Aledade App Resources

The Aledade App is a workflow tool that supports an ACO’s work for Aledade practices. The App combines several different robust patient data sources and creates valuable insights to help manage patient populations.
Use the App to help identify patients in need of primary care, provide support to recently discharged patients, identify and close diagnosis documentation and quality gaps, and follow up with patients who have recently been in the emergency room.
Chronic Care Management (CCM)
Learn about Chronic Care Management (CCM), where it can fit into a value-based model of care, alternative models to leverage, and cautions on models that contradict VBC. Use these resources to improve success within a value-based care model, to focus on health conditions and preventative services, and create a roadmap for achieving better health at a lower cost.
Daily Huddle
Learn about the Daily Huddle, a point-of-care intelligence tool that connects with the practice’s scheduling system, as a way to provide critical patient data and alerts for their appointment that day.
Emergency Department Follow-Up Worklist
Learn how to use the Emergency Department Worklist, a worklist that surfaces attributed patients who have recently been seen in an ED. Understand through these resources how completing outreach and scheduling follow-up visits can prove beneficial for patients, practices, and society by reducing future ED visits and reducing healthcare costs.
Hypertension Worklist
Learn how the Hypertension Worklist supports improved care for patients with high blood pressure (hypertension) to limit risk for heart disease and stroke. Understand how improved performance on hypertension is good for patients and can lower the total cost of care.
Transitions of Care Worklist
Learn how to utilize the Transitions of Care Worklist to support prompt outreach for patients who have recently been discharged from the hospital.
Wellness Worklist
Learn about the Wellness Worklist, a worklist to improve Annual Wellness Visit performance. Use these resources to improve success within a value-based care model, to focus on health conditions and preventative services, and create a roadmap for achieving better health at a lower cost.