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how is remote patient monitoring changing the game

Remote patient monitoring is a game changer during the COVID-19 outbreak.

Many questions have been brought up regarding the status of our current healthcare system. How can I get in touch with my physician? How are healthcare clinics handling social distancing and quarantine? Are they still able to meet with me? Do I have any symptoms of Coronavirus? How do I know whether I need to go to a hospital for testing?

Over the last few weeks, our healthcare environment has turned upside down by the emergence of Coronavirus in the United States. Serving patients during this time presents new challenges and has established a “new normal” for clinical workflows.

What exactly is Remote Patient Monitoring (RPM)?

Imagine you are experiencing some symptoms that you’d like your clinician to know about. Maybe you have some preexisting healthcare conditions that make you concerned. Remote patient monitoring allows your clinician to monitor your symptoms and reach out with any changes you should make to your current treatment plan. Most RPM platforms are online or through a mobile application that allow for secure communication with your healthcare provider from the comfort of your home.

cliexa utilizes Remote Patient Monitoring to improve patient care. The platform provides clinically validated assessments with automated disease activity scores, allowing clinicians to tap into wearable devices for real-time data. These wearables provide actionable data that otherwise could go undetected through general patient reported outcomes. This way of closely monitoring patients can lead to an improved patient satisfaction with overall care.

How can Remote Patient Monitoring help during the COVID-19 outbreak?

Remote patient monitoring with cliexa is changing the game in healthcare. Recently, many digital health companies have been working towards telehealth solutions for clinics. With cliexa’s remote patient monitoring, patients do not need to be physically present to onboard. Instead, they can receive care and information from a clinician with a fully remote platform. cliexa addresses the needs of each clinic’s specific Coronavirus response. cliexa enables remote check-in, customized clinical intake, secure transfer of medical history records, and remote patient monitoring. All of these functionalities in the platform seamlessly integrate into the existing EMR system. These functions allow patients to conduct all necessary actions from home on their mobile phones prior to telehealth or in-person visits.

Providers can leverage these services, along with cliexa’s COVID-19 screening, to triage patients with chronic conditions based on their risk level. The cliexa COVID-19 screening capabilities follow the CDC’s guidelines to assess risk factors for patients, including preexisting medical conditions. cliexa allows clinicians to utilize virtual health functionalities including remote monitoring and telemedicine visits.

How does Remote Patient Monitoring differ from Telehealth?

Telehealth allows for physicians to meet with their patients virtually – through video or audio communications. However, telehealth requires that patients have previously gone through an onboarding process with their specific clinic or physician. Many telehealth services still require patients to visit their healthcare provider’s office in-person for onboarding. During this initial office visit, the patient fills out onboarding documentation including waivers and past medical history documents. After all patient information is entered into the clinic’s EMR, only then can the patient enroll in telehealth functionalities.

This is where cliexa’s remote patient monitoring platform differs. Our platform eliminates this step completely. Clinics fully digitize the onboarding process and customize it to their specific clinic needs with cliexa. With remote check-in and customized clinical intake features, patients can enroll with a clinic of their choice and start using telehealth services safely from home. This eliminates the need for an initial in-person visit with a healthcare provider, reducing COVID-19 exposure in hospitals and clinics.

How can I learn more?

During this chaotic time, it’s important to stay informed with what’s happening in our current healthcare system. Using remote patient monitoring in healthcare today is outlined in online articles released almost daily. Participate in webinars to learn more about what digital healthcare companies are doing to help – and review materials like this on your own.

cliexa is determined to do all we can to help healthcare providers overcome challenges and promote better care for patients. To support our healthcare partners through this pandemic, we are waiving all implementation fees until further notice. COVID-19 has distanced us, but with the right tools the show can and must go on.

For more information, check out our brief explainer video or schedule a demo of the cliexa platform with our team here.

Featured image for patient-reported outcomes and AI in Pain Management

Integrated pain management is a specialty that has grown in recent years. Patient-reported outcomes and AI in pain management can provide insights to improve treatment plans. During each visit to a clinician, patients complete assessments to inform their provider about their current conditions. Each of these assessments creates a profile for the patient about their current and ongoing symptoms. Each of these patient-reported outcomes is extremely useful in tracking the success of a treatment plan. Recently, artificial intelligence (AI) has become an integral factor in learning more about these outcomes. AI can be trained to learn how different factors in a patient’s treatment plan affect their outcomes.

With pain management, it is essential to assess each patient’s pain symptoms frequently. By digitally recording responses to patient assessments, these patient-reported outcomes can be tracked more efficiently. To provide more effective treatment plans, pain management providers are using patient-reported outcomes and AI more often.

How does AI in healthcare work?

AI starts with compiling lots of data. In pain management, each time a patient visits their physician, they fill out assessments about their current symptoms and pain levels since their last visit. The provider then takes the information, compiles it, and compares it to each patient’s recent medication and lifestyle changes. In addition to this, the patient may utilize physical therapy or behavioral health resources in their treatment plan. All of these factors come into play when a provider makes decisions about the patient’s ongoing treatment will be. What has worked for them in the past? Are they improving? What else can they try?

This is where AI comes into play. AI and machine learning can take all of these factors and learn what can be an effective treatment plan for each patient. By compiling this data, AI can infer from previous assessments what is more or less likely to work for that patient based on their historical data.

AI recognizes patterns in treatment plans as data becomes available. Using this information can make a well-defined course of action for the healthcare provider. By utilizing these patient-reported outcomes and AI in pain management settings, treatment plans become more successful in pain patients.

Why is Pain Management a focus for AI?

Many different healthcare specialties can use AI with patient-reported outcomes. However, pain management tends to include a myriad of external factors for each patient. Pain management can include patients with medication dependencies, behavioral health diagnoses, and chronic diseases. Because of these factors, it is difficult to accurately weigh each one as a patient treatment plan is formed.

Because the opioid epidemic is a continuing concern for healthcare providers, AI has come into play more heavily. Digital healthcare has become a key player in combating the opioid crisis with remote patient monitoring and risk assessments. Correct dosing for opioid prescriptions is a fine line between addiction and chronic pain in patients. This is why AI has become prevalent in managing opioid use in hospital settings in recent years.

It’s also important to note that pain management is a very iterative an ongoing treatment process, and can differ greatly between patients. For this reason, collecting patient-reported outcomes to derive treatment options has proven to be successful in recent years.

How can I get started using AI in my practice?

cliexa’s pain management platform (cliexa-Ease) incorporates patient assessments and utilizes them to create a comprehensive risk score for each patient. The Symptom Severity Score (FIBR), Dallas Pain Questionnaire (DPS), Medical Outcomes Survey (MOS Core, SF-36), and Pain Disability Index (PDI) are all incorporated into the platform.

As a provider, you can create a risk matrix based on your treatment preferences and utilize this digital tool to streamline patient assessments and risk. Determining risk of a patient is the cornerstone to their treatment plan. Risk assessments assist the healthcare provider to make decisions based on many different factors that can affect a patient’s overall risk. Also, by tracking medication adherence and compliance with each patient will allow providers to better track their symptoms over time. All of these features are included in the cliexa-Ease platform and can help you to better track patient outcomes using remote monitoring and integrated risk assessments.

Learn more about cliexa’s digital platforms.

 

cliexa is now available in the athenaHealth Marketplace

Today, cliexa Inc., a thriving producer of mobile health care management services, revealed a partnership with athenahealth, Inc.® through athenahealth’s “More Disruption Please” (MDP) Marketplace program. As an MDP partner, our cross-communication platform developed for chronic pain patients and providers, cliexa-EASE, is now immediately available to athenahealth’s network of 100,000+ providers and countless prospective clients. EASE enables patients and clinicians to make intelligent correlations between medication dosage, frequency and heightened or reduced symptoms by leveraging an application that functions as a pain assessment model for chronic pain management with seamless scalable EMR integration via API and global HL7 connectivity.

cliexa provides the ideal pain management application to leverage patient-reported outcomes to improve treatment decisions and patient experience, while also maximizing compliance and reimbursement. cliexa-EASE is designed for chronic pain management, podiatry, and general patient wellness. cliexa-EASE allows providers to gather digitized intake data and customize assessments to correlate data that best adheres to their patient population.

In order to provide physicians with high accuracy metrics, cliexa-EASE uses patient reporting methods on visual body maps, and pain expression in voice, face, and body movements. This allows physicians to view the physical attributes of pain beyond self-reported descriptions which can often be difficult to translate into clinical diagnostics terms. Tracking these markers allows physicians to use patient-reported outcomes to treat the “whole patient.”  One of cliexa’s existing clients, Anderson Podiatry Center, is already seeing the benefits of using the cliexa platform with a custom digital patient intake and screening process, also digital consent forms, integrated to their athenahealth electronic medical record (EMR).

The athenahealth Marketplace partnership opens up a hyperconnected, national network of healthcare professionals providing chronic pain management. With this partnership, the two companies align to provide measurable financial and clinical results for providers. cliexa is a real-time data provider for future medicine and will continue to build on our vision to increase patient-provider engagement and compliance through mobile health solutions.

“We are excited to partner both with athenahealth and Anderson Podiatry Center to deploy cliexa platform into the marketplace as this is the first of many subspecialties we currently have in our portfolio. We are looking forward to implementing other subspecialty applications to the athenahealth marketplace which will strengthen our partnership in healthcare space,” says Mehmet Kazgan, Founder and CEO of cliexa.

Eric Seyler, CEO of Anderson Podiatry Center, says, “The transition to a digital patient intake has given us more opportunities to help our patients than we had envisioned. Our patients have spent less time in the waiting room with more time delegated to their doctor’s visit. The integration is done in real-time which supports our goal to be more efficient with clinic resources while helping to provide the best possible patient experience.”

cliexa enables patients to track their chronic disease activity by quantifying symptoms using scientifically-proven and clinically-validated scoring models. cliexa delivers quantified disease activity and documentation through real-time integration to athenahealth electronic medical record, which streamlines processes and increases efficiency in population health management.

View our listing here: //marketplace.athenahealth.com/product/cliexa

Image of the "Best Rheumatoid Arthritis Apps 2019" from Healthline Media
Image of the "Best Rheumatoid Arthritis Apps 2019" from Healthline Media

In a late May article by Healthline, cliexa-RA was named one of the “Best Rheumatoid Arthritis Apps of 2019.” For the second straight year, cliexa-RA has been nominated for this selection, receiving a perfect five stars on the iOS App Store and the highest average score among all apps named. With the extensive features, assessments, accuracy, and patient-physician efficiency included with the application, it is one of the most thorough rheumatoid arthritis apps on the market.

cliexa-RA is a specially designed app for tracking patient progress, medication adherence, and complications from the patient’s smartphone. It includes several medically validated and custom assessments for keeping tabs on patients and providing physicians with accurate and up-to-date information. The app can also use a patient’s medical history and statistical data to more clearly assess patients\’ rheumatoid arthritis progress and therefore help physicians accurately provide treatment plans. The outpatient data helps create efficiency of communication between patient and physician, cutting down on time spent at the clinic and providing more accurate care solutions.

cliexa’s platform implements effective Remote Patient Monitoring to optimize clinical workflow, medical billing compliance, and reimbursements. Accurate outpatient data is essential to the cliexa platform, with cliexa-RA being recognized for its capability to utilize Remote Patient Monitoring effectively.

Read More: The Best Rheumatoid Arthritis Apps of 2019

Previous: The Best Rheumatoid Arthritis Apps of 2018

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