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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:

Azodha Platform accelerates innovation in care delivery through a modular, AI-infused, interoperable digital enablement platform. It enhances patient experience and streamlines provider efficiency. Below is a detailed exploration of each core solution:

1. Remote Patient Monitoring (RPM):

Azodha's RPM provides real-time monitoring with AI-driven insights and seamless EHR integration. This device-agnostic platform supports remote patient monitoring devices and wearables, enabling continuous monitoring and proactive alerts for timely interventions.

2. Virtual Visit & Wait Room :

Azodha streamlines telehealth appointments with a user-friendly platform, integrated scheduling, tele and patient onboarding capabilities. The platform optimizes waitroom to drive patient centric and optimized provider experience. 

3. Patient and Provider facing Scheduling:

Comprehensive EHR integrated or stand alone scheduling for patients, provider operations and hospitals for home care, virtual and physical office scheduling

4. Digital Patient Engagement:

Azodha platform integrates and digitized patient care journey navigation across enrollment, onboarding, scheduling, health goals, surveys, chat, education and more via patient apps and portals.

5. Conversational AI:

Azodha uses Gen AI to enhance patient engagement through personalized care plans, AI assist for various patient interactions including scheduling, Q&A with voice interaction capabilities.

6. Dispatch and Logistics:

Azodha platform enables dispatch and logistic insights for home based scheduling and operations

Through seamless integration with existing systems and AI driven digital components, Azodha ensures that healthcare providers can deliver superior patient experience while optimizing operational workflows and administrative costs.

About Azodha:

Azodha platform transforms the last mile of care delivery, elevating patient outcomes and experience in innovative care models such as hospital-at-home, virtual care, and diverse home-based care strategies. With a buy-to-build approach, our platform serves as a catalyst, facilitating inter-system and point-of-care interoperability, establishing a digital front door and operationalizing generative AI. Azodha empowers organizations to unlock the full potential value of their existing systems, while bridging any gaps to drive innovative, patient-centric care delivery.

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.

Azodha schedular component can integrate with your existing EHR or independent schedular to meet unique scheduling needs and limitations. This module can also be used standalone as a schedular replacement. It offers: 1> Patient Self Scheduling: Patients can view available time slots in real time and select the most convenient option, minimizing delays and reducing the risk of dropouts. This seamless scheduling experience enhances patient satisfaction by making the process smoother and more accessible. 2> Provider Operations/Call center Scheduling: Azodha provides healthcare providers with a streamlined solution for booking and managing appointments for home care, virtual care as well as for physicians office. Providers can easily view real-time availability and prioritize appointments based on staff location, availability, type of appointments, acuity and patient history. This system enhances operational efficiency and optimizes provider schedule to reduce patient wait times.

Azodha’s Intake & Virtual Waiting Room feature revolutionizes the patient experience by offering a seamless, integrated solution for virtual care. 1> Digitized patient onboarding, consents in secure manner prior to appointments 2> Scheduling integrated with virtual wait rooms enables telehealth for home care, tele only or hybrid (in person at home plus virtual team). 3> Patients, providers, and staff all have access to the virtual waiting room, which offers real-time insights into appointment status, wait times, queue management, chat with caregivers and patients (before, during and after the appointment). 4> The system also includes the integration of wearable devices and remote patient monitoring, ensuring that providers have up-to-date health data within the virtual room at their fingertips. 5> Patients are kept engaged with timely notifications and reminders, and they can easily communicate with providers or staff through built-in chat options. 6> Care Team Collaboration with internal notifications sent when field staff or providers need to join the virtual room, dial in internal and external guests to collaborate on patient care and integration with other tools to allow pre, during and post appointment collaboration. Azodha’s Intake & Virtual Waiting Room is designed to keep the entire care journey connected, efficient, and patient-centered from start to finish.

Azodha’s Virtual Encounter feature provides a comprehensive and streamlined platform for telehealth visits with features such as 1> Inviting guests to tele visit using calling, text or email 2> Calling patients 3> Patient Chat 4> Internal Care Team Chat 4> EMR integration to access patient clinical data 5> RPM Integration to see patient vitals 6> Exchange documents and education material with patients via chat 7> Screen sharing 9> Configurable virtual backgrounds 10> Integration of language services 11> Notifications for timely meeting attendance 12> Appointment sequencing based on patient acuity and wait times

Azodha's Virtual Encounter feature offers powerful tools for documentation and driving seamlessly actions with existing provider workflows. 1> Providers can access existing patient summary from the EHR 2> AI based care plan generation based on the gathered data, allowing providers to review, confirm, or revise recommendations 3> Clinical decision augmentation based on patient information and evidence based guidelines 4> Automating actions like scheduling patient appointments, order prescriptions or labs etc

Azodha's advanced Gen AI framework provides deep contextual understanding of user queries. This allows our AI assistant to grasp nuance, intent, and domain-specific terminology to provide highly relevant, informed responses.

Our platform is designed to seamlessly integrate with EMRs to drive automation. Automation actions like scheduling patient appointments, order prescriptions or labs

Safeguarding your data is our top priority. Azodha employs industry-leading security practices, including end-to-end encryption, secure cloud hosting, and granular access controls. We are GDPR, HIPAA and SOC 2 compliant, ensuring the highest standards of data protection.

Azodha's AI assistant engages in fluid, human-like conversations. Powered by advanced dialog management and natural language generation, it can handle multi-turn interactions, clarify ambiguity, and provide thoughtful, personalized responses - creating an intuitive user experience.

Built on a robust, cloud-native architecture, Azodha effortlessly scales to handle high volumes of concurrent users and queries. Our auto-scaling infrastructure dynamically adjusts capacity based on demand, ensuring consistently fast response times.

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:

◘ Use cases :  

• Hospital @ Home 

• Virtual Care: Womens Health, Chronic Care, Longevity, Muti Specialty Clinics, Behavioral Health

• Digital Care Journey

• Provider Operations Automation

◘ Outcomes:

• Time Savings: Saved 20 minutes per patient in onboarding and scheduling.

• Engaged over 65% of the patient population month-over-month via the patient app.

• Enabled patient experience to exceed 90 NPS

• Rapid Deployment: Launched solutions in 6-8 weeks, reducing time-to-market.

• Cost Efficiency: Reduced technology implementation costs by 70%

• Reduced Operational Cost by 25%

• Increased efficiency with AI to allow higher number of patients to be seen

Pediatric use cases:

Azodha Platform's solutions are fully applicable to pediatrics. Features such as scheduling, virtual rooms, digital intake, digital patient/caregiver engagement can accelerate access and convinience for pediatric care.

Users:

• Patients

• Caregivers

• Providers

• Clinicians - Nurse Practitioners, Care Managers

• Field Staff - Paramedics, Social Care Coordinators)

• Call Center, Front Office Team

• Administrative and Operations Team

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

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, McKesson, Allscripts/Eclipsys, Athenahealth, Azalea Health/Prognosis, CPSI, Evident, Healthland, MEDHOST, MedWorx, QuadraMed, Point Click Care

Hardware Compatibility:

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

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:

Azodha Platform overlays and overcomes challenges of existing tools in healthcare ecosystem such as EHR, CRMs etc 

Key differentiators include:

• Modern patient facing capabilities like self scheduling, seamless and secure logins, interactive chat with care teams, voice and natural language based chat assistance, configurable patient app and portals, integrated SDOH support, digitzed patient surveys etc.

• Seamless Remote Patient Device Integrations: Azodha supports a wide range of devices for real-time data visualization and monitoring, ensuring comprehensive care coordination.

• Patient data summary and insights, with personalized patient care plans and recommendations

• Operational enablement beyond EHR based on provider business model

• True Interoperability: Integration across provider ecosystem with existing EMRs, CMS, RCM and other tools enhancing integrated patient care and operational efficiency.

• Dispatch & logistics to enable home based care delivery

Differentiators vs Competitors:

Azodha Platform stands out in the competitive landscape with unique features and capabilities:

• API based backed whitelabelled platform enabling fully configurable user journeys and UI configuration

• AI driven personalization and operationalization of AI in patient interactions and provider operations 

• Rapid Implementation in 4-6 weeks

• Buy to build approach reducing TCO by 3X

• SaaS based licensing approach reducing technology spend by 70%

 • Azodha seamlessly integrates with existing EMRs, CRMs, HIEs, RPM, Wearables to streamline patient and provider experience.

Health Equity

Keywords

Images

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OnCare360 Ecosystem.svg

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Videos

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OnCare360 TCM Patient Education Video.mp4

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Azodha RPM Demo.mp4

Downloads

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OnCare360 Care Management Services.pdf
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RPM Brochure.pdf

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