Krames on FHIR

The Krames clinical content team does continuous review of standards in clinical literature, guidelines, and best practices to keep our content current. As we look to develop content and maintain our existing content library, we ensure clinical accuracy by our team working in conjunction with our in-house research director and together we continually monitor over 180 guideline associations; which include organizations like AWHONN, ACOG, American Academy of Pediatrics, CDC, NIH, American Diabetes Association, American Academy of Emergency Medicine, just to name a few. Based on review we update content to reflect current standards – at three levels: 1. The first level is “Proactive”: Where all content is reviewed on a 24-month cycle 2.The second level is “Responsive”: All relevant content is reviewed when we’ve identified a change in standards 3.The third and final level is “Emerging”/new research: This is the real-time creation of new content describing emerging clinical issues (e.g. COVID-19, Vaping, ZIKA) Our process for content review includes: - Health content, including interactive or self-management tools and multimedia content, has two external medical reviews. - Health content enters its “first” medical review two (2) months prior to the expiration of the last review date and the medical review process - two medical reviews, one editorial review, QA, and translation - may take several months to complete. Dates of medical reviews are tracked and stored in the Krames UCR. Certain diseases and conditions that have ongoing medical research and frequent updates to treatment guidelines are medically reviewed more often, as an off-cycle review, to remain current with emerging standards of care. - Content is updated immediately, as an off-cycle update, when significant new medical knowledge or change(s) in medical guidelines occur, and when content errors (not spelling or grammar) are identified. - Two medical reviews are performed on health content. At least one of the medical reviewers is an expert or specialist in the area pertaining to the disease, condition, or topic under review. - Experts or specialists in the area pertaining to the disease, condition, or topic under review consist of physicians, advanced practice registered nurses (APRN), physician assistants (PA), and other clinicians with a specialty focus on the specific subject matter. - Our in-house clinical team finalizes the medical review process by validating each content review to ensure consistency and accuracy across our library.

Captures and tracks what information has been provided to the patient, what they did or did not interact with. Records dates of when education materials were received to help ensure they don't repeatedly get the same information. Indicates whether or not a patient viewed a healthsheet and/or how much of a video they watched. Everything writes back to the AVS.

We offer optionality in terms of delivery for our content to truly meet patients in their preferred modality, wherever they are in the patient journey! (Our healthsheets and collection of over 1,450 videos can be integrated in EPIC clinical references & MyChart, mobile, pre/post procedure SMS, TV channels, online, pre-printed booklets, interactive guidebooks, AI physicians assistant, etc..)

Krames takes an individualized approach as we engage patients in their healthcare journey. We deliver engaging Krames patient education in digital, video, or print formats, based on each patient's unique learning style. It applies the latest health literacy principles to help clarify diagnoses, support shared decision-making, and build a trusted physician-patient relationship. Our Digital Content is comprised of not just written content, but also image only, animations, and videos that assist healthcare professionals in educating their patients in the style that fits the patient. We use the Health Literacy Advisor software, which can calculate reading scores using a variety of scales and we record Gunning-Fog and Flesch-Kincaid reading ease in our database. Our digital, video, and print content contains diverse, culturally sensitive images that appeal to many different populations and demographics. We have an extensive video collection that ranges across the continuum of healthcare. Additionally, Krames has 1,500+ "Easier-to-Understand" healthsheets which are at a 4th grade reading level and below and over 100 "animation only" healthsheets that provide step-by-step instructions using only images at reading level (0).

Improves clinical workflows by reducing the number of clicks and making patient education easier to find via suggested content, personal favorites and organizational or departmental folders Care managers can easily access content, while marking their favorites and organizing it into favorites shared across the team so they can easily see what has been shared.

Krames On FHIR allows clinicians to deliver up-to-date patient education at the point of care. Using SMART on FHIR technologies, it integrates smoothly into Epic and directly into your workflow. Krames On FHIR provides relevant information based on the patient record including conditions, medications, and procedures- and then recommends the right education based on the patient's profile and current clinical encounter.