Antimicrobial Stewardship

Avel eCare Pharmacy also offers providers the support they need to create, implement and maintain an antimicrobial stewardship plan. When customers take advantage of our Antimicrobial Stewardship services they’ll have the expert oversight needed to:

• Improve the use of antimicrobial medications
• Enhance patient outcomes
• Reduce resistance to antibiotics

Reduce Antimicrobial Resistance

The Centers for Medicare & Medicaid Services, The Joint Commission and the Centers for Disease Control and Prevention recommend that all health care settings use antimicrobials judiciously to reduce the likelihood of antimicrobial resistance.

Look to our expert pharmacists to:

• Verify that antimicrobials prescribed for common infections (urinary tract infection, pneumonia, skin and soft tissue infection, clostridium difficile, methacillin-resistant staph aureus, etc.) comply with standards, clinical guidelines and protocols in your institution
• Follow culture results to ensure the organism is covered by the antimicrobial regimen and to suggest a more narrow-spectrum treatment, if appropriate
• Ensure appropriate dosing of agents based upon renal and hepatic function
• Provide patient-specific pharmacokinetic dosing, such as aminoglycosides or vancomycin

If a facility does not have an on-site pharmacist, Avel eCare Pharmacy can also complete an antibiotic review within 48 hours to achieve compliance with the antibiotic time out.

Consultative

Enhance your Avel eCare Pharmacy experience with advanced two-way video technology. When you take advantage of our live audiovisual and still image services, you can support pharmacy services with:

• Patient discharge consultations
• Remote supervision of nurse sterile medication preparation
• Remote supervision of nurse automated dispensing cabinet refills
• Verification of medications removed from pharmacy after-hours
• Identification of patient medications brought from home
• Video consultations between Avel eCare Pharmacy staff and your health care professionals

Outpatient

Support medication safety and pharmacy services at your facility through Avel eCare Pharmacy’s remote review and verification of outpatient orders. Our Outpatient Services include:

• Review and verification of medication orders for your hospital outpatients such as dialysis, infusion therapy, chemotherapy, outpatient antibiotic therapy, etc.
• Remote video supervision of nurse sterile medication preparation
• Chemotherapy orders that are checked by two independent pharmacists such as one on-site and one Avel eCare Pharmacy or two independent Avel eCare Pharmacy checks
• Clinical monitoring of outpatient therapies during a course of therapy

Medication Review

Avel’s Medication Review services ensure that customers meet federal regulations with 24/7 pharmacist oversight of any newly ordered medicine before it’s administered. Facilities with Avel eCare Pharmacy support can increase patient safety and regulatory compliance through the prospective review of medication orders, including:

• Allergy history
• Dosage recommendations
• Drug compatibility
• Duplication of therapy
• Lab review
• Patient demographic information
• Potential interactions
• Substitution recommendations

These reviews are available for inpatient, outpatient, emergency room, and other departments as needed with response times averaging 20 minutes or less.

Pharmacists

ThinkAndor® is the first-to-market virtual health collaboration platform leveraging AI-powered models, like OpenAI/ChatGPT, to orchestrate virtual collaboration experiences with clinical context. Our platform, ThinkAndor®, coordinates contextual workflows across 5 key pillars of virtual health: Virtual Visits, Virtual Hospital, Virtual Patient Monitoring, Virtual Team Collaboration, & Virtual Community Collaboration.

Digital Front Door - Digital front door with AI Virtual Assistant framework accessible on any channel, including SMS Text, Email, Web, and ThinkAndor®AI Bot 

• Enable intake/triage forms for self-reported data and patient navigation 
• Configure automated patient experience workflows for marketing, scheduling, and other clinically relevant opportunities 
• End to end digital front door experience for virtual visits as well as in-person visits 
• Configuration of CRM platform of choice for workflows

Virtual Visits - Patient Virtual Waiting Room 

• SMS/text and email links for patients to access on-demand asynchronous or synchronous virtual interactions with providers
• Virtual lobby, assessments, digital consents, eligibility & payments 
• Program & Portal enrollment 
• Education, videos, family invitations, call back feature 

Clinical Notification & Dashboard Views 

• EHR integrated experience 
• Provider visibility & virtual lobby access 
• Automated waiting room queues for on demand and scheduled patients 
• Automated notifications and alerts to next care team member to ‘join’ session  
• Embedded in Virtual collaboration & EHR platforms (enables providers to curate content from EMR into the visit experience)

Virtual Hospital - Virtual Rounding  

• In room & remote device provisioning 
• Simplified single click to join experience for participants with WebRTC enablement 
• IoMT, PTZ camera, and diagnostic device integration 
• Enable automated signals and alerts to care coordinators and nurses 
• Multi-disciplinary collaboration sessions with patients and families 
• Orchestrate automated care plan follow up  
• Patient experience assessments, including Q15 Check in 

Virtual Sitter

• 24/7 sitter solution scalable to support up to 16 patients at once
• Device agnostic deployments supporting cameras, mobile carts, or in-room infotainment systems
• Partnerships with third-party staffing resources to fill potential gaps in a hospital’s sitter resources
• Use of AI to track concerning movements and highlight patients requiring interventions
• Alerts and notifications sent to on-site nurses during a medical emergency

Decentralized Remote Consults

• Support for remote specialty consults such as Tele Stroke, Tele Psych, and Tele ICU
• Access available resources across a health system or a national network of credentialed providers
• Fulfill out of network consulting needs when a health system’s own providers are available
• Surface labs, patient details, and place orders using ThinkAndor®AI Bot
• Support for multi-disciplinary call sessions

Virtual Nurse

• Complete initial intake, assessments, and discharge planning 
• Invite family members and care givers
• Engage with ThinkAndor®AI Bot to configure care plans
• Complete tasks like dual sign-off for medication verification

Virtual Patient Monitoring - Remote Monitoring

• Unified experience for VPM enrolled patients and an efficient workflow for care teams and clinicians 
• Patient device kits and self-reported assessments integrated with workflow orchestration where care team members can configure distinct data signals to monitor patients remotely  
• Configurable, AI Driven care plan templates 
• Routine patient check-ins/assessments 
• Integrated asynchronous/synchronous virtual visit experiences for interventions and routine patient follow up 
• Over 50 configurable virtual patient monitoring (VPM) care plans, with an easy pathway for health systems to stand up plans for additional conditions
• Support for a vast array of wearables and biometric devices used for many VPM programs 

Hospital at Home

• Triage and identification of patient candidates for Hospital at Home programs 
• Identifying available and on shift providers/care team members to assign staff to the hospital at home care team 
• Secure communications to allow for tasking and collaboration amongst the different members of the hospital at home clinical staff  
• Scheduled and On-Demand virtual and asynchronous chat visits for routine check-ins and as needed evaluations based on patient condition/status with comprehensive digital front door capabilities 
• Workflow orchestration tool responding to live traffic conditions and patient needs to ensure all patient rounds are completed

Virtual Team & Community Collaboration - Secure, HIPAA compliant platform enabling care team collaboration and communication with downstream clinicians 

• Configure individual roles and teams to drive appropriate communications  
• Enterprise AI-based communications for users, roles, shifts and teams 
• Automated escalation to ensure message delivery and review
• Review, escalate, delegate and forward messages  
• Built-in voice command capabilities  
• End-user customization of data and communication channels   
• Event-based notifications for clinical alerts across care settings 

By providing real-time clinical data and relevant information, ThinkAndor® empowers providers to communicate and take the next appropriate clinical action with bi-directional integration to the EHR. This allows for a seamless continuation of the patient journey from the home setting to inpatient scenarios to post-discharge and remote monitoring care plans.

ThinkAndor® can support a variety of pediatric workflows, from orchestrating all digital front door experiences to care plans configured by condition or custom workflows pursuant to requirements from the client.  

We have a number of prominent pediatric hospitals as clients, including:

• SickKids | The Hospital for Sick Children 
• Cincinnati Children’s Hospital 
• Medical University of South Carolina (MUSC) 
• Orlando Health Arnold Palmer Hospital for Children