Our population health and chronic care management solutions include: 

Chronic Care Management

Programs that are developed for patients who are living with multiple chronic conditions.

Annual Wellness Visits

Supportive services that are designed to increase your efficiency and help you improve patient attribution. 

Insight and Analytics

Get a clearer picture of your patients living with chronic conditions so that you can make better decisions.

Value-Based Care Solutions

Strategies and resources that are designed to help you achieve your ACO shared savings goals.

HealthVision, the Intelligent Health Management System, is transforming care across health systems and value-based care organizations. HealthVision is made up of three key components:

*The Intelligent Health Record - what if you could see critical information from hundreds of EHR pages in a one-page patient chart and risk summary that serves the entire care team? HealthVision's Patient Spotlight is an easy to digest health profile and risk prediction tool. The Patient Spotlight helps clinicians make sense of the increasingly unwieldy and unmanageable health data in their EMRs in real-time.
*The Intelligent Workflow Solution - who among your patients will have an unplanned admission in the next 90 days? An ED visit in the next 30 days? The Intelligent Workflow Solution includes smart cohorts and rosters that align your scarce clinical, documentation, and administrative resources with the patients who will benefit the most. 

*The Intelligent Analytics Solution - how do your providers' mortality, hospitalizations, infection rates compare? Can your benchmarking system really match apples to apples? The Intelligent Analytics solution matches your population to others outside of your organization with the same baseline risk results. These precise comparisons are an important way to build trust and momentum among providers. 

HDAI is a high-growth, visionary company with innovative solutions that free up clinical time, enhance the provider experience, and support outcomes, efficiency, and economic improvement initiatives for health systems and value-based care organizations. 

"My practice was introduced to SparroWell through the ACO we are part of. I had no clue what CCM was but after 5 minutes on the phone with Ernestina, I was sold. Literally, sold.

She was able to get started within a few days and within a couple of weeks we had a full-functioning chronic care management program going! My NPs didn't need to do anything.

The nurses from SparroWell let us know of issues that were found with our patients..... some of those issues could have led to unnecessary hospitalizations. We have started seeing residents in our communities switch over to our practice, which has been nice to see. 

Our ACO attribution has increased significantly from last year, which is SUPER nice to see and our monthly reporting shows high risk resident costs decreasing." 

Dr. P. | President and former State Medical Director

“We have had over two years of hands-on CCM experience. We built a turnkey operation from the ground up with a different partner that was pretty successful from conception. As we grew we realized that we had our own limitations of staff, knowledge, and execution of meaningful visits. We were stuck and couldn't grow. A colleague introduced SparroWell to our group and I could tell right away they were different. 

From the very beginning it's been smooth, exactly as promised, and honestly, much better than we anticipated. Ernestina and her team are truly a turnkey operation that has eased our minds about the future of our CCM experience. 

Her team guided us through the onboarding, put in the hours and the time to get started, and has exceeded our expectations with customer service. We have not had a single complaint about any member of the SparroWell team and it has been refreshing. 

Hands down best decision we have made.”

H.R. | Chief Operating Officer

"When I logged on this morning, I noticed a message from one of my providers....this didn't just make my day....it made my entire month! 

He said "Just thought I would let you know that my communities have had such positive things to say about you! They really enjoy collaborating with you and all have expressed appreciation for everything you help them with. Keep knocking it out of the park!" 

J.A. | SparroWell Care Manager via their Nurse Practitioner

“Honestly, I hadn't ever heard of Chronic Care Management before our medical director introduced us to our CCM Case Manager. 

Now, I wonder why every single medical director doesn't have a CCM program. Our CCM nurse has prevented several tags that I know of and I would imagine SOOO many more that we don't!

Our CCM nurse is an extremely valuable resource for our community.....we joke sometimes and tell her "where have you been all of my life?"

C.R. | Director of Nursing at a long-term care facility

"Hello Dr. K, my mom and I just got off the phone with Katelyn. We just wanted to let you know just how much we enjoy her. 

I know mom worries quite a bit and calls Katelyn quite often. Anyways, we just wanted to thank you for bringing her on your team. I can definitely see mom's anxiety and worries about her health are becoming less and less since she seems to really like her.”

Dr. K. | Patient guardian via physician

HDAI uses GPT/LLM and AI predictive models to dynamically canvas the EHR to extract, synthesize, and risk prioritize the most relevant information. HealthVision™ allows clinicians to effectively focus on care planning instead of searching the EHR. 

The EHR has changed the way we practice medicine, burdening clinicians with mountains of data and forcing them to spend their precious time in front of computers instead of with their patients. When the healthcare industry first transitioned paper records to electronic, the intention was to have all patient data accessible in one place, alleviating the healthcare system of cumbersome physical storage spaces for medical records and administrative staff to manage it. ​

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However, the EHR has overburdened clinicians with documentation tasks that were once allocated to administrative professionals ​and has clinicians combing through an inordinate amount of disparate and disorganized data to find relevant patient information. 

HealthVision is the first and only enterprise-wide, AI-powered intelligent health management system and is currently being used by Houston Methodist and other leading healthcare systems and ACOs. The platform has a broad range of capabilities which combined create a unique ability to address healthcare challenges across the care continuum (outpatient, inpatient, post-acute, etc.).

It simplifies information retrieval for clinicians, distilling hundreds of pages and notes for an individual patient in a typical electronic health record into an AI-synthesized one-page, individually configurable view that summarizes a patient’s medical history and granular risk profile. ​

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It allows a health system or risk bearing provider entity to identify and proactively manage patients at high risk of dozens of adverse events and excess utilization, including readmissions, extended length of stay and mortality. ​

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It enables sophisticated performance and network analysis. Using the nation’s largest longitudinal dataset (140 million patients, 0.5 trillion records), we have developed detailed performance profile on every physician and health care facility in the country.​

In addition to running Generative-AI and 100s of predictive models in real-time within the EHR environment, HealthVision is also designed to enable rapid deployment of local institutional models allowing agile and cost-effective real-time implementations of internally developed AI solutions.​