The Avery Chronic Care Management solution delivers accurate, evidence-based content created by healthcare experts. The platform provides up-to-date patient education materials that align with the latest clinical findings and best practices. Tailored to each patient’s specific needs, the content supports disease management, vital tracking, medication adherence, and condition progression. Regularly reviewed by clinical standards boards, it ensures the information remains unbiased, relevant, and in the best interest of the patient, empowering them to make informed decisions about their care.

We provide condition-specific pathways that adapt to each patient’s needs, tracking both chronic and acute conditions. These pathways help providers assess the patient’s stage in behavior change and personalize next steps in the care plan. The Avery Telehealth platform identifies risks, notifies the care team, and alerts patients if they are not following the plan. Personalized health education materials empower patients with relevant information about their condition and treatment options, supporting shared decision-making.

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.

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.

Avery Telehealth offers educational content written below a fourth-grade reading level, making it easy for patients to understand. Expertly simplified, the content clarifies diagnoses and guides patients through their care plans. All materials follow health literacy principles and are available in 30+ languages, ensuring accessibility and comprehension based on the patient’s preferred language.

Our service integrates seamlessly with EMR and EHR systems, using patient medical records to tailor health education based on individual diagnoses. The Avery Telehealth platform recommends personalized content based on the patient’s profile, visit history, and current clinical encounter. Educational materials can be shared directly through the patient portal before, during, or after a visit, ensuring timely and relevant information delivery.

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.

Content is built below a fourth grade reading level and available in 30 different languages (in variations).

Avery Telehealth can enable text/SMS without a smartphone, including email and video visits.

Our platform and content are available in 30 languages: Arabic*, Bulgarian, Chinese*, Czech, Danish, Dutch, English, Estonian, Finnish, French, German, Greek, Hungarian, Indonesian, Italian, Japanese, Korean, Latvian, Lithuanian, Norwegian, Polish, Portuguese, Romanian, Russian, Slovak, Slovenian, Spanish, Swedish, Turkish, and Ukrainian (*variations supported).

Avery Telehealth connects patients/members and clinicians through multiuser video calls, in addition to in-app chat and text messaging features. When using Avery Telehealth platform and app, it allows the user to choose their preferred language and adjust font sizing according to their needs.

Avery Telehealth provides both Bluetooth enabled medical devices or cellular enabled tablets, so patients are not required to have Wi-Fi access. Avery Telehealth leverages a dynamic suite of data carriers such as AT&T and Verizon.

Avery Telehealth's platform, programs, and services work on everyone, regardless of their ethnicity, ensuring no biases when using services. It ensures equitable access for all users.

Avery Telehealth's Chronic Care Management adhere to Social Determinants of Health (SDoH). Our clinical pathways to manage each individual person's care, including patient engagement, SDoH, health education programs, biometric reports and trends to meet the full cycle of care.

Avery Telehealth is SOC 2 Type II, including certifications for ISO/IEC 27001:2013 and PCI-DSS.

We provide a cellular-enabled tablet with the Avery Telehealth platform, allowing users to connect with clinicians without Wi-Fi connections. Avery Telehealth's Bluetooth RPM devices are Bluetooth and cellular-enabled.

Our clinicians are fluent in English, Spanish, and Russian, providing licensed support across all 50 states in the United States. Additionally, the Avery Telehealth platform is available in over 30 languages.

Avery Telehealth offers comprehensive guidance for app installation and device connectivity with all RPM solutions and devices. Each tablet is pre-configured with the necessary app, ensuring users have quick and easy access to the RPM platform.

Avery Telehealth offers extensive versatility and inclusivity, accommodating more than 30 languages to serve a broad demographic throughout the United States. The platform ensures that all visuals are respectful and culturally representative, promoting inclusivity.