Your Patient Was Discharged. They're Back in 18 Days.
The readmission wasn't medical. It was transportation. They couldn't get to the pharmacy. They couldn't get to follow-up. You didn't know until they returned.
741 hospitals must comply with TEAM Model by January 2026. Reduce 30-day readmissions 30% through SDOH documentation. Save $250K-$750K in penalties annually.
Request Demo5 procedures covered: CABG, LEJR, Spinal Fusion, SHFFT, Major Bowel
How It Works
5-Minute Discharge Summaries
Complete documentation with SDOH screening and post-acute coordination.
30-Day Episode Tracking
Follow patients through surgery and post-discharge with Progressive HPI.
SDOH Intervention Triggers
Identify transportation, housing, and medication barriers before discharge.
Evidence-Linking for Audits
60-second audit package generation with claim-level audio timestamps.
Impact
Readmission reduction
Annual penalty avoidance
Audit package generation
Common Questions
What is the TEAM Model? ▼
CMS's Transforming Episode Accountability Model holds hospitals financially responsible for 30-day surgical episodes. 741 hospitals must comply by January 2026.
How does SDOH documentation reduce readmissions? ▼
50% of readmissions are caused by social factors like transportation, housing, and medication access. Capturing these barriers enables intervention before discharge.
How long does implementation take? ▼
5-6 months typical timeline. Start August 2025 to be ready for January 2026 mandatory compliance.
Ready for TEAM Model compliance?
See how OrbDoc can help reduce readmissions before the January 2026 deadline.
Request Demo