Dr. Dhaliwal, who recently joined cliexa’s executive management team will be leading strategic growth at cliexa. Dr. Dhaliwal, is a physician entrepreneur, has been serving as CEO of Momentum Healthcare Staffing, board member of two VC funds and other healthcare startups. Dr. Dhaliwal also served as the Associate Medical Director of Prognos Health. With his innovative approach and passion in healthcare technology, Dr. Dhaliwal as a practicing physician is highly optimistic about putting a dent on today’s healthcare challenges by partnering with cliexa.

 

“As a physician and executive, I am excited to be a member of cliexa family. cliexa is truly an innovative solution to not only increase clinical efficiency but also to improve reimbursement within institutions. It will be a great journey to work with cliexa staff and advisors to grow this one stop shop solution, providing a complete platform for patient journey.” said Dr. Dhaliwal.

 

cliexa since the inception in late 2016, expanded its solutions offering, intelligent patient triage and onboarding, integrated EMR solutions, quality and compliance add-ons and remote patient monitoring. In June 2021, cliexa and American College of Cardiology announced the launch of cliexa-PULSE, device and EMR agnostic patient engagement and remote patient monitoring platform that leverages patient-centered data with multiple co-morbidities. cliexa uses patented clinical data processing algorithms (USPTO Patent# 10628555: evidence-based data collection, processing and indexing algorithms) and now leveraging American College of Cardiology’s proprietary risk algorithms for cardiovascular conditions.

 

“With Dr. Dhaliwal’s leadership in growth strategy, combined with Dr. Kowalcyzk’s clinical and business guidance, cliexa will be taking a big step in onboarding new customers and expanding its footprint with current health system contracts” said Mehmet Kazgan, Founder and CEO of cliexa.

 

 

 

 

University of Colorado College of Nursing Partners with cliexa to Launch a Mobile Application with Evidence-based Infographics

HIV disproportionately affects Latinos who experience higher prevalence, faster disease progression, more HIV-related deaths, and a marked delay in diagnosis and treatment than their white counterparts. This is a concern in geographic regions across the United States (US) as Latinos comprise the largest minority group in the US. Similar HIV-related health disparities exist in developing countries, such as the Dominican Republic (DR), where those with low socioeconomic status experience higher disease burdens and worse outcomes than those with higher socioeconomic status. These health disparities are exacerbated when affected individuals have low health literacy and are unable to understand the information needed for self-management, as inability to self-manage leads to less use of healthcare services and worse understanding of illness, health behaviors, and health outcomes.  Therefore, to improve health outcomes and reduce health disparities among Latino persons living with HIV (PLWH), clinicians must provide the health information needed for effective self-management to diverse Latino PLWH in a meaningful way.

In response to these concerns, Dr. Samantha Stonbraker, Assistant Professor at the University of Colorado College of Nursing, rigorously and iteratively developed the Info Viz for Health intervention to assist clinicians to provide this health information to PLWH through several NIH-funded studies. She first identified a need for this intervention (T32 NR013454).1-3 Then, she worked with an expert visualization team at Columbia University in New York and with health care providers and PLWH at a clinic in the Dominican Republic to develop a set of culturally relevant and evidence-based infographics to assist clinical communication (T32 NR007969).4, 5 She has since assessed the feasibility of using the Info Viz for Health intervention to improve clinical communication with, and outcomes of, PLWH in the DR.6, 7 She also adapted infographics to the cultural and clinical context of Latino PLWH living in New York (NY), who are mainly of Dominican origin/descent and also assessed their feasibility and acceptability at a clinic specializing in HIV care in Northern Manhattan (K99 NR017829).

Two critical next steps in this work were:

  • To adapt Info Viz for Health for relevance to heterogeneous Latino populations across the US by adapting them to Latinos of Mexican origin/descent as these individuals form the largest Latino group in the US and their inclusion is necessary to enhance generalizability and enable future scalability of the intervention. To do this, Dr. Stonbraker conducted a series of in-depth interviews with PLWH attending a clinic that specializes in HIV care in Denver, CO, and adapted the infographics accordingly.
  • To integrate the Info Viz for Health infographics into a mobile platform to enable ease of use and scalability. Dr. Stonbraker teamed up with cliexa, an innovative company that develops and creates digital health solutions. Together, they incorporated the Info Viz for Health into a mobile app that is now accessible on the App Stores both in Apple and Google in English and Spanish languages.

Currently, Dr. Stonbraker is conducting a multi-site randomized controlled trial (RCT) to evaluate the efficacy of using the Info Viz for Health app to improve clinical communication and treatment outcomes of Latino PLWH at clinical sites in CO and the DR. Seven providers at the two different clinical sites are using the Info Viz for Health app as a communication aid while they provide information to study participants.

The research aims of this project are to:

Aim 1 Assess the efficacy of the intervention as compared to standard care in improving treatment outcomes (CD4 count, viral load, self-efficacy to manage HIV, among others) of PLWH and determine how resultant effects vary over time (baseline to 9-months) and between sites.

Aim 2 Evaluate the feasibility, acceptability, and usability of the app among interdisciplinary and multi-cultural providers using the app.

Aim 3 Identify implementation factors of integrating the mobile app into electronic health records (HER) through in-depth interviews and leverage findings to ensure the app effectively interfaces with EHRs in the US and DR.

Next steps:

  • Health care providers at all sites where infographics have been used have requested additional infographics be incorporated into the app so that they can address additional topics with their patients. Dr. Stonbraker will conduct a needs assessment to identify the pertinent topics to include next and will create rigorously designed and culturally appropriate infographics in response to identified needs.
  • The Info Viz for Health app is provider-facing and would benefit from integration with EHRs. Therefore, the next step in app development is to integrate it with Fast Healthcare Interoperability Resources (FHIR)®, which is the standard for connecting mobile apps and electronic health records (EHR). This permits scalability, as the resultant app enables clinicians to easily access evidence-based infographics from diverse settings globally.

The final product will be an app that interfaces with EHRs in resourced and under-resourced areas globally, has been rigorously tested amongst diverse Latino PLWH in distinct geographic settings in multiple languages, and includes evidence-based infographics to facilitate the clinical communication that helps patients improve their self-management and obtain better health.

References

 

  1. Stonbraker S, Smaldone A, Luft H, et al. Associations between health literacy, HIV-related knowledge, and information behavior among persons living with HIV in the Dominican Republic. Public Health Nurs. 2017;35(3):166-175. doi:10.1111/phn.12382
  2. Stonbraker S, Befus M, Lerebours Nadal L, Halpern M, Larson E. Factors associated with health information seeking, processing, and use among HIV positive adults in the Dominican Republic. AIDS Behav. 2016;21(6):1588–1600. doi:10.1007/s10461-016-1569-5
  3. Stonbraker S, Larson E. Health-information needs of HIV-positive adults in Latin America and the Caribbean: an integrative review of the literature. AIDS Care. 2016;28(10):1223-1229. doi:10.1080/09540121.2016.1173645
  4. Stonbraker S, Halpern M, Bakken S, Schnall R. Special Section on Visual Analytics in Healthcare: Developing infographics to facilitate HIV-related patient-provider communication in a limited-resource setting. Appl Clin Inform. 2019;10:597-609. doi:10.1055/s-0039-1694001
  5. Stonbraker S, Richards SD, Halpern M, Bakken S, Schnall R. Priority topics for health education to support HIV self-management in limited-resource settings. J Nurs Scholarsh. 2019;51(2):168-177. doi:10.1111/jnu.12448
  6. Stonbraker S, Flynn G, George M, et al. Feasibility and acceptability of using information visualizations to improve HIV-related communication in a limited-resource setting: A short report. AIDS Care. In Press;doi:10.1080/09540121.2021.1883517
  7. Stonbraker S, Liu J, Sanabria G, et al. Clinician Use of HIV-Related Infographics During Clinic Visits in the Dominican Republic is Associated with Lower Viral Load and Other Improvements in Health Outcomes. AIDS Behav. In Press:1-13. doi:10.1007/s10461-021-03331-8

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.

cliexa, Integrated Virtual Care Solutions, Announces the Appointment of Robin Linker, CHC, CHCA, CPC-I, CCS-P, COC, MCS-P as an Advisory Board Member.

Robin is a leading expert in health care coding, auditing, education, and documentation nationwide. She is currently the Executive Director of Operations for the Association of Health Care Auditors and Educators and CEO of Robin Linker & Associates, a nationally known healthcare consulting firm in Colorado.

With over 30 years in healthcare, Robin provides consulting, auditing, research, and education in most areas of practice management, compliance and correct coding for teaching institutions and other large facilities to small group or single physician practices. She is credentialed through AHIMA and AAPC in both physician and facility coding, is dually certified in medical compliance, including the Health Care Compliance Association (HCCA); and is a licensed instructor for AAPC and AHCAE. Robin is an author and trainer for the American Medical Association (AMA), and is triple certified in professional (physician), surgical, and risk auditing.

 

“I was thrilled to see the cliexa platform in action and couldn’t wait to tell my clients. Finally, an innovative solution to help our physicians digitally navigate real-time, while allowing patient participation for a scientifically evident, collaborative care approach. What could be better? Coupling patient care first while meeting highly regulated healthcare rules, cliexa has the capability to assist physicians in meeting both coding and documentation standards for a compliant medical record. This promotes accurate charge capture and reimbursement, while reducing risk of audit failure. I am honored to be a part of the cliexa Advisory Board and remain amazed at the continuous advancement of the solution based, cliexa platforms.” –Robin Linker

 

Robin will be providing excessive guidance on quality and compliance for cliexa’s core integrated care solutions that will adapt to multiple subspecialties as it will scale the platform to larger health systems.

 

“The Cliexa team is excited with the addition of Robin to our Advisory Board.  Robin’s broad experience in billing, coding, compliance and practice operations enhance our strong team with a wealth of experience, knowledge and insights.  Digital health is reframing the backend of healthcare, and cliexa is proactively amplifying our internal bench-strength to keep us on the leading edge of this transformation”.  –Dr. Gerald Maccioli, cliexa Advisory Board Chair