Diabetes care
Follow-ups, lab reviews, and education for patients with diabetes, on one record the whole care team can open. Patients check in from home, and the nurse sees who needs a call.
For the months between diabetes visits.
Most of diabetes care happens at home. This gives your team a way to follow it, coach it, and act on it before the next appointment.
Patients this works well for
- Type 1 or type 2 diabetes followed between visits
- Patients newly diagnosed and learning the routine
- Lab results that have not moved in months
- Patients starting or changing medications
Patients better served elsewhere
- Diabetes alongside several conditions under one plan
- Check-ins on blood pressure or heart failure from home
- Ongoing care for complex conditionsMonthly follow-ups for patients with two or more long-term conditions, with one care plan and one care team on the same record.
- Follow-up care from homePatients check in from home between visits. Your team sees what changed, acts early, and the record is written as it happens.
Your clinicians manage the diabetes. Hoss Care keeps it in view.
Medication decisions and coaching stay with your team. Hoss Care brings the labs in, keeps the check-ins on the record, and sends the education.
What your team does
- Reviews labs and adjusts medications
- Coaches on meals, activity, and foot care
- Calls the patients who need a call
- Reviews, edits, and signs every note
What Hoss Care does
- Pulls lab results from the EHR and trends them per patient
- Sends short education pieces on a schedule
- Flags check-ins that changed, for the nurse to review
- Prepares the claim with the signed note attached
AI assistance in Hoss Care is advisory. It suggests and flags; your clinicians review, edit, and sign, and your staff submit.
From the kitchen table to the next visit.
Check-ins at home, a call when something changes, and a visit that starts from the trend.
Guidance the patient can act on this week.
Meal, medication, and foot-care guidance arrives in short pieces, and the care team sees which ones were opened and what questions came back.
- Short lessons sent on a schedule
- Questions answered by the care team
- Video visits for anything that needs a look
- Every message on the patient's record
Questions practice managers ask
Does this include check-ins from home?
Yes. Patients check in from their phone between visits, and the care team sees who changed. It runs on the same record as follow-up care from home, so nothing is set up twice.
Where do lab results come from?
From your EHR. Results are pulled in and trended per patient, so the clinician sees what has moved and what has not before the visit.
Does the AI adjust medications?
No. AI assistance flags check-ins that changed and suggests a note for review. Your clinicians decide on medications and sign every note.
How does billing work?
Diabetes care runs on the same record as your other care services, so the documentation supports whichever one applies to the patient. Claims are prepared with the signed note attached, ready for your billing team to send.
Steadier days between visits. One record the whole team opens.
Ready to follow your diabetes patients between visits?
See what the nurse sees when a patient checks in from home.