical pathways is under study.

Problem:

Elivie, a home care provider, is responsible for the patients' journey and the link with their hospital. For Parkinson's patients, monitoring symptoms and treatments is a key element of successful care. At home, this follow-up is complex to carry out by non-specialists without supervision.

Results:

Improved patient care

Reinforced link with the prescriber

Enhanced collaborative upskilling of community teams

Case STUDY
FRANCE

Before

Performance Outcomes

With eShift

Solution

Contact Information

Info