Mobile Health Applications - Value Based Care

In today’s healthcare system, there is a focus on creating a value-based care system to foster a standard of effectiveness, and efficiency when it comes to patient health outcomes, and reduced costs. Through this model, healthcare providers are incentivized to deliver high quality care and this value is derived from measuring health outcomes over time. There is significant pressure that many providers face to be able to quantify their patient’s health outcomes in order to show they are in fact delivering “value-based care.” A value-based model creates a need for a fruitful cross-communication system that extends to patients, providers, payers, and all involved in the healthcare system in order to quantify and qualify health measures.

In a effort to utilize patient-reported health status to improve care, cliexa is collaborating with the American College of Cardiology to develop technical modules targeting cardiology-specific diseases using remote patient monitoring. The first module, cliexa-PULSE, has been developed is for Atrial Fibrillation and includes patient-reported symptom tracking, medication reconciliation functions, connections to wearable data and claims data connection. This information will fulfill reporting needs for patients through visual tracking graphics in the application and to physicians in a summarized, customized manner. Moving forward we are looking to commercialize this product through the ACC’s 2,500 members and beyond.

Improved communication and reduced costs can be achieved by improving patient engagement, streamlining clinical workflow, and implementing a customizable technology that will automate clinical processes, analyze and simplify patient data, which can lead to improved care and health outcomes. By the incorporation of patients’ health status and value via patient-reported outcomes (PROs), providers can monitor the quality of health care delivery.

PROs can be used as absolute terms, or as a change from a previous result as well as a measurement in clinical trials. Physicians can better determine baseline status, clinical trial endpoints, monitor therapy effectiveness, assess change in stats and prognosis predictor, while the patient experiences positive impacts on daily activities, emotional wellbeing, psychological health, and social function. In addition, PROs can aid clinics to improve patient outcomes, quality of life and satisfaction by using the PROs to better inform their care. PROs prioritize the important details in a clinical encounter and aid a better understanding of the motivation behind patient behavioral change. With this information, the clinic can analyze the evidence, design clinical trials and change their practice and policy. In addition, PROs can aid clinics to improve patient outcomes, quality of life and satisfaction by using the data to better inform their care. PROs prioritize the important details in a clinical encounter and aid a better understanding of the motivation behind patient behavioral change. With this information, the clinic can analyze the evidence, design clinical trials and change their practice and policy.

Patient-centered data collection outside of a traditional clinical is the next frontier of modern healthcare. By digitizing and automating PROs, both patients and physicians benefit financially and through effective time management. PROs tackle the challenge of long surveys, care integration, multimorbid patients, and improving the relationship between patient and provider. Clinicians need instruments (surveys) to capture patient-reported measures of symptom status, functional status and health-related quality of life. PROs help quantify the disease from patients’ perspectives, makes disease- specific measures more sensitive and relevant, help meet all the requirements of performance measures and can improve the process of delivering clinical care while bringing the patients’ voices into care. Physicians have found that PROs, in the right setting with the right workflow, are a helpful mechanism for shared decision making and help tackle the treatment goals of patient survival, free of hospitalization, and increased quality of life.

Read more from ACC: //www.acc.org/latest-in-cardiology/articles/2019/04/14/12/42/innovation-at-acc-collaboration-using-patient-reported-health-status-to-improve-care

AHRQ Phase 2 Winners' Spotlight

“cliexa’s vision is to be the state-of-the-art patient-reported outcomes and remote patient monitoring platform for comorbidities and real-time data provider for future medicine by increasing patient-provider engagement and compliance,” said Mehmet Kazgan, Founder & CEO of cliexa.

On March 5, 2019, the Agency for Healthcare Research and Quality (AHRQ) announced three winners from Phase 2 of the AHRQ Step Up App Challenge, a competition that was designed to address the need for patient-reported outcomes (PRO) data into clinical care. Out of 10 semifinalists, and over 50+ applicants, cliexa® was selected as the 3rd place winner, and will receive $25,000 in prize money.

cliexa is a HIPAA-compliant cross-communication platform that improves the quality of care, clinical workflow, income generation, and time spent with patients. Patients will play a more significant role in their care with cliexa and will be able to make valuable correlations to causative factors for pain flare-ups through remotely reported outcomes. The discrete clinical data and patient-reported outcomes enable providers to improve clinical decision making while reducing liability and billing concerns with payors. These algorithms help providers respond more efficiently to new data so their patients will have fewer complications or side effects. Payors will be provided with longitudinal data to understand the necessary treatment decisions and patient status better. This will lead to improved communication and greater efficiency in the billing process while expanding the understanding of clinical methods that support patient well-being for future coverage improvements.

cliexa-EASE is a native application developed for Phase II of the AHRQ Step Up App Challenge, designed to track physical function, pain interference and depression using PROMIS measures. The application also has a patient reporting function where the patient can see the recorded scores over time and email this to other care team members, as well as a medication and complication tracking functionality. The application was tested for functionality on 6 patients at an integrated pain center, New Health Services, in Denver, Colorado. The application helps clinics fully leveraging PRO data to integrate validated clinical assessments to patient intake and remote-monitoring processes while collecting clinical metrics and compliance data for quality reporting. The discrete clinical data and PRO data enable providers to improve clinical decision making while reducing liability and billing concerns.

cliexa-EASE White Paper (FB)

We want to thank the Agency for Healthcare Research and Quality for rewarding us this opportunity. It has been a pleasure working with the folks who have dedicated their time and resources to ensure a smooth operation. Congratulations to all other companies who participated in the Step Up App Challenge. We believe programs of this nature foster an environment for technological innovation and provide a great path for advancing the healthcare industry.

In 2018, cliexa was selected as one of Jumpstart Foundry’s portfolio companies. Jumpstart recognizes the value of recent healthcare industry trends including “Remote Patient Monitoring” and “Telehealth.” In their recent article, JSF featured cliexa in their discussion of these recent technological trends in healthcare.

One of the key challenges in healthcare that we are solving is being able to render results interpretable to patients and providers, while creating efficient, streamlined communication and workflow. cliexa’s Remote Monitoring platforms assist providers in making more informed decisions about treatment plans and enable them to respond more quickly to new data so their patients will have fewer complications or side effects. cliexa suite of products enables providers to deliver value-based care which translates to significant cost savings.

With clinically validated scoring models, our platform provides clinicians multiple reference points with correlations to identify the accuracy of patient reported data which will result in better patient and clinician experience and enables more responsive and preventive treatments.

Patients will play a greater role in their care with cliexa and will be able to make valuable correlations to causative factors for pain flare-ups through remotely reported outcomes. The discrete clinical data and patient-reported outcomes enable providers to improve clinical decision making, while reducing liability and billing concerns with payors. These algorithms help providers respond more efficiently to new data so their patients will have fewer complications or side effects.

Click here to learn more about cliexa’s Digital Solutions for Healthcare.

cliexa is a finalist for the Health Tech Venture Challenge

cliexa makes the finals of the Health Tech Venture Challenge, thanks to Advocate Aurora Health and MATTER.

On November 28, Advocate Aurora Health and MATTER announced the finalists for the Health Tech Venture Challenge. cliexa was selected as one of the five finalists who will have the opportunity to pitch their healthcare technology solutions to leaders and executives from Advocate Aurora Health at MATTER in Chicago on Tuesday, December 11, 2018.

The main goal of this challenge was “how might we transform the primary care experience?” cliexa submitted an application in November to highlight how our solutions can be applied in a primary care setting to transform and improve the patient and provider experience.

The cliexa platform enables physicians and hospitals to fully leverage patient-reported data to improve clinical care and outcomes while maximizing reimbursement. Healthcare providers can seamlessly leverage clinically validated scoring and assessment models and incorporate patient-reported data into EMR systems.

We are very much looking forward to the event. More updates to come following the finals in December.

Here is the link to the announcement: //matter.health/posts/health-tech-venture-challenge-finalists-to-pitch-their-solutions-to-advocate-aurora-health-leaders/

 

Last week, over 12,000 public health professionals flocked to San Diego for the 75-degree weather, ocean views, and the most significant public health conference in the U.S, the American Public Health Association’s Annual Meeting and Expo. Two large buildings downtown were dedicated to housing deep dive conversations about, among other things, tobacco use, obesity, women’s health, racial inequity in health and the most cutting-edge research in the field. In reflection, I had three takeaways from the conference about the role and use of digital health in public health.

#1. Health technology and its benefits are not largely understood in its application to the public health community.

Many times, throughout the conference I found myself reiterating the value of a health platform for clinical, research or evaluation processes. Many people I spoke to had a genuine interest but weren’t sure how technology could optimize their work. In reality, many public health programs and projects are researched and evaluated using patient-reported data. Imagine digitizing that process so patients can participate through an application on their phone; imagine the impact that would have on response rates and loss-to-follow-up. Imagine the benefits of pushing routine surveys to patient’s phone instead of having to call to do scheduled evaluations. Not to mention the equitable distribution of programs and interventions across diverse populations, rural populations and those who have transportation barriers that technology can help address. In public health we operate in a world of outcomes, without being able to show outcomes we don’t see funding renewals, patient participation fades away, and programs fail. Health technology provides a way for researchers and evaluators to track outcomes in real time.

#2. UX/UI can be a major make-or-break when looking at making a tool that applies to diverse or vulnerable populations.

My first event was a meeting in a small room with other health technology professionals discussing the process that they’ve undergone to get health technology recognized as a section at APHA. In this room, we considered the impacts on research, evaluation, follow up, data visualization and overall patient experience. One of the most impactful conversations that I had was with a social worker who embraced technology as a tool for diverse or vulnerable populations. She emphasized how user interface and user experience can shape program success in diverse and vulnerable populations. She encouraged me to reach out to individuals who interact directly with the specific population when designing products to be used in public health settings. Only if the patient or client is engaged with the tool, can we see the successes or obtain accurate information for physicians, for researchers, or health program evaluators. A crucial point when considering Take Away #1, and the importance of highlighting tangible outcomes over time.

#3. There is “data overload” in public health.

This conference had some of the country’s top experts in health, with rows of poster projects, all with their own calculated data sets backing the findings that they were at APHA to present. Some will likely be published while others will remain in the researcher’s computer with little other exposure. I spoke to individuals who were collecting health data, payor data, and policy data, and all were positioning their data sets in different areas independent of each other despite their overwhelming connectivity. With the rate that new studies are conducted, data changes so quickly so even systematic reviews and meta-analyses become outdated far too quickly. There is an opportunity to leverage technology to collect a real-time outcomes database to ensure the hard work that researchers do to make correlations and identify patterns is not lost in the data black hole. Entities such as the CDC, NIH and WHO do an excellent job of collecting and displaying related data sets for public use, however the time that it takes to gather data often puts the data sets months to years behind the times. There is a significant opportunity for technology to lend to this real-time collection process.

Overall, the themes of APHA for me centered around how much opportunity there is to impact the way public health programs are research, delivered and evaluated through the use of digital health. These conversations were inspiring and exciting but also demonstrated how much we still have to do to fully optimize the work that we do in the public health field.