SmartControl™ is a care coordination solution that reduces unnecessary emergency department visits and hospital admissions by frequent users. This system automates the workflow of emergency department case managers in their efforts to control this challenging population. SmartControl™ integrates with any EMR, identifies care plan candidates, and updates the patient's designated care network (i.e., PCP, specialist, psychologist, social worker and/or family caregiver). The current care plan is reviewed by network members and any necessary modifications can be relayed to the case manager. Built-in analyses measure visit trends and alert the case manager to new opportunities. Published data proves this methodology cuts frequent visits in half, representing a substantial return on investment.


ED utilization is gauged by the prevalence of frequent utilizers, those with more than three visits in the past year, and super utilizers, who visit the ED more than 10 times in a year. In a typical ED, these groups respectively comprise 5% and 1% of patients and 25% and 5% of total annual visits. Research demonstrates that ACO and hospital costs are significantly reduced by safely controlling the behavior of these groups. As well, ACO contract positions are strengthened.

Hospital Upload

A limited set of EMR data is extracted from your EMR and automatically uploaded to our partitioned cloud server via a highly secure connection with SFTP protocols. This is accomplished without expensive HL7 interfaces.

Care Coordination Module

Frequent emergency department users are a mix of medically complex and psychologically fragile patients, alcohol and narcotic dependent individuals, and those that come for convenience. With the Smart-Control™ module, when an enrolled patient visits the emergency department, automated notifications are sent to the patient's care network, which includes a primary physician and may also involve a specialist, psychologist, social worker and family caregiver. The patient's care plan is shared and any necessary adjustments made. Built-in analytics measure acceleration or deceleration of visit frequency. Also, savings related to decreasing emergency department visits and hospital admissions are calculated to justify case management resources.

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Care Network Communication

Appropriate patients are contacted via email and SMS gateways and directed to a self-assessment portal in their native language.  Using a computer, tablet or smart phone, each can complete a brief wellbeing check and submit information about the experience. Electronic communication greatly reduces staffing costs.

Privacy, Security and Convenience

Smart-ER™ products comply with patient privacy and data security requirements defined by HIPAA and HITECH. Click here to view our most recent HIPAA Privacy Policy. Our cloud host has strict privacy controls, utilizes a vetted reporting mechanism, undergoes stringent audits, and is responsive to concerns. Client information is segregated on a single-tenant server and protected with multiple-layer passwords and strict authentication processes. Data integrity is assured by 256-bit SSL encryption and server authentication with extended validation certificates. Finally, the system is functional across multiple platforms including tablets and smart phones.

Technical Support

Clients have access to 24/7 technical support.