Best Coordinated Community Networks Products
Best Coordinated Community Networks Products
This category is a work in progress
Social determinants of health—the conditions in which people live, learn, work, play, and worship—are inextricably linked to an individual’s physical health. Emerging evidence suggests addressing health-related social needs can improve health outcomes and reduce cost. Unmet social needs, such as food or housing insecurity, may increase the risk of developing chronic conditions, reducing an individual’s ability to manage these conditions, which may lead to avoidable health care utilization.
Outside of the traditional role of the health system, the knowledge to appropriately match patients to services in the community is often locked in paper documents, outdated binders, and individuals’ minds. With systems increasingly bearing risk and losing money on treating uninsured, Medicaid, and increasingly, high-deductible populations, streamlining this process and identifying these gaps is an important piece of any strategic plan. Health systems are beginning to invest in partnerships and technologies to identify the right community partnerships and make the connections.
Coordinated Community Networks: Products
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Proprietary Machine Learning models through an API service to predict the temporal health status of patients living with chronic disease. Models are trained on a robust and generalizable data set, including EHR data, SDOH, and RPM data. For example, Myia can predict with 90% accuracy hospitalization risk for a polychronic population in the following risk bins: 1-14 days, 15-30 days, 31-90+ days. Our predictive services are crucial for smart triage, patient program eligibility, and cost effective scaling of virtual care and RPM. Our service can function with or without RPM data.
| EMRs supported | Epic, Cerner, Meditech +8 more |
| Solutions | Risk Stratification & Predictive Analytics Tools, Population Health Analytics |
| Keywords | None provided |
| Categories | Coordinated Community Networks, Risk Identification & Stratification, Health Equity +1 more |
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ADR empowers hospitals to immediately identify attacks that in-place IT systems frequently miss. Impacted devices exhibiting malicious activity are immediately identified and quarantined to prevent attack spread while allowing continued patient care. Forensic data is then made available in the Cynerio platform to allow investigation, remediation, and recovery measures to be carried out when the device is not in use.
| EMRs supported | Not applicable |
| Solutions | Risk Stratification & Predictive Analytics Tools |
| Keywords | iot, iomt, medical iot +5 more |
| Categories | Coordinated Community Networks, Risk Identification & Stratification |
VitalCare integrates vital signs, nutritional inputs, medication reminders and simple communication tools to interact with provider teams remotely.
Through virtual care and engagement, patients stay focused on their care plans and achieve better health outcomes.
Patients can utilize a VitalTech provided tablet or bring their own device, providing a sense of comfort to patients. The real-time connection between patients, their provider team, as well as their family and caregivers engages patients in their managing their health and wellness.
By providing provider teams with vital information, they are able to assist patients manage their health and intervene before an event happens, leading to
- improved patient outcomes,
- reductions in readmissions,
- reductions in ER visits, and
- reductions in length of stay.
| EMRs supported | Epic, Cerner, Athenahealth +5 more |
| Solutions | Social Determinants of Health (SDOH) Analytics, Asynchronous Virtual Visit Tools, Connected Platform - Remote Monitoring |
| Keywords | remote patient monitoring, virtual care, sdoh +28 more |
| Categories | Coordinated Community Networks, Remote Monitoring (RPM), Digital Front Door (DFD) +5 more |
Largest listing of community based organizations, culling massive sets of data and leveraging proprietary taxonomy for classification. Allows providers and consumers to search for and connect with community organizations.
| EMRs supported | None provided |
| Solutions | Community Resource Referrals |
| Keywords | None provided |
| Categories | Coordinated Community Networks, Caregiver Support, Diabetes Management +2 more |
Jvion helps healthcare systems and providers prevent harm and lower costs through its AI-enabled prescriptive analytics solution. An industry first, the Jvion Machine™ goes beyond simple predictive analytics and machine learning to identify patients on a trajectory to becoming high risk and for whom intervention will likely be successful. Jvion determines the interventions that will more effectively reduce risk and enable clinical action. And it accelerates time to value by leveraging established patient-level intelligence to drive engagement across hospitals, populations, and patients.
| EMRs supported | None provided |
| Solutions | Clinical Decision Support Systems, Social Determinants of Health (SDOH) Analytics |
| Keywords | None provided |
| Categories | Coordinated Community Networks, Health Equity, Clinical Decision Support Systems +3 more |
Product that allows various parties in a health system to screen and connect patients with the appropriate community-based organizations, closing the loop with those organizations on the background. Core product centered around the HealtheRX, which allows the results of a patient screen to curate a specific set of identified resources within that health system's network.
| EMRs supported | None provided |
| Solutions | Referral Management Software Solutions, Community Resource Referrals |
| Keywords | None provided |
| Categories | Coordinated Community Networks, Caregiver Support, Referral Management +4 more |
Users engage on our platform, track progress at our stations, online at higi.com and via mobile applications, engage in challenges and connect with their health community via higi’s omni-channel platform. For those with a stake in the health and wellbeing of their community, higi is a gateway, allowing our partners to:
• Engage with patients for better outcomes • Drive at-risk patients to the pharmacy • Find at-risk populations and become their partner in health • Use our marketing channels to promote products and programs
| EMRs supported | None provided |
| Solutions | Community-based Health Screening Stations, Social Determinants of Health (SDOH) Analytics, Wellness Evaluation Programs, Devices & Apps for Consumers |
| Keywords | None provided |
| Categories | Coordinated Community Networks, Personalized wellness, Home Health +2 more |
Healthcare organizations can address community health more broadly and effectively if they more deeply understand the real-world perspectives of community members. CommunityWisdom goes beyond traditional Community Health Needs Assessments (CHNAs) and standard approaches to market intelligence to provide clear lines-of-sight into what matters to the community. This is the key to developing or partnering with programs that make a difference.
| EMRs supported | None provided |
| Solutions | Community Resource Referrals, Social Determinants of Health (SDOH) Analytics |
| Keywords | None provided |
| Categories | Coordinated Community Networks, Caregiver Support, Diabetes Management +3 more |
A Health Equity Solution - AccendoWave Benchmarks Pain Data with Machine Learning Technology. We have the Largest Global Real-Time Database on Pain. AccendoWave's Digital Opioid Alternative does real time assessment of pain and nausea. AccendoWave is considered a clinically validated opioid alternative. AccendoWave technology has been proven to reduce pain in 83% of patients in a clinical setting.
| EMRs supported | Other |
| Solutions | Social Determinants of Health (SDOH) Analytics |
| Keywords | artificial intelligence, pain measurement, improve outcomes +3 more |
| Categories | Coordinated Community Networks, Health Equity, Social Determinants Analytics |
By Epic Systems Corporation
43 verified clients,
Caboodle comprises the data warehouse and analytics tools for storing and retrieving large swaths of clinical data useful in reporting for care decision-making, cost management, and predictive analytics. Additionally, Caboodle data warehouses can integrate data from non-Epic systems.
| EMRs supported | None provided |
| Solutions | Operational & Cost Analytics Tools, Risk Stratification & Predictive Analytics Tools |
| Keywords | None provided |
| Categories | Coordinated Community Networks, Risk Identification & Stratification, Command Centers |
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