Validic's remote care application supports more than 100 devices to allow patients to share biometric data from outside the hospital or clinic. It is extended to patients in two ways. First, it allows for a BYOD smartphone offering, where the patient can download our HealthBridge™ app and complete enrollment and device pairing on their personal device. Peripheral devices such as scales and blood pressure cuffs are provided by their care team or purchased by the patient online or in stores. The application also allows for the shipping of a pre-configured, locked-down tablet (kit), where all peripherals can be pre-paired and it "just works" out of the box. Whether provisioned from the BYOD or "kit-based" model, the data seamlessly flow from the patient's device and into the RPM program, where it is evaluated against programmed rules, is able to escalate alerts directly to providers or nursing queues, and is viewable and actionable within the EHR.

The client configures Validic's program defaults, with customizeable rules at the program and individual patient levels. The data we receive from the patient's devices are evaluated against the program rules and the result of those evaluations can be alerts to providers, messages to specified individual or shared inboxes, follow-up surveys for more information, or messages sent directly to the patient with instructions on what actions they should take. Our clients build their programs with the appropriate measurement goals and thresholds to enable them to have awareness of any concerning trends in a patient's condition.

Validic's remote care application also includes asynchronous, conversational chat capability. They are used in two ways. First, to evaluate data received from a patient's device. For example, if a blood pressure reading is above the threshold set by the care team in that patient's program, the team can trigger a follow-up conversation to gather additional information from the patient such as worsening symptoms or medication adherence. Second, care teams can send chat conversations regularly (daily, weekly, etc) as a way to check in with the patient about their condition, progress in the program, or to gain other insights. The care team can build rules that evaluate the chat conversation responses and deliver alerts and escalations in a variety of ways, such as to a configured EHR message inbox. For example, an answer to a question of "are you feeling better/same/worse today" with an answer of "worse" could trigger a message for follow up.

Our patient-facing solutions can be offered on a pre-configured "zero setup" tablet, where the patient's peripheral devices are pre-paired and ready to go out of the box. The patient simply types in a PIN code and leaves the tablet plugged in/charged and in close proximity to the peripheral devices when taking readings. There are no other actions for the patient to take other than using their blood pressure cuff, scale, etc to take readings. For users who may already have their own glucometers, scales, or blood pressure cuffs, we support an expansive library of devices and continue to add more to our platform annually. This allows many patients to use the medical device with which they are already comfortable. Third, for patients who are comfortable using their own smartphone/tablet, we support Android and iOS through our HealthBridge™ native apps. After completing a simple, guided self-enrollment process, the patient is directed to pair their device, and readings seamlessly flow through the app as long as it's running in the background. The patient isn't required to open the app or take any additional actions beyond recording measurements using their peripheral devices in proximity of the phone where the HealthBridge™ app is installed. Finally, the HealthBridge™ app runs in English and Spanish.

Starting with industry-standards-based templates, our implementation team guides each customer through the creation and customization of care plans for each program into which that the customer is planning to enroll patients. These goals, rules, and alerts allow our customers to build highly specialized care plans that enable the care team to be alerted and informed regarding patients who need to be engaged, while giving them confidence on patients who are performing well in the program. Validic's remote care application allows for each program to have a default configuration that will apply to each enrolled patient, while also enabling the care team to modify thresholds and alerts on a patient-by-patient basis, to give as much flexibility as is needed to manage care.

Validic's digital health and remote care platform is integrated with the Cerner and Epic EHRs, and NextGen Video Visit solution. Our integration includes: - Seamless integration of the provider clinical experience within the EHR via an embedded SMART on FHIR application. This includes SSO so there is never a need to have a second password. Providers work directly in the EHR and never have to "launch out" to a second application. - Enrollment of a patient into a program happens directly within the integrated experience. The care team can see which programs a patient is already enrolled into and enroll them into additional programs, all within the EHR embedded workflow. Data needed for enrollment is automatically read from the EHR, avoiding the need for the care team to manually type in demographic information. - The ability to generate inbox/inbasket messages directly into the EHR's native messaging system. This makes the information generated by remote care programs live alongside other messages that are being sent to the care team, including shared inboxes/inbaskets, to facilitate workflows where the care team is flexible throughout the day/week. - Writing the discrete result values received from the patients devices directly into the EHR flowsheet, so that it is evaluated by Validic's RPM rules within the program and also becomes part of the patient's medical record, to be used by other processes within the EHR as well as any downstream analytics, population health, HIEs, or other systems that depend on the EHR chart being comprehensive.

For higher-acuity programs or programs for individuals with lower technical abilities, Validic can provide everything from simple ship-and-forget clinical device fulfillment and IT setup and configuration to reverse logistics, friendly and compassionate 1-800 patient-facing technical support, and outbound onboarding calls to support a patient’s first experience with the programs. Staff training is part of our customer onboarding/go-live processes.

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.