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

Categories

Solutions

Description

Product Description:
Workflow tracking and management platform for the efficient planning and execution of all required time-sensitive clinical staff and provider engagements with eligible patients discharged from Acute care. Billing codes included: 99495 & 99496
About ChronicCareIQ:

Imagine a technology platform that goes far beyond basic CCM to provide life-changing care for your at-risk patients struggling with chronic conditions.


Imagine your staff enjoying streamlined workflows, tools that transform interaction and communication with your patients, and a single dashboard to monitor patients' health status derived from objective and subjective questions via telephone or mobile app.


Imagine turning patient-provided responses into clinical insights, and clinical insights into action. Monitored patients who are trending out of clinical thresholds are proactively contacted by their provider's staff before a potential decompensation... and trip to the ER.


Imagine the automatic capturing of time spent in remote care management - on the phone and in the EHR - attributed to each patient's audit log and aggregated to an automated monthly billing report for submission.


Imagine generating practice-building revenue from monetizing your remote care management efforts each and every month.


Imagine no more. Practices of all sizes across the country are achieving better results and improved outcomes by leveraging ChronicCareIQ's award winning Care Management platform to operationalize and monetize their CCM/RPM programs. Whether your practice has never participated in CCM, needing to automate a manual process, or wanting to explore the benefits of managing your own CCM program in-house, contact us today to discuss how we can positively impact your practice's operations, clinical outcomes, patient satisfaction, and revenue generation.

Product Description:

Avery Telehealth's Readmission Avoidance Program is designed to cut readmissions by up to 30% through tailored telehealth solutions. We streamline the reimbursement process, reduce reliance on in-person visits, and ensure efficient care transitions. Our service includes clear discharge instructions, medication reconciliation, and scheduled follow-up appointments. With tailored telehealth and personalized programs, we collaborate with your primary care and transition teams to optimize your patients' recovery and health outcomes.

About Avery Telehealth:

Avery Telehealth offers comprehensive telehealth solutions tailored for healthcare providers, organizations, and consumers, specializing in remote patient monitoring and readmission avoidance programs. Our full-service platform integrates connected health devices, customizable health programs, and digital health solutions to enhance patient engagement, streamline clinical operations, and improve health outcomes.

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Product Capabilities

Our Readmission Avoidance Program (RAP) uses advanced assessments and remote patient monitoring to promptly and accurately diagnose low-acuity conditions. Our service supports condition-specific clinical pathways and comprehensive patient education, aimed at reducing readmissions by at least 30%. Our service includes tailored 30-, 60-, and 90-day care plans, enhancing patient understanding and management of their health, thereby minimizing hospital readmissions.

Our RAP facilitates seamless communication between clinicians and patients through video consultations and messaging, all integrated into the Avery Telehealth digital health platform. It also offers continuous monitoring of vitals and medical conditions, ensuring that both healthcare providers and patients have easy access to essential health data. To guarantee reliable access, we provide WiFi and cellular-enabled RPM devices and tablet (synchronized with the Avery Telehealth platform).

Our RAP streamlines care coordination among primary care physicians (PCPs), specialists, and patients. Our program provides both healthcare teams and patients with tailored access to chronic care management and remote monitoring, all facilitated through the Avery Telehealth platform.

Our RAP facilitates seamless care transitions by assisting with discharge planning to ensure smooth and timely patient transfers. Leveraging the capability to connect and transfer data across various EHR/EMR systems, our program allows for easy transitions upon patient discharge.

Avery Telehealth offers over 25 clinical pathways designed to address both chronic and acute conditions. Each diagnosis typically includes 6 to 9 patient education and training modules, providing comprehensive support tailored to individual needs.

Our evidence-based review process ensures that all clinical pathways and patient education materials remain current, accurate, and aligned with the latest medical research. Created and maintained by a team of certified health experts, including registered nurses and nurse practitioners, our content undergoes ongoing, rigorous evaluation against the most up-to-date medical literature and clinical evidence.

Our RAP allows healthcare teams to adapt programs to specific local conditions, including RPM devices, practice patterns, workflows, and clinician preferences. The Avery Telehealth platform enhances this capability by enabling modifications to condition-specific programs and educational content. It also allows customization of reporting tools for vital tracking and trend analysis.

Our program is accessible via the Avery Telehealth platform, enabling clinicians to seamlessly customize existing pathways and create new ones.

The Avery Health platform offers comprehensive analytics and reports, allowing clinicians and patients to access various health measurements, such as weight and blood pressure. Users can tailor reports to specific programs and monitor vitals over different periods—from a week to a year and beyond—to track trends and changes. All reports and analytics are customizable and can be easily shared between the healthcare team and patients.

Our Readmission Avoidance Program harnesses the Avery Telehealth platform to efficiently identify and remedy gaps in clinical pathways. By drawing on the latest medical evidence, we tailor 30-, 60-, and 90-day care plans to each patient's specific needs, ensuring thorough care coverage. This focused approach reduces hospital readmissions and improves care transitions.

Use Cases

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

Description:
  • Chronic Care Management (CCM)
  • Social Determinantes of Health (SDoH)
  • Transitions of Care (TOC)
  • Annual Wellness Visits (AWV)
  • Behavioral Health Management (BHM)
Pediatric use cases:

None provided

Users:

The end users are patients, care team members, clinicians, organizations and consumers.

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Other, Athenahealth

Hardware Compatibility:

Desktop, Mobile / Tablet (native app)

Integrations:

Acute care EMR, Ambulatory EMR, ERP system, Patient portal, Pop health platform, Home health, Behavioral health, Other

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, eClinicalWorks, McKesson, Other, Athenahealth

Hardware Compatibility:

Mobile / Tablet (web optimized), Desktop

Client Types

Awards

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Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:
  • Reduces readmissions with a comprehensive approach that includes RPM, patient education, and condition-specific clinical pathways.
  • Integrates diagnosis-specific pathways into patient care plans for consistent application of best practices.
  • Provides a guarenteed reduction in readmissions to ensure program effectiveness.
  • Offers extensive, tailored patient education resources crucial for post-discharge engagement and compliance.
  • Utilizes RPM to continuously monitor patients and dynamically adjust care plans, minimizing the need for in-person visits.
  • Streamlines the reimbursement process, specifically addressing telehealth and RPM billing issues, reducing administrative burdens.
  • Enhances HEDIS scores and Medicare Star Ratings by improving quality of care and patient outcomes.
  • Coordinates actively with primary care and transition teams for smooth transitions and continuous care, enhancing patient outcomes.
Differentiators vs Competitors:
  • Guarantees up to 30% reduction in readmissions.
  • Provides customized clinical pathways and patient education based on individual needs.
  • Employs real-time RPM technology for dynamic care plan adjustments.
  • Ensures smooth transitions and continuous care through active collaboration with healthcare teams.
  • Optimizes reimbursement processes for telehealth and RPM, reducing administrative burdens.
  • Offers comprehensive, customized education to enhance patient engagement and compliance.
  • Improves HEDIS scores and Medicare Star Ratings by enhancing care quality and outcomes.
  • Provides specific 30-, 60-, and 90-day care transition plans for chronic and acute conditions.

Health Equity

Keywords

Images

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Videos

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Downloads

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CCIQ Overview TCM Dashboard.pdf

No content provided

Alternatives

Company Details

Founded in 2015

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