A Better Option: cliexa’s digital platform unlocks powerful new data for sexual health screening

 

Lisa Rue, PhD, Senior Advisor

 

Now that we have come out the other side of the Covid-19 Pandemic, we have time to refocus health care efforts to improving patient-focused experiences in primary care to start to tackle another epidemic. The epidemic of sexually transmitted disease within adolescent populations. According to a 2018 report by the CDC, sexually transmitted infections are at an all-time high in adolescents.

 

A recent federal grant has provided a proof of concept opportunity for a unique collaboration between the University of Northern Colorado’s Applied Psychology and Counselor Education Program (APCE) and North Colorado Family Medicine. Doctoral students from APCE support Family Physicians at North Colorado Family Medicine using the innovative cliexa-OPTIONS platform supporting an integrated approach to adolescent health and wellness

 

Adolescent patients are screened using the cliexa-OPTIONS digital health screening before seeing their family physician. Based on their inputs, a patient’s risk for depression, anxiety, or sexual risk, are flagged and their doctor explores this risk with the patient during their brief visit. High-risk patients are referred immediately to one of our APCE doctoral students. This unique integrated care approach provides more comprehensive care before the patient leaves the office. Patients scoring high in sexual risk are asked to complete MyPLAN after they leave the clinic. They complete MyPLAN using their mobile phone in the comfort of their home. Their wellness plan is securely delivered to their mental health professional who reviews this information before the follow-up appointment.

 

Results from a recent comparative case study found that two types of clinics, medical and mental health clinics, may want to include a digital health-based app (e.g., cliexa-OPTIONS) as part of their screening process. Results found that the average time to complete the screening was between 2.75- 4.26 minutes. Spending a few extra minutes prior to the appointment has big dividends for enhancing patient/client care.

 

One clinician at a rural Title X Family Planning Clinic discovered that a teenage female patient had contact with an individual who had syphilis. The patient indicated that being able to express that sensitive information initially on an iPad made it so much easier for her to talk about it later in the appointment. The patient felt comfortable in a way she would not have felt otherwise. This was a common thread for all the teenage patients seen at the clinic; they were more comfortable expressing their fears or problems using the iPad than they would have using a face-to-face interview.

 

Preliminary independent evaluation results are promising. While the two sites serve distinct populations and have different focus areas, they emphasize helping adolescents and young adults make healthy, informed, and positive decisions about their lives, including their sexual behaviors. The cliexa-OPTIONS digital sexual risk assessment app appears to have been successful at each of these sites by helping clinicians open up critical conversations with patients/clients by providing avenues for improving the quality of care they receive. Furthermore, patients appear to enjoy using the digital app and find it easy to use. Patients from both clinics reported high levels of satisfaction using the app and strongly agreed with the statement, “I would use cliexa services again.”

 

cliexa’s digital screening tools instantly flag risky sexual behaviors in adolescents beyond the traditional face-to-face assessment process. The findings suggest the application facilitates detailed information about risky sexual behavior, allowing providers to tailor questions appropriately, focusing brief clinical interventions on the most pertinent information, saving time increasing care and efficiency. 

 

By Q4 of 2022, the final results of this independent evaluation of cliexa-OPTIONS will be complete. Independent evaluation results for the quad aims of patient and clinician satisfaction, reduced cost, and improved outcomes will be an essential step to improve health care in the United States.

 

To read the full study, click here.

 

 

 

 

 

American College of Cardiology, cliexa Launch Innovative Health Monitoring Platform

The American College of Cardiology and cliexa, have collaborated through the ACC Innovation Program to launch a home health monitoring platform called cliexa-PULSE.

” cliexa-PULSE is a revolutionary app and platform that allows cardiovascular clinicians to gather information from their patients before and after visits to ensure well-being and help pivot care plans that are individually tailored to patient needs,” says Andrew M. Freeman, MD, FACC, a member of the ACC Innovation Program-cliexa Work Group. “Using the cliexa platform allows for easy EMR integration along with the ability to capture chronic care management codes resulting in efficient personalized care. Further, with the upcoming population health tool, I can follow my entire panel of patients and help those in need sooner.”

As a virtual health solution, cliexa-PULSE is designed for clinicians to track symptoms, medications, and daily activity for the management of atrial fibrillation (AFib), hypertension (HTN), congestive heart failure (CHF), and coronary artery disease (CAD). Along with remote check-in, cliexa-PULSE offers remote patient monitoring tailored to any clinical workflow and provides bulletproof compliance, documentation support and MIPS reporting metrics.

With ACC’s clinical guidance, cliexa focused on user experience, both from patient reporting and clinician population health perspectives, providing discrete data and reports real-time into the EMR systems.

Mehmet Kazgan, founder and CEO of cliexa, said, “With the clinical guidance from ACC we have been receiving while developing this platform, we have built a great foundation that can be iterated for other chronic conditions. The views and feedback from ACC’s experts in the design work group helped us further understand the real needs and challenges for cardiology patient monitoring.”

Learn more about improving care coordination and a strengthened clinician-patient partnership with ACC Innovation’s Co-developed Platform.

The American College of Cardiology envisions a world where innovation and knowledge optimize cardiovascular care and outcomes. As the professional home for the entire cardiovascular care team, the mission of the College and its 54,000 members is to transform cardiovascular care and to improve heart health. The ACC bestows credentials upon cardiovascular professionals who meet stringent qualifications and leads in the formation of health policy, standards and guidelines. The College also provides professional medical education, disseminates cardiovascular research through its world-renowned JACC Journals, operates national registries to measure and improve care, and offers cardiovascular accreditation to hospitals and institutions. For more, visit acc.org.

It's Time for a smarter ER

It’s Time for Smarter and Friendlier Emergency Departments

For patients and family members, arrival to an emergency department can be an anxiety-provoking event.  Often, those responsible for the care are distracted, potentially ignoring or discounting your needs.  In reality, the opposite is often true.  The problem, until now, there has been no effective way for emergency healthcare systems to communicate this to the people that matter the most.

Instead, when arriving to an emergency department, patients should be directly connected to hub of vital care process information.  Creating an easy-to-use, yet powerful mobile application would provide this direct interface to the healthcare system. Patients will now be informed about what steps are being taken for care, who is on the care team and provided targeted informational materials.

It is time for smarter and friendlier emergency departments.

It’s time for transparency and patient-level control. Patients are yearning for it, they expect it and medical systems are looking for ways to meet their expectations.  That’s why I decided to build a solution.

Designed by the frontline, navigatER was built to address our patient’s needs. Through a unique partnership with cliexa, navigatER harnesses the power of digital health to drive patient outcomes in real-time.

navigatER provides a backstage pass for patients accessing emergency health care services. Learn more about this exciting new solution:

cliexa.com/navigatER

The power of remote patient monitoring

There is limited data comparing remote post-discharge patient treatment to that of standard in-person care, but a new clinical trial has done exactly that.

This multicenter randomized control trial measured safety events, medication adjustment and left ventricular reverse remodeling outcomes.  The subjects were low-risk patients with acute myocardial infarction treated for 6 months after discharge by a centralized nurse practitioner–led telehealth program compared with standard in-person care by a cardiologist. There were no differences in achieved medication doses or indices of left ventricular remodeling.

This clinical trial set out to answer an important question for healthcare in a COVID and post-COVID landscape:

“Is remote post-discharge treatment of low-risk patients with acute myocardial infarction by a centralized nurse clinician team under physician supervision feasible and safe?”

The answer is: Absolutely. In fact, it’s both safe and effective.

What’s next?

Researchers now want to conduct a similar clinical trial with higher-risk patients, in an effort to further test the capabilities of remote intensive patient management and care. Read this impactful new study here:

Remote Postdischarge Treatment of Patients With Acute Myocardial Infarction via JAMA Cardiology

The future is here:

cliexa-PULSE Home Health Monitoring Platform co-developed by cliexa and American College of Cardiology

“Imagine the ability to effectively capture RPM in the cardiology’s major disease states – HTN, CHF, CAD, and AFib in an easy-to-use-tool without all the data overload: Enter cliexa!” Dr. Andrew M. Freeman, MD – Director of Clinical Cardiology and Operations Director Cardiovascular Prevention & Wellness at National Jewish Health

Through the ACC Innovation Program with our partners at the American College of Cardiology (ACC), we have developed one of our latest modules, cliexa-PULSE to digitally transform and ultimately optimize cardiovascular care and outcomes. cliexa-PULSE is a mobile application designed for patients to track their symptoms, medications, episodes, complications and daily activity to manage Atrial Fibrillation providing real-time data to their clinicians. The expansion of cliexa-PULSE in 2021 will provide treatment tracking tools for patients with Hypertension, Congestive Heart Failure and Coronary Artery Disease, as well as launching a population health module. cliexa-PULSE is the ideal mobile app for clinicians to fully leverage patient-reported data, improving treatment decision-making and the overall patient experience. Learn more about cliexa-PULSE HERE

 

Clinics and hospitals have substantially reduced in-person visits to reduce potential COVID-19 exposure, the result? Telehealth solutions have become near-essential and their adoption rapidly accelerated. When we look back at the last major digital transformation for the health industry: the adoption of Electronic Medical records (EMR), digitizing the medical field comes with the intention of proficiency, but this can result in growing pains. Digital integration was implemented with the intention of reducing time and overhead connected to administrative duties and paperwork, but that shift has also resulted in one of the leading causes of physician burnout.

“As the flow of data from virtual visits, remote monitoring devices, and wearables increases, we must be sure providers don’t shoulder the cognitive burden of swiveling among even more screens and data feeds to manage patient care. It’s critical for data to be brought together on a unifying platform, where providers and staff have a “single pane” view of the patient journey. Artificial intelligence, machine learning, and voice technologies play crucial roles in reducing documentation burden by quickly filtering and surfacing the most useful and relevant data for understanding the patient story and delivering the right care.” –Ashwini Zenooz, MD

Virtual healthcare platform solutions are here to stay, but the way data is managed in these processes creates different clinical efficiency impacts. Integrating patient-reported data into actionable insights requires more than a simple digital intake platform. cliexa has created tailored workflow solutions focused on quality reporting and billing data that seamlessly integrate into EMR systems.

Over a third of medical practitioners report burnout symptoms and more than half are due to the global health crisis. Finding the right virtual health platform is harder than ever and finding one that makes life easier on patients and physicians alike is essential. This is why cliexa builds end-to end systems that improve quality of care and reduces burden on physicians. Learn more:

https://hbr.org/2020/11/telehealth-is-working-for-patients-but-what-about-doctors