Digital Chronic Disease Management solutions encompass integrated technological platforms and interventions designed to help healthcare organizations systematically monitor, treat, and support patients with long-term conditions such as diabetes, heart disease, and COPD. These solutions typically combine remote patient monitoring, data analytics, patient engagement tools, and care coordination features to enable proactive, continuous care management outside traditional clinical settings.

Digital transformation essentials — Chronic disease management

Healthcare supply chain management (SCM) solutions represent specialized digital platforms that optimize the flow of medical supplies, equipment, and pharmaceuticals throughout health systems. These solutions integrate inventory management, procurement, logistics, and analytics to create more efficient and reliable supply chains.

Digital transformation essentials — Supply chain management

In this Voices of the AVIA Network interview, Neil Salem, CEO and founder of NESA, and Susan Guttmann, Chief Nursing Officer, discuss their innovative virtual care platform with Sonia Singh.

The Evolving Future of Virtual Care: NESA's Solutions for Nurse Staffing and Bedside Efficiency

Non-Emergency Medical Transportation (NEMT) solutions help healthcare organizations optimize patient access to medical care when transportation is a barrier. These solutions can streamline transportation logistics and reduce missed appointments by identifying transportation needs earlier and coordinating reliable rides more effectively.



Digital transformation essentials —  Non-emergency medical transportation

Web and mobile solutions provides on-demand access to interactive tools such as e-learning programs, self-management and wellness apps, and online psychological interventions using synchronous video/voice or asynchronous text communication. Benefits to patients include greater engagement in their care, earlier detection of problems, more timely adjustment of treatment, and shared decision-making.

Chronic Disease Management

Electronic health record systems specifically designed for behavioral health providers and settings.

EHR Platforms for Behavioral Health

Services that facilitate communication and collaboration among mental health providers to ensure comprehensive and coordinated care.

Mental Health Care Coordination

Programs that utilize digital tools and services to manage and treat behavioral health conditions.

Behavioral Health Management Programs

These assessments, which can be administered by clinicians or through patient self-screening, identify patients with an unmet behavioral health need, assign early estimates of acuity, and prompt triage to appropriate services. Ongoing universal screenings track changes in behavioral health status and efficacy of treatments over time, as well as accurately depicts patient population trends.

Screening for Behavioral Health Needs

Integration has broad applicability across diverse populations, care settings, and geographies (i.e., urban, rural). BHI requires coordination of multiple elements across a healthcare delivery system, including infrastructure, communication platforms, and payment systems. Examples of BHI models with demonstrated success include the IMPACT care model, Collaborative Care Management Model (CoCM), and the Patient-Centered Medical Home (PCMH) model.
Maternal and Infant Health: Between 5% and 25% of pregnant and postpartum parents experience some type of depression. Integrating behavioral health with OB/GYN, and primary care services, either physically or through digital modalities, enables more efficient behavioral health care delivery and allows for timely consults and/or patient screening/triaging across the pregnancy continuum.

Behavioral Health Integration

Programs and tools that help patients manage their chronic conditions through monitoring, education, and support.

% of unnecessary ED utilization

# of patient reported outcomes

# of patients engaged in aftercare teaching

# of patients accessing behavioral health services

# of patients connected to community services

margin per patient

% of patients screened for behavioral health needs

total cost of care

access to care (3rd next available)

% of non emergent ED use

% of hospital readmission adjustments

% of patients with chronic diseases

% of HEDIS measure compliance for access to care

% of HEDIS measure compliance

HCAHPS composite score

total cost of care for chronic conditions

% of improved outcomes

# of patients compliant with care plan

behavioral health utilization costs

# of behavioral health admissions

# of patients enrolled in chronic disease programs

# of revisits within 30 days due to additional gaps in care

30 day readmission rate

% adherence to adult well care visits

getting needed care

# of referrals made

# of referrals kept

Access to Primary and Preventive Care(HEDIS)

% of non urgent ED visits

%  Inpatient admissions

% improvement in care of acute/chronic conditions

Reduction in all cause unplanned readmissions

Reduction in ambulatory sensitive composite score

getting appointments and care quickly

% of patients who complete PROs

patient engagement  

# of Behavioral Health Admissions Annually  

# of patient goals met

# of referrals for substance abuse

# of referrals for behavioral health

operating margin

# of avoidable readmissions

Best Chronic Disease Management Products

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