Our Readmission Avoidance Program (RAP) uses advanced assessments and remote patient monitoring to promptly and accurately diagnose low-acuity conditions. Our service supports condition-specific clinical pathways and comprehensive patient education, aimed at reducing readmissions by at least 30%. Our service includes tailored 30-, 60-, and 90-day care plans, enhancing patient understanding and management of their health, thereby minimizing hospital readmissions.

Our RAP facilitates seamless communication between clinicians and patients through video consultations and messaging, all integrated into the Avery Telehealth digital health platform. It also offers continuous monitoring of vitals and medical conditions, ensuring that both healthcare providers and patients have easy access to essential health data. To guarantee reliable access, we provide WiFi and cellular-enabled RPM devices and tablet (synchronized with the Avery Telehealth platform).

Our RAP streamlines care coordination among primary care physicians (PCPs), specialists, and patients. Our program provides both healthcare teams and patients with tailored access to chronic care management and remote monitoring, all facilitated through the Avery Telehealth platform.

Our RAP facilitates seamless care transitions by assisting with discharge planning to ensure smooth and timely patient transfers. Leveraging the capability to connect and transfer data across various EHR/EMR systems, our program allows for easy transitions upon patient discharge.

Our RAP enables patients to engage with their healthcare team via a centralized command center. Through this hub, nurses and clinicians can reach out to patients using calls, text/SMS, and voicemails, both manually and automatically. Additionally, the Avery Telehealth platform facilitates direct messaging and video calls, allowing seamless communication between users and their healthcare providers.

Avery Telehealth offers over 25 clinical pathways designed to address both chronic and acute conditions. Each diagnosis typically includes 6 to 9 patient education and training modules, providing comprehensive support tailored to individual needs.

Our evidence-based review process ensures that all clinical pathways and patient education materials remain current, accurate, and aligned with the latest medical research. Created and maintained by a team of certified health experts, including registered nurses and nurse practitioners, our content undergoes ongoing, rigorous evaluation against the most up-to-date medical literature and clinical evidence.

Our RAP allows healthcare teams to adapt programs to specific local conditions, including RPM devices, practice patterns, workflows, and clinician preferences. The Avery Telehealth platform enhances this capability by enabling modifications to condition-specific programs and educational content. It also allows customization of reporting tools for vital tracking and trend analysis.

Our program is accessible via the Avery Telehealth platform, enabling clinicians to seamlessly customize existing pathways and create new ones.

The Avery Health platform offers comprehensive analytics and reports, allowing clinicians and patients to access various health measurements, such as weight and blood pressure. Users can tailor reports to specific programs and monitor vitals over different periods—from a week to a year and beyond—to track trends and changes. All reports and analytics are customizable and can be easily shared between the healthcare team and patients.

EHR integration and/or PDF import/export of patient documentation including signed, timestamped recommendations from specialists. The provider has the ability to review, confirm of revise diagnosis and treatment. The eConsult specialist provides escalation and interim care plans when appropriate within the eConsult. Photo and video applications are available for usage with eConsults.

Chat, online and phone help services for providers and health system staff. AristaMD does not offer a direct-to-patient application.

AristaMD offers the health system the ability to route eConsults to their own providers or access the AristaMD specialist panel for eConsult services. A hybrid solution is also available to reduce resource utilization or handle high-volume times. AristaMD's registered nurses are available to curate and route eConsults based on behalf of the health system to reduce staff utilization and eliminate disruption of the existing clinical workflow.

Analytics are provided for the system, each location and each provider. Reports include specialty care usage by location, provider, etc.; cost savings, replaced visits; influenced care plan, new diagnosis, and more.

Provider launch from EHR or integration available. Access is also available using AristaMD's team of registered nurses.