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

Categories

Solutions

Description

Product Description:

We offer inpatient telehealth workflows that integrate with Epic and provide a holistic approach to digital health. Our software, services, and devices come together into one seamless, comprehensive telehealth ecosystem to:

  • Strengthen the continuum of care by providing a seamless integration with Epic for a consistent patient and care team experience
  • Enhance patient outcomes by leveraging technology and solutions customized for your use cases, workflows and needs
  • Operationalize at scale leveraging high-touch support and digital health transformation
About Extended Care:

Extended Care LLC offers today's most clinically-integrated, configurable, and personalized telehealth experience, serving leading-edge health systems worldwide. 

  • Our ExtendedCare Telehealth™ solution offers a faster, more efficient delivery of care. Better patient outcomes. Healthier financials despite the pressures from the shortages of nurses and other providers.
  • Our powerful, easy-to-use telehealth platform optimizes value for all participants in the care journey, regardless of the type or level of care delivered. We ease the transition to better virtual care by providing seamless clinical integrations, unmatched configurability, and a smooth, personalized care experience.
  • At-Home Video Visits - We go beyond the basic video visits provided by vendors like Zoom or Microsoft Teams - We have more healthcare specific features than any other solution.
  • From Carts to Clinics - From enterprise quality sophisticated endpoints to "bring your own cart". It doesn't matter if the patient is in your hospital, a community health center, a school nurse's office or even an ambulance. We bring everyone together!
  • Bedside Integration - We can integrate with your existing bedside patient experience platform (like Getwell) to provide for remote rounding or family-centered visits.
  • Telesitter - Available in both Epic Monitor or standalone, keeping an eye on patients has never been easier.
  • Extend Your Reach - Supporting community health centers, or providing your services to outside organizations? It doesn't matter if they work out of your EMR or their own, we make it all work together.
Product Description:

Fabric’s Virtual Care Suite is a telemedicine platform that empowers providers and prioritizes patients. Our white-label virtual care solution increases access for patients and reduces 99% of provider work time. By leveraging asynchronous medical protocols, Fabric enables providers to deliver care in under two minutes, creating a better experience for both patients and providers. The Virtual Care Suite also enables providers to seamlessly transition into synchronous modes of care, including chat, video, and phone, while triaging and routing patients to in-person care when necessary.

Why Asynchronous Virtual Care?

In-person care and synchronous video-based telemedicine are valuable, but these modalities have efficiency limitations and health equity challenges. A concerted strategy shift that leverages asynchronous telemedicine is key. We’ve done the research and proven that asynchronous telemedicine can solve the biggest challenges facing healthcare:

  • Staffing shortages
  • Provider burnout
  • Delayed and avoided care
  • Consumerism
  • Health equity
  • Access to care
  • Patient leakage

90% Adherence to Clinical Guidelines: Fabric leverages patient responses and clinical guidelines to provide efficient, accurate clinical decision support. We have a Clinical Quality Advisory Council made up of 15 healthcare leaders to establish clinical quality best practices for virtual care.

89-Second Provider Work Time: On average, our adaptive patient interviews gather the information a provider needs to make a diagnosis and treatment recommendation in just 89 seconds, compared with 18 minutes for an in-person visit. This gives providers more time to focus their time on patients with more complex needs, while still offering high-quality care for common conditions.

Patients Love the Experience: Patients receive the dual benefits of convenience and efficiency. They can access the system via any web-enabled device and complete their online adaptive interview in a fraction of the time taken by an in-person visit. On average, patients using asynchronous care wait 6:29 minutes for a diagnosis, spend $25 per visit, and rate us at 64 for NPS. 

Drive Patient Acquisition and Revenue: 40% of Fabric’s virtual visits are net new patients for our customers. Those patients are 276% more likely to convert to a health system patient, and the average first-year revenue for each new patient is $2,900. With the lifetime value of a patient expected to exceed a million dollars, a solid digital strategy is a significant competitive advantage – meanwhile, a lack of one poses a threat to organizations.

In-Depth Reporting and Analytics: Our clients capture significant structured data through the online adaptive interview. Using our HIPAA-compliant Fabric Analytics reporting tool, health systems can follow trends related to conditions treated, visit timing, guideline adherence, and triaged patients.

About Fabric:

Fabric is a health tech company that powers healthcare providers to move faster, work smarter, and deliver better care through its care enablement system. The system offers three solutions: In-Person Care Suite, Virtual Care Suite, and Engagement Suite. 

Leveraging conversational AI and intelligent adaptive interviews, Fabric unifies virtual and in-person care across intake, triage, routing, and treatment while automating workflows for staff. Built by a team of physicians and clinical informaticists, Fabric protocols uphold excellence in care quality while offering omnichannel access for patients. The results enable clinicians to work 2-10 times faster (dependent on setting), decrease call center volume by 15%, and increase utilization of unfilled visit blocks. 

Some of Fabric’s customers include Luminis Health, OSF HealthCare, MUSC Health, and Intermountain. Fabric is backed by Thrive Capital, GV (Google Ventures), Salesforce Ventures, Vast Ventures, BoxGroup, and Atento Capital.

Compatibility level

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Clients

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Product Capabilities

Extended Care's virtual waiting room has the ability to handle digital form upload & intake. Patients can share images or videos with their provider, and we also offer patient/provider online chatting. We have integrated with connected devices for vitals collection. We support content for patients to interact with in the waiting room. We have notifications for the patient when provider is ready to start visit and tools for patient to test their device's technical feasibility and stability.

We provide high-resiliency, high-latency video with the ability to toggle to phone/audio and support for multi-party video (powered by Cisco Webex). We feature the ability to alternate between video, text, chat, and in-app messaging. Our solution is configurable and personalized, feature-rich, and user-controllable on any device, anywhere. Extended Care is today’s most seamlessly integrated telehealth with your existing workflows, and built-in media (photos, videos, audio) sharing with your EMR.

Extended Care Telehealth can leverage existing patient demographic/medical info and provide the ability to add documentation within the EHR. One of our differentiators is the ability to integrate photos, videos, sound recordings and other document types as a push into the EHR..

The Extended Care admin portal can track and report provider utilization/productivity, average time per visit, and video/audio quality indicators, plus much more.

The Fabric Virtual Care Suite is EHR agnostic and supports four virtual care modalities, including asynchronous intelligent adaptive interviews, chat, phone, and video visits. Fabric also offers integrated Spanish translation.

Patients choose between asynchronous intelligent adaptive interviews, chat, phone, and video visits. Depending on the patient's selection and reason for visit, they may share photos with the provider to aid in diagnosis. On average, patients who choose asynchronous care receive a diagnosis and treatment plan in less than seven minutes.

The Fabric care enablement system's asynchronous intelligent adaptive interviews enable providers to diagnose patients in 89 seconds. Zipnosis also offers seamless step-ups to video and in-person care as needed.

Fabric reduces 99% of administrative work using our clinical intelligence and artificial intelligence, enabling providers to treat low acuity patients in 89 seconds—10 times faster than in-person visits.

Fabric supports up-front pricing and sends prescriptions to the patients' preferred pharmacy.

Fabric's product support team is available for patients from 6AM-10PM CST Monday-Friday, and 8AM-8PM CST Saturday, Sunday and Holidays. Fabric's technical support team for admins and providers is available from 8AM-5PM CST Monday-Friday and is oncall after-hours for urgent issues. The Fabric Help Center is accessed via SSO from Zipnosis Admin and Provider portals.

Fabric supports unloading and offloading patient demand based on each organization’s unique goals. Fabric enables organizations to choose how they utilize the nationwide network’s 24/7/365 resources: • Outsource low-acuity visits • Leverage internal capacity across your organization to meet internal and external patient demand • Divert to network providers during high demand or after-hours

Fabric collects comprehensive data on provider utilization, average visit times, most commonly treated conditions, escalations, visit volume, and more.

Use Cases

Description:

Virtual Nursing:

Nurses are often stretched too thin, covering 2-3x the number of patients considered reasonable for a standard of care. Our solution will:

  • Empower remote clinicians by providing telehealth access to deliver predictable, repeatable services such as patient education, admission and discharge
  • Help attract and retain nursing staff by providing remote work opportunities
  • Improve patient satisfaction by reducing wait times
  • Increase touch points and access to caregivers

Other Use Cases:

  • Tele-Sitter with Epic Monitor integration
  • Virtual Nursing
  • Patient experience app integration, such as GetWell
  • On-demand language interpretation services, such as LanguageLine, Martti, Voyce, GLOBO … etc.
  • Virtual Rounding
  • Supporting external affiliate Epic organizations, FQHCs and specialty outpatient clinics
  • Tele-EMS
  • Mobile Stroke Units
  • Tele-Stroke workflows using Extended Care incorporating intake forms, barcode scanning … etc.
  • On-Demand video visits
  • Virtual Home Visits
  • Schools
  • Correctional Facilities
  • Group video visits
  • … and many more
Pediatric use cases:

Just like a virtual visit for an adult, our Extended Care Telehealth solution can easily provide virtual visits for pediatric patients.

Users:
  • Physicians of All Types
  • Adult-Gerontology Nurse Practitioner (AGNP)
  • Bariatric Registered Nurse
  • Cardiac Nurse
  • Certified Nursing Assistant (CNA)
  • Certified Registered Nurse Anesthetist (CRNA)
  • Clinical Nurse Specialist (CNS)
  • Clinical Nurse Supervisor
  • Critical Care Nurse
  • Emergency Room Nurse
  • Family Nurse Practitioner (FNP)
  • Forensic Nurse
  • Health Informatics Nurse Specialist
  • Home Care Registered Nurse
  • Intensive Care Unit (ICU) Registered Nurse
  • Labor and Delivery Nurse
  • Licensed Practical Nurse (LPN)
  • Licensed Vocational Nurse (LVN)
  • Managed Care Nurse
  • Medical-Surgical Nurse
  • Neonatal Nurse
  • Nurse Anesthesia Practice
  • Nurse Midwife
  • Oncology Registered Nurse
  • Orthopedic Nurse
  • Pediatric Nurse
  • Post-Anesthesia Care Unit (PACU) Nurse
  • Public Health Nurse
  • Radiology Nurse
  • Registered Nurse (RN)
  • Rehabilitation Registered Nurse
  • School Nurse
  • Travel Nurse

Description:

Fabric has devoted more than 15 years towards building the industry-leading enterprise virtual care platform. While most health systems begin their virtual care strategy with urgent care, Fabric has expanded its clinical use cases to meet primary care, behavioral health, occupational medicine, post-operative and other virtual care needs.

Pediatric use cases:

Fabric offers over 50 protocols for pediatric care, and Fabric's Clinical Quality Advisory Council has a specific subcommittee for reviewing, maintaining, and improving our pediatric protocol suite. 

Users:

The platform was designed with the patient and provider user and their experience in mind focused on ease of use, value, utility, safety, and reliability. Early usability research was applied to optimize the use experience which has led to the high patient NPS of 64.

EHR Integrations

Integrations:

Acute care EMR, Ambulatory EMR, Patient portal, Home health, Behavioral health, Other

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Cerner, Allscripts, Meditech, GE, Allscripts/Eclipsys, MEDHOST, Athenahealth, MedWorx

Hardware Compatibility:

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

Integrations:

Acute care EMR, Ambulatory EMR, Patient portal, Website / public online sources, Other

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, eClinicalWorks

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized)

Client Types

Differentiators

Differentiators vs EHR Functionality:

Extended Care's solution offers these factors over any EHR's functionality:

  • Better health outcomes
  • Streamlined clinical workflows
  • Increased patient and physician engagement
  • Fewer hospitalizations and readmissions
  • Reduced patient risk
  • Cost savings

Differentiators vs Competitors:

We solved what our Competitors haven't. They have:

  • Standalone solutions/workflows not integrated into the EMR leading to a disjointed and high friction end user experience.
  • Point solutions that address only a single use case or clinical setting causing a proliferation of a myriad of solutions across the enterprise.
  • Minimum or lack of customizability resulting in a one size fits all approach to end user experience.
  • Operational inefficiencies and challenges in maintaining, managing and supporting multiple applications.
  • Inflexible licensing models causing enterprises to overbuy leading to increased budgetary allocations and resource underutilization.

Extended Care offers a better solution that goes beyond all of their limitations, with...

  • Seamless integration with Epic* patient and provider applications resulting in a frictionless end user experience.
  • Ability to meet the requirements of any telehealth use case across the entire continuum of care in any clinical setting – acute, ambulatory or in-home.
  • Hyper-customizability that’s lends itself to creating a fully personalized and unique end user experience for patients and providers.
  • Delivering a consistent end user experience across the enterprise enabling organizations to leverage economies of scale to support multiple programs.
  • Highly flexible concurrency-based licensing model with unlimited bursting allowing organizations to scale as their programs grow.
Differentiators vs EHR Functionality:

Fabric's Virtual Care Suite is powered by Fabric's Clinical Intelligence Engine, Loom. Loom is a clinical expert system and conversational ai that captures patient data across channels and automates workflows for clinical and administrative staff. Using automated clinical symptom gathering, Loom generates clinical SOAP notes, treatment plans, visit summaries and more. When applied across 2,000+ unique diagnoses, Loom automates 99% of administrative burden for staff and makes clinicians 2-10x faster at providing care. Additionally, Loom offers clinical decision support to providers to uphold the highest levels of care quality. 

Additionally, Fabric's team of expert clinicians builds and maintains our clinical expert system and content in coordination with our Clinical Quality Advisory Council, a team of 14 practicing clinical executives from around the country. Council members perform reviews of Fabric's evidence-based clinical protocols. Additionally, the council supports ongoing quality assurance efforts and helps establish clinical quality best practices for virtual care. The council also guides in-depth studies around the safety, effectiveness, and value of virtual care.

Differentiators vs Competitors:

We are asynchronous care experts.

Fabric offers an industry-leading enterprise virtual care solution with four modes of care. Our asynchronous, phone, video, and chat options offer seamless integration between modes within the context of a visit meaning that as communication needs change, your patients and providers never lose connection.

With over 15 years of proven experience in asynchronous care, we are the market leader for online adaptive interviews. While newer entrants offer asynchronous modes of care, our experience and constant improvement to our clinical guidelines offer a higher standard of care at over 90% adherence.

We’ve also instituted a Clinical Quality Advisory Council, a collection of 14 healthcare leaders committed to providing clinical and strategic guidance to the virtual care industry. Council members perform reviews of Fabric's evidence-based clinical protocols. Additionally, the council supports ongoing quality assurance efforts and helps establish clinical quality best practices for virtual care. The council also guides in-depth studies around the safety, effectiveness, and value of virtual care.

We're expanding health equity.
We are on a mission to address healthcare’s biggest challenges. One of those is expanding access for rural, low-income, and non-English-speaking populations. Virtual care is the path to expanding access, but serving these groups requires modalities that work within market limitations. For example, we know that rural populations often struggle with access in terms of physical distance from care facilities as well as limited bandwidth and cell signal. The internet divide significantly affects rural and low-income populations, making them more likely to have metered internet plans or limited broadband access.

Our async-first technology excels in these circumstances because it requires lower bandwidth and can help address patient concerns before connecting them with a provider via another modality. This allows patients to avoid an unnecessarily expensive and time-consuming drive to a clinic or a data-consuming video visit.


Language is another significant barrier to health equity. Many health systems lack the staff to support non-English-speaking patients, causing visits to run longer and increasing the risk of delayed and avoided care. We are excited to announce that the Fabric asynchronous platform is now available in Spanish to support the largest non-English-speaking population in the U.S. Our dynamic content management system:

  • Translates all patient-facing text into Spanish
  • Translates patient inputs back into English for providers
  • Presents care plans and patient education to the patient in Spanish

Health Equity

Keywords

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Founded in 2009

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