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Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Awards
Differentiators
Health equity
Keywords
Media
Company details
OnCare360
OnCare360

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Categories

Solutions

Description

Product Description:

OnCare360 addresses the patient’s journey between point-of-care visits with a continuous care management platform that captures and transmits daily health data through devices, wearables, and patient interactions. OnCare360 takes a 360-degree approach to managing value-based care by combining Care Management (CCM, RPM, TCM, PCM, RTM), medication, adverse event, and general wellness, clinical communication, and data analytics to create a circle of support between patients, providers and payers.

About OnCare360 Inc.:

OnCare360 addresses the patient’s journey between point-of-care visits with a continuous care management platform that captures and transmits daily health data through devices, wearables, and patient interactions. OnCare360 takes a 360-degree approach to managing value-based care by combining Care Management (CCM, RPM, TCM, PCM, RTM), medication, adverse event, and general wellness, clinical communication, and data analytics to create a circle of support between patients, providers and payers.

Product Description:

Through its comprehensive integration of diverse data sources - including EHR, RPM and patient-generated insights - the Medical Brain has a complete understanding of the patient’s medical history and knowledge of the current situation in real-time. With this complete, whole-person understanding, the Medical Brain proactively identifies emerging health risks, care gaps, delays, and errors. 

The Medical Brain is being used by provider groups, health systems, ACOs to help providers manage patients on their behalf so they can succeed with value-based care. Brain contacts providers and orchestrates care. This patient-first, real-time approach helps patients control chronic disease, reduce hospital days, while increasing provider productivity by 92% by eliminating patient communication and follow-up tasks from provider and office staff.  

The Medical Brain is being used by provider groups, health systems, ACOs to help providers manage patients on their behalf so they can succeed with value-based care.

About healthPrecision / Medical Brain:

Medical Brain is an AI-powered clinical assistant designed to enhance healthcare for both patients and providers. For patients, it offers personalized care by monitoring vital signs, providing health insights, and simplifying the management of appointments, medications, and follow-ups. This ensures proactive care and empowers patients to make informed health decisions. For providers, Medical Brain delivers real-time, data-driven insights to support accurate clinical decisions, streamlines communication within care teams, and automates administrative tasks, allowing more time for direct patient care and improving overall healthcare efficiency.

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

OnCare360 collects a wide range of data, including clinical information such as vital signs, diagnoses, medications, and post-discharge details; care management data like time spent on coordination and care plan updates; and patient-generated health data from RPM and RTM devices. It also gathers social determinants of health (SDOH) data, including housing, transportation, and other socioeconomic factors, along with behavioral health metrics such as mental health screenings and care plans. Preventive care data, such as Health Risk Assessments (HRA), Fall Risk Assessments (FRA), and Advance Care Planning (ACP) directives, are also collected, as well as engagement data from patient portals, communication logs, and reminders. Additionally, OnCare360 tracks billing and compliance data, including CPT codes and audit-ready documentation.

OnCare360 provides advanced analytics to support comprehensive care management and decision-making. These analytics include real-time dashboards for tracking patient outcomes, care plan adherence, and program performance across RPM, CCM, TCM, and other CMS programs. Risk stratification tools identify high-risk patients for targeted interventions, while utilization metrics assess resource efficiency and care delivery effectiveness. The platform also offers insights into social determinants of health (SDOH), highlighting barriers to care and tracking the impact of interventions. Additionally, OnCare360 generates compliance reports, billing accuracy metrics, and CPT code utilization summaries to ensure regulatory alignment and optimize reimbursements. This robust analytics suite enables providers to measure outcomes, improve workflows, and deliver data-driven care.

OnCare360 enables seamless bidirectional communication between healthcare providers, patients, and care teams to enhance coordination and engagement. The platform integrates secure messaging, patient portals, and real-time alerts to facilitate ongoing interactions. Providers can send care plan updates, educational materials, appointment reminders, and alerts to patients directly through the system, while patients can respond with questions, upload health data, or report symptoms via the portal or integrated communication tools. For care teams, OnCare360 supports collaborative workflows, allowing providers, nurses, and social workers to share updates, assign tasks, and communicate in real time. This two-way communication ensures that all stakeholders stay informed and aligned, fostering timely interventions and better care outcomes.

OnCare360 ensures providers can engage eligible patients through cellular-connected devices, eliminating the need for Wi-Fi and enhancing accessibility for underserved populations. For patients with higher technical literacy, OnCare360 offers an intuitive mobile app to streamline access to care plans, reminders, and educational resources. This combination ensures tailored engagement for diverse patient needs.

OnCare360 offers pre-built, condition-specific care plans and pathways that are fully customizable to meet the unique needs of each patient. These templates are designed to support clinical decision-making and streamline patient engagement, providing actionable guidance for care delivery. Integrated directly into the platform, these care plans align with automated workflows, ensuring seamless implementation while enabling providers to personalize interventions, enhance adherence, and optimize outcomes with ease.

OnCare360 seamlessly integrates with existing EHR systems, supporting both HL7 file-based integration and SMART on FHIR protocols. This interoperability ensures smooth data exchange, enabling providers to synchronize patient information, care plans, and clinical workflows directly within their EHR environment. By leveraging industry-standard frameworks, OnCare360 enhances operational efficiency and reduces duplication of effort, allowing healthcare teams to focus on delivering high-quality, coordinated care.

OnCare360 streamlines logistics management, staff training, patient onboarding, and ongoing tech support to enhance the clinician and patient experience. The platform provides intuitive workflows that simplify patient onboarding, ensuring smooth enrollment in care programs with minimal administrative effort. Staff training modules offer step-by-step guidance on using OnCare360’s features, enabling care teams to adopt the platform quickly and effectively. Additionally, the system includes robust tech support, with dedicated resources to address patient and provider needs, reducing disruptions and ensuring seamless operation.

OnCare360 leverages AI-based assistants, tailored learning content, and educational materials to engage patients and support behavior change. The platform delivers personalized insights, automated reminders, and easy-to-understand resources, empowering patients to track progress, set goals, and stay motivated in achieving better health outcomes.

Medical Brain possesses a sophisticated level of contextual understanding, built on a complete set of patient data from a variety of sources including both free text and structured notes from health system and provider EMRs, as well as feeds from clinical systems and RPM devices. In addition, the Medical Brain communicates with patients proactively and on-demand, capturing information about their current situation and conducts a clinical interview to capture the complete, holistic picture. With this multilateration approach, the Medical Brain understands the patient’s medical situation contextually and provides personalized, high precision clinical decisions in real-time.

Medical Brain seamlessly integrates with Electronic Health Records (EHR), including hospital and provider-based systems, as well as specialty systems and digital devices such as RPM. This integration streamlines data acquisition and analysis, and provider workflow, allowing for the efficient, timely and accurate use of historical and real-time patient data. With complete knowledge of the patient’s health condition, the Medical Brain delivers high-precision clinical insights to patients and providers for timely corrective action. Provider workflow is streamlined and interactions are recorded in the EHR and accessible to healthcare providers, thereby improving continuity of care.

Medical Brain rigorously protects patient privacy and adheres to HIPAA and other regulatory standards. It employs state-of-the-art encryption for data storage and transfer, conducts systematic security audits, and enforces strict access controls, ensuring that only authorized individuals have access to sensitive patient information.

Medical Brain engages users through naturalistic interactions, using advanced natural language processing technologies to understand and generate responses that mimic human conversation. This approach helps put patients at ease, simulating an interaction with a healthcare professional and improving overall user satisfaction and engagement.

Medical Brain is designed to handle a large volume of patients and growing volume of interactions to address large-scale population requirements. It supports scalability through robust cloud infrastructure and efficient data management, capable of maintaining high performance levels even as the number of users and the volume of data expand across various regions and healthcare settings. Our team of dedicated clinical professionals have streamlined implementation to enable rapid deployments which scale easily for providers and health systems.

Medical Brain keeps pace with the rapid advances in clinical care and in AI and healthcare technology. As new use cases are required, the Medical Brain team develops new clinical modules with evidence-based protocols and updates the clinical repository with the latest updates, including provider inputs, research, and evolving healthcare practices. This adaptability ensures that Medical Brain remains at the cutting edge of technology, capable of offering the most current and effective solutions in healthcare AI.

With bidirectional communication, Medical Brain facilitates synchronous and asynchronous interactions between patients and care teams 24/7. Patients can receive immediate support through the platform, whether it’s via messaging, video, or audio calls. This capability ensures continuous access to care, helping patients manage their health proactively, with the care team receiving notifications about any significant health changes.

Medical Brain provides extensive operational support for both patients and care teams. This includes logistics management, staff training, patient onboarding, and ongoing technical support. The platform aims to enhance clinician experiences by reducing friction in workflows, preventing burnout, and ensuring patients are supported throughout their care journey. Medical Brain’s comprehensive approach not only improves patient outcomes but also simplifies care delivery for providers, making it an invaluable tool in modern healthcare settings.

Medical Brain enables individuals to share real-time biometric and health data with their care teams from outside the hospital or clinic. This is done through digital technologies, such as wearables and mobile devices, that continuously monitor health metrics (e.g., heart rate, blood pressure, glucose levels). The platform allows care teams to monitor patient data remotely and adjust care as needed, empowering proactive and continuous care beyond in-person visits.

Medical Brain uses advanced analytics to identify patients at risk of worsening conditions or potential hospitalization. By analyzing incoming patient data in real-time, the platform recognizes patterns indicative of deteriorating health, flagging patients for timely intervention. This predictive capability supports early detection of issues, reducing the likelihood of critical events like emergency room visits or hospitalizations.

Use Cases

Description:

• A primary care practice is overwhelmed with the administrative burden of managing a large population of patients with chronic conditions like diabetes and hypertension. Care plans are outdated, follow-ups are missed, and staff struggle to accurately track time for billing compliance with Chronic Care Management (CCM) services. This results in poor patient outcomes and underutilization of reimbursement opportunities.

• A cardiology practice focuses on managing patients with advanced heart conditions but faces challenges in coordinating Principal Care Management (PCM) for these high-risk individuals. Providers find it difficult to track detailed interactions, update care plans, and collaborate with primary care teams, leading to gaps in care and reduced efficiency in managing a single complex condition.

• A regional hospital experiences high readmission rates and struggles to optimize patient length-of-stay due to ineffective Transitional Care Management (TCM). Many patients discharged after acute care fail to schedule follow-ups, adhere to discharge instructions, or receive timely medication reconciliation. Additionally, inefficient discharge planning leads to extended hospital stays, straining resources and affecting patient flow. Without a centralized system to monitor post-discharge care, track follow-up visits, and coordinate transitions, the hospital faces challenges in improving recovery outcomes, reducing readmissions, and achieving value-based care benchmarks.

• A rural health clinic struggles to monitor patients with chronic diseases due to limited access to in-person care and delayed identification of worsening symptoms. Patients are often unaware of their health trends, leading to avoidable complications. The clinic needs a solution to integrate FDA-approved RPM devices and deliver real-time insights for timely interventions.

• A payvider serving a diverse population finds that many patients face significant social determinants of health (SDOH) barriers, such as transportation challenges, food insecurity, and housing instability. These barriers prevent patients from adhering to care plans and attending follow-ups, resulting in increased healthcare costs and poor outcomes. The organization lacks tools to systematically capture and address these non-medical factors.

Pediatric use cases:

None provided

Users:

Physician Practices, Hospitals, Health Systems, Accountable Care Organizations, Primary Care Providers, Speciality Providers

Description:

The Medical Brain’s Patient-Centric Clinical Decision Support combined with Real-Time Care Orchestration identifies risks in real-time and guides immediate corrective action for best outcomes.

1. The Medical Brain® Diabetes module offers evidence-based guidance for the full spectrum of diabetes and related conditions, focused on establishing and maintaining excellent diabetic control with medical management and lifestyle modifications. The Medical Brain is in constant contact with diabetic patients helping them to manage the minute-to-minute intricacies of their condition aiming for their target HgbA1c goals. Diabetes is a condition with multiple co-morbidities and the Medical Brain uses evidence-based guidelines to manage those co-morbidities together to get the best outcomes. As an example, Hypertension can cause blood sugars to rise and both conditions need to be controlled together. As a result, the Medical Brain controls hard to control diabetics with real-time information including well-coordinated trend data for decision-making.  

2. The Medical Brain’s Renal Care Module spans conditions ranging from mild to end-stage renal failure and provide evidence-based guidance on renal specific conditions as well as the related co-morbidities such as diabetes and hypertension. This multi-lateral patient view allows the Medical Brain to guide guides physicians and their patients to maintain an optimal clinical steady state and minimize renal failure progression while driving the best outcomes in cost and quality performance.

3. Medical Brain’s health failure module covers the full spectrum of heart failure conditions from pre-clinical (asymptomatic, Stage B HF) through Stage D heart failures. The module includes evidence-based guidelines and best practices, so patients, cardiologists, and PCPs stay aligned with the goal of maintaining the most stable clinical state. Medical Brain detects risks and facilitates the right intervention by the right provider when adjustments in care are needed.

4. The Hypertension module helps patients gain and maintain control over hypertension with this clinical module incorporating best practices from leading medical experts. The Hypertension Module also includes coordination with other related chronic conditions and delivers trend analyses to patients and providers to manage hypertension 24/7. Medical Brain® directly connects patients and providers for effective care without gaps, miscommunications, or delays.

5. The Medical Brain covers the full spectrum of cardiac arrhythmias, including premature atrial contractions, supraventricular tachycardia or paroxysmal SVT, sick sinus syndrome, atrial fibrillation, and others. The Medical Brain includes evidence-based guidelines and best practices for treating arrhythmias and facilitates the right intervention by providers to achieve a well-controlled, appropriately monitored, and effectively managed clinical situation.

6. This module covers the full spectrum of valvular heart diseases, including aortic stenosis and mitral regurgitation. The Medical Brain® Valvular Disease Module includes evidence-based guidelines and best practices for treating valvular heart disease and related conditions. With coordinated, proactive care, patients can experience a better quality of life without incurring unnecessary spending. 

7. Hyperlipidemia is an important module because it influences many chronic conditions. The Medical Brain guides providers and patients in achieving the optimal lipid profile through lifestyle modifications and appropriate medications. This module includes the full spectrum of hyperlipidemia and related conditions to facilitate medical management and drive better outcomes.  

8. The Orthopedics module addresses a range of both surgical and medical orthopedic conditions. The Module is tailored to evidence-based practices for pre-op patient management including chronic conditions, through the post-op recovery phase including return to functionality and prevention of infections. The Module includes best practices and guidelines from leading Orthopedics organizations.  

9. The Obstetrics module includes evidence-based guidelines and best practices that cover a range of normal through high-risk pregnancies with a focus on assuring accuracy and reducing risk and error to improve patient safety in OB. Clinical guidelines are applied throughout the OB continuum including prenatal, intrapartum and the postpartum periods.  

The OB module and the AI clinical decision support system is tailored to reduce adverse events and prevent OB risk and systems related gaps and delays in care which place women at risk.  

10. The Medical Brain includes evidence-based guidelines, best practices, and protocols for COPD, ranging across the full spectrum of severity. Complex pulmonary conditions such as COPD, exist with co-morbidities including hypertension, cardiac disease and diabetes, and the COPD module coordinates across the full spectrum.

11. This module covers the full spectrum of infectious diseases across outpatient and inpatient settings, including from sepsis and septic shock. This module applies to patients with emerging infectious such as post-surgical signs of infection all the way through septic shock.  

12. The radiology module covers evidence-based guidelines and best practices for selecting the appropriate imaging and radiology studies for each specific case. With Medical Brain, providers can optimize utilization based on the current appropriate use criteria and drive the best outcomes in cost and quality performance through real-time precision.

13. The Medical Brain offers evidence-based guidelines and best practices in lifestyle modifications for multiple conditions and diseases, assisting each person in maintaining the best preventive measures to avoid diseases and disease exacerbations while maximizing their quality of life. This is particularly important for chronic disease management which is influenced by medical as well as social conditions and determinants.  

Pediatric use cases:

None provided

Users:

Diabetes Patients 

Renal Patients 

Heart Failure Patients 

Hypertension Patients 

Arrhythmia Patients 

Valvular Heart Disease Patients 

Hyperlipidemia Patients 

Orthopedic Patients 

Obstetric Patients 

COPD Patients 

Infectious Disease Patients 

Radiology Patients 

Lifestyle Modification Patients 

EHR Integrations

Integrations:

Acute care EMR, Ambulatory EMR, ADT, Website / public online sources

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Cerner, eClinicalWorks, Allscripts, Meditech, NextGen, Athenahealth

Hardware Compatibility:

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

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, ERP system, Patient portal, Pop health platform, Home health, Behavioral health, Community based organizations, ADT, Access +/or revenue cycle, Credentialing, Website / public online sources, Other

EMR Integration & Relevant Hardware:

Required

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, McKesson, Other, Allscripts/Eclipsys, Athenahealth, Azalea Health/Prognosis, CPSI, Evident, Healthland, MEDHOST, MedWorx, QuadraMed, Self-developed, Would prefer not to disclose, Point Click Care

Hardware Compatibility:

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

Client Types

Awards

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Differentiators

Differentiators vs EHR Functionality:

OnCare360 enhances care management by addressing key gaps:

1. Comprehensive Care Management: Specialized tools for CMS programs like CCM, RPM, TCM, and SDOH, including workflows, time tracking, and care plan templates.

2. Automated Compliance: Built-in CPT code tracking and billing workflows ensure accurate reimbursements and CMS compliance.

3. Patient Engagement: Offers portals, reminders, and secure messaging for proactive communication and improved adherence.

4. Advanced Analytics: Real-time dashboards track care outcomes, program performance, and at-risk patients.

5. SDOH Integration: Dedicated tools to assess and address social barriers to care, linking patients to resources.

OnCare360 complements EHR systems by focusing on care delivery, compliance, and patient-centric tools.

Differentiators vs Competitors:

OnCare360 stands out with its comprehensive, integrated platform designed to streamline workflows and improve patient outcomes:

1. All-in-One Platform: Combines tools for RPM, CCM, TCM, PCM, AWV, SDOH, ACP, and more, eliminating the need for multiple systems.

2. Program-Specific Features: Tailored workflows, care plan templates, and automated time tracking for each CMS program ensure ease of implementation and compliance.

3. Patient Engagement Tools: Secure portals, reminders, and educational resources promote adherence and satisfaction, surpassing basic communication solutions offered by competitors.

4. Compliance Automation: Preloaded CPT codes, billing accuracy checks, and audit-ready documentation reduce errors and maximize reimbursements.

5. SDOH and Holistic Care: Advanced tools to assess and address non-medical factors, linking patients to resources and improving health equity.

6. Scalability and Flexibility: Suitable for small practices, large health systems, and ACOs, with customizable workflows for diverse needs.

7. Real-Time Insights: Analytics dashboards provide actionable data on care outcomes, performance metrics, and patient risks.

OnCare360 delivers unmatched versatility, compliance, and patient engagement features.

Differentiators vs EHR Functionality:

The Medical Brain, an AI-powered digital clinical assistant, offers significant enhancements over a typical Electronic Health Record (EHR) system found in provider offices. Unlike traditional EHRs, which primarily serve as structured data repositories with limited capabilities for interpreting free-text entries, the Medical Brain seamlessly integrates and interprets both structured and unstructured data from various sources. This capability ensures a comprehensive view of a patient's health that is dynamically updated through interactions with patients and providers in natural language. Furthermore, the Medical Brain's advanced decision support algorithms provide recommendations with 98% accuracy, based on a holistic analysis of patient data, thereby facilitating more informed clinical decisions. By layering on top of existing EHR systems, the Medical Brain not only enhances data utility and clinical workflow but also actively contributes to the medical records it accesses, reducing the likelihood of errors and omissions and greatly improving the efficiency and effectiveness of healthcare delivery.

Differentiators vs Competitors:

The Medical Brain differentiates itself from competitors in the digital healthcare space by offering a comprehensive, all-in-one solution that integrates care coordination, EHR interoperability, symptom analysis, and RPM. While competitors may offer one or a few of these features, Medical Brain excels by incorporating all these functionalities into a single platform, enhancing both provider efficiency and patient outcomes. Its capability to engage in dialogues with both providers and patients sets it apart, making it a truly holistic approach to patient care. This dual communication capability allows Medical Brain to gather and utilize a wider range of patient data, leading to highly accurate health assessments and personalized care plans.

Moreover, Medical Brain significantly reduces the administrative burden on healthcare providers, having reduced follow-up administrative tasks by 92%, thereby allowing providers more time to focus on direct patient care. The system’s decision-making support boasts a 98% accuracy rate, which is notably superior to that of any competitor. This high level of precision and efficiency in Medical Brain’s operations not only streamlines workflows but also ensures that clinical decisions are both timely and reliable. By serving as a platform that effectively communicates with and benefits both providers and patients, Medical Brain goes beyond traditional digital assistants and positions itself as a crucial component in modern healthcare ecosystems, driving improvements in healthcare delivery and patient satisfaction.

Health Equity

Keywords

Images

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Videos

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OnCare360 TCM Patient Education Video.mp4

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Downloads

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OnCare360 Care Management Services.pdf
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Medical Brain Conference Handout - back.pdf

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