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Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Awards
Differentiators
Keywords
Media
Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Awards
Differentiators
Keywords
Media
Company details
Spiras Care
Spiras Care

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Categories

Solutions

Description

Product Description:

Spiras Health is the premier next generation care management organization delivering nurse practitioner led in-home specialty care, utilizing predictive analytics and employing smart use of technology for members with advanced chronic conditions, specifically COPD and CHF made more complicated by co-morbidities and SDoH. The Spiras Health Solution combines monthly in-home services, telehealth, 2-way digital communications, and remote monitoring longitudinally. By treating patients with a whole-person approach through multiple modalities, developing clinician/patient relationships, and extending specialty services such as pulmonology, cardiology and palliative care into the home, Spiras Health is able to support adherence to treatment plan, coordinate care, communicate and collaborate with PCP/SCP and other care team members. The results are enhanced quality of life, improved patient/provider satisfaction, total cost of care reduction, and increased communication, coordination and collaboration among care team, patient, caregivers and community and referral back into a health system's ecosystem for continuity.

About Spiras Health:

Spiras Health, headquartered in Brentwood, TN, provides longitudinal care services to complex, chronically ill patients, specifically COPD and CHF. The Spiras Health approach combines home-based services, telehealth, 2-way digital communications, and remote monitoring. This multi-modal approach allows the patient access to care, regardless of situational complexities, in the mode that suits their preferences, needs, and risk. This also provides ongoing data, from a multitude of sources, to Spiras Health for accurate and efficient interventions. Spiras Health creates value to patients by improving quality of life and to health system/payor partners by reducing total cost of care by addressing avoidable costs and supporting quality metrics. Spiras Health utilizes/provides: 1. Multi-disciplinary team approach consisting of MDs, NPs, RRTs, RNs and community resources 2. Predictive modeling and machine learning to identify patients at highest risk for avoidable costs 3. Patient activation strategy for ongoing engagement, goal setting, treatment plan adherence, and behavior modification 4. Multi-modal approach to care delivery 5. Provider collaboration process to partner with patient's PCP and specialists, bridging care from physician office to home 6. Improved clinical and financial outcomes

Product Description:

Clinicians can order, deliver, and monitor care from one unified platform within their current workflow. These include everything from connected devices to services including meal delivery and transportation, from patient education to surveys and PROs. Looking to alleviate the disparity in healthcare delivery while recognizing common technologies most people share, Xealth helps health systems make digital health a competitive asset.

Xealth enables healthcare teams to order digital content and services as easily as they do medications today. Patients can then access these digital health prescriptions from the provider's portal, so that they can actively manage their health.

About Xealth:

Xealth enables healthcare teams to order digital content and services as easily as they do orders and medications today. Patients can then access these digital health prescriptions from the provider's portal, so that they can actively manage their health. 

Compatibility level

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Clients

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Product Capabilities

Once digital tools are ordered, Xealth can manage all elements of delivery and enrollment, either by sending them directly via email or SMS or via the patient portal (stock or custom-built). As patients use these programs, Xealth tracks engagement and can send reminder notifications.

Tthe Xealth platform has successfully deployed a wide variety of connected device solutions within its digital health formulary across the client base. Remote Patient Monitoring solutions deployed include both broad-based RPM such as VitalTech and Harmonize, and also focused RPM solutions such as Babyscripts, Force Therapeutics, Glooko, and Rimidi. Xealth enhances the native capabilities of each of these RPM solutions through its unique integration within the EHR, allowing for the ordering and monitoring of the RPM solution based on configurable use cases. This integration creates a seamless experience for both patients and clinicians. Xealth’s proprietary dashboard provides insights to the impact of digital solutions, allowing for health systems to gain a better understanding if the solutions they have deployed are having the intended impact.

Xealth brings data and real-time monitoring information back into the health system so care teams can follow the patient’s progress or drive interventions. Digital Care embeds third-party dashboards inside the EHR, making it easy for clinicians to see their patient’s progress without leaving the patient record. Discrete patient data, like PHQ9 scores or blood pressure readings, can be written into the chart and stored alongside similar data. Downstream workflows like notifications, best practice alerts, and patient flags can also be generated within the record.

Xealth’s platform aggregates and organizes digital health tools and related data within the EHR for easy deployment and oversight. Xealth’s core platform is the Digital Care SMART on FHIR app, which can be downloaded from Epic App Market (formerly App Orchard) or Cerner Code Gallery and configured by the health system team to launch directly in the provider’s charting workflow. Xealth’s clinical decision support rules engine can automatically distribute tools, assets, and program enrollment information to patients, as well as present relevant solutions within the patient record in the EHR for manual prescribing. Xealth brings monitoring information back into the health system so care teams can follow the patient’s progress or drive interventions. Digital Care embeds third-party dashboards inside the EHR, making it easy for clinicians to see their patient’s progress without leaving the patient record. Discrete patient data, like PHQ9 scores or blood pressure readings, can be written into the chart and stored alongside similar data. Downstream workflows like notifications, best practice alerts, and patient flags can also be generated within the record.

Xealth streamlines and enables dynamic control of data captured and collected by third party vendors. As organizations use Xealth to connect patients with Apps and RPM tools to collect and monitor patients, Xealth's integrated infrastructure enables the health system to have complete access to that data in a variety of manners. Xealth embeds third-party dashboards inside the EHR, making it easy for clinicians to see their patient’s progress without leaving the patient record. Discrete patient data, like PHQ9 scores or blood pressure readings, can be written into the chart and stored alongside similar data. Downstream workflows like notifications, best practice alerts, and patient flags can also be generated within the record.

Xealth’s platform aggregates and organizes digital health tools and related data within the EHR for easy deployment and oversight. Xealth’s core platform is the Digital Care SMART on FHIR app, which can be downloaded from Epic App Market (formerly App Orchard) or Cerner Code Gallery and configured by the health system team to launch directly in the provider’s charting workflow. Xealth enhances the native capabilities of each digital vendor through its unique integration within the EHR, allowing for the ordering and monitoring of the RPM solution based on configurable use cases. This integration creates a seamless experience for both patients and clinicians. Xealth’s proprietary dashboard provides insights to the impact of digital solutions, allowing for health systems to gain a better understanding if the solutions they have deployed are having the intended impact. Through its extensive Vendor Ecosystem, Xealth has worked collaboratively with over 40 industry recognized providers of digital health applications, clinical content, RPM and others. Maintaining excellent working relationships with vendors embedded in Xealth use cases is part of Xealth’s foundational model for achieving success across the client community.

Xealth’s Digital Command Center provides engagement data for digital tools and content deployed through Xealth. Health systems can see how many patients open an email/text message, click on a card in digital care, and watch or view content. This allows the health system to see if content is being used by patients. Health systems can change the time of deployment of a solution (send sooner or later) and/or send reminders, when there is a lower level of engagement than expected. Xealth’s monitor tab, which is integrated into Epic, displays third party application dashboards within Epic, providing a seamless experience for the clinician. The clinician is also able to see engagement data for content, such as videos/pdfs.

Use Cases

Description:

Spiras Health is generating significant savings to Medicare Advantage health plans. The unique model consists of the following:


1. Predictive analytics to identify the most appropriate members who will benefit from Spiras and who are at highest risk of incurring avoidable spend

2. Multi-modal approach to care delivery: nurse practitioner driven care, delivered in the member’s home through market-based RTs/nurses; augmented with smart use of technology in the form of tele-video conferencing, 2-way digital communication and remote patient monitoring

3. Provider and Health Plan care coordination and collaboration, closing the loop with community provider

4. Value creation through cost reduction in ER/hospital avoidance, revenue increase through member acquisition/retention, support of Star gaps closures and HCCs, quality metrics impact

Pediatric use cases:

None provided

Users:

Patients dealing with chronic illness, specifically COPD and CHF, with multi-morbidities and social determinants of health.


Medicare and Medicaid Health Plans and Direct Contracting Entities

EHR Integrations

Integrations:

Pop health platform, ADT

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

eClinicalWorks

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized), Mobile / Tablet (native app)

Integrations:

Acute care EMR, Ambulatory EMR

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

Epic, Cerner

Hardware Compatibility:

Not applicable

Client Types

None provided

Awards

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Differentiators

Differentiators vs EHR Functionality:

Spiras Health is a next generation care management and care delivery provider bringing specialized services to members at home. Spiras focuses on members at highest risk of incurring avoidable spend due to unnecessary utilization of ER and hospital, primarily as a function of poor adherence to treatment plan and uncontrolled symptom exacerbations.


This solution begins by targeting patients with diseases of the heart and lungs (CHF/COPD) made more complicated by multiple co-morbidities and social determinants of health. However, care for all conditions is provided - with a whole-person approach.




Differentiators vs Competitors:

Spiras is distinguished by:

  • Predictive models that identify avoidable spend
  • Specialty care delivery - in-home with multi-modal use of technology
  • Longitudinal vs acute/episodic
  • Ability to take risk for specialty care


Differentiators vs EHR Functionality:
  • Streamline digital vendor integration
  • Reduce IT/IS resources for use case deployment
  • Provide single UI for all disparate digital tools
  • Manage and control data integration into EHR
Differentiators vs Competitors:
  • Digital app library
  • Advanced EHR integration
  • Smart recommendation triggers
  • Integrated clinical workflows
  • Patient portal integration

Keywords

Images

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Videos

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What is Xealth?

Downloads

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Company Details

Founded in 2015

Founded in 2014

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