The XCC system provides an innovative foundational platform for helping communities scale efforts to address the Social Determinants of Health and Adverse Childhood Experiences (ACEs) that impact health and well-being. While other systems are available to document an individual/family’s SDoH needs, ACE scores, and community environment – these systems fall short in offering a comprehensive solution that supports coordinated actions at the community and personal level to “move the needle” on improving life outcomes. The XCC solution is a comprehensive action-oriented system that can be used to generate and manage next-step actions on both the community level and the personal level. The system includes a two community resource directory that can link to existing directories. The system is fully HIPAA and 42CFR compliant (privacy and security regulations). •

eTransX offers proven software applications for the healthcare industry in the areas of: data integration (health information exchange), social determinants of health care community coordination, opioid/substance use disorder care coordination, COVID 19 community response and recovery coordination, and software for managing the Medicare Chronic Care Management program. For over 20 years, eTransX is a software and services company providing comprehensive application integration solutions that are helping to simplify the exchange of electronic data. Many of the healthcare industry’s leading laboratories, hospitals, opioid/substance use disorder treatment and recovery organizations, and software vendors rely on eTransX to support their care coordination and data integration efforts.

HQP's unique system of Advanced Preventive Care (APC) uses community-based nurse care managers ("Preventionists") to better control chronic conditions, avoid complications, and improve the quality of life. APC is a unique system of care for older adults with chronic conditions to identify and mitigate as many risks to health as possible, especially focusing on risks that are important, but not as readily recognized or addressed by our existing health system. When reliably delivered and replicated to appropriately selected populations it saves lives and reduces overall health care costs significantly.

Health Quality Partners (HQP) is a 501(c)(3) non-profit R&D organization committed to designing, testing, and disseminating more effective systems of care for vulnerable patients. HQP's unique design and system thinking approach has proven to reduce suffering, improve health outcomes, and can lower the overall cost of health care. This has already been convincingly demonstrated among higher risk chronically ill older adults. As tested within the Medicare Coordinated Care Demonstration and with Aetna, HQP’s model of Community-based Advanced Preventive Care, significantly reduced hospitalizations, deaths, and total Part A & B Medicare expenditures.

eTransX is a driven and diverse team of innovators, experts, and problem-solvers that have been finding innovative solutions to complex problems since 1999. Our goal is to continually find and implement creative technology solutions to provide better care, improving health and wellbeing outcomes for individuals and communities.

eTransX’s flagship system for community well-being is the Wellbeing Care Community system (WCC) designed to help communities thrive, prosper, and flourish. The WCC system is a shared community prosperity empowerment platform will allow a community to more effectively engage with families, family support networks, volunteers and peers, community stakeholders, and community based organizations that provide key services for promoting prospering, flourishing, and thriving. This platform is used to collect and share real time data that can inform the effort and support the generation of actionable intelligence for decision making. The system is also used to make and manage service requests and referrals – and in the process – close the loop on those requests and referrals. The system serves as a community command center where “the right hand knows what the left hand is doing.” Such a system can also be used to connect with existing systems to share data – to minimize the need to enter data multiple times and reduce errors in data entry.

The most studied and evidence-based preventive care model for complex, chronically ill older adults. Proven in a ~13 year large-scale randomized clinical study in the Medicare Care Coordination Demonstration. Demonstrated mortality benefits (reduction of 22% at 5 years, lower hospital and emergency utilization, and cost savings ($563 PMPM* net of program costs adjusted for 2019 USD).

The most studied and evidence-based preventive care model for complex, chronically ill older adults.