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Better Care = Better Revenue

Proactive, Potential Health Risk & Care Gap Reconciliation.

Discovering Potential Risk & Gaps in Care

Clinical data housed in EHRs and Third party healthcare applications can be used to identify potential health risks and gaps in patient care. Potential health risks and care gaps significantly impact healthcare organizations in penalties and un-discovered revenue. These factors also greatly affect health outcomes and the quality of care provided to patients. Potential risks identification gives healthcare providers a proactive tool in determining viable treatment plans and disease management protocols for their patients. One of the challenges faced by healthcare providers is the disconnect between potential health risk/care gap identification and subsequent reconciliation engagement.

Novatross offers an automated, end to end, potential risk/care gap identification and patient engagement platform called ClOEE. ClOEE standards for Clinical Outreach and Engagement Engine. ClOEE is a middleware application, built to extract, structured and unstructured clinical data from health systems and applications. ClOEE’s inbuilt logic processes clinical data to identify potential health risks and gaps in a patient population.

ClOEE is a cloud based platform and accessible from any web browser. ClOEE doesn’t require any specialized hardware or on-premise installations. ClOEE’s distribution model allows for quick and low cost adoptions. Dedicated account mangers provide full-cycle support, drastically reducing the technical and logistical costs required for implementing enterprise applications.

ClOEE Engagement Cycle

Step 1: Creating Engagement Triggers

ClOEE uses preventive service qualifiers and possible care gaps as Engagement Triggers™. Potentially at-risk patients whose clinical measurables match the pre-defined Engagement Triggers™ are automatically enrolled into clinical outreach campaigns.
Each Healthcare organization has its own clinical goals and objectives. With ClOEE organizations can configure numerous Engagement Triggers™ to maximize patient engagement. Out of the box ClOEE offers published USPSTF recommendations as Engagement Triggers™. Organizations can also create custom triggers.

Use Case: Flu Vaccine
A hospital system is preparing for flu season. The system has a large 65+ aged population. Most of the patients have completed their Annual Wellness Visits (AWV). The hospital system would like to aggressively screen patients who have not had an influenza shot in over 12 months. ClOEE is able to process clinical data from the AWV and identify patients who meet the Engagement Trigger™, Age =< 65 yrs, Last Influenza shot > 12 months. ClOEE identifies the at-risk group and automatically launches clinical outreach campaigns, geared at engaging the at-risk population to receive additional screening or get a flu shot.

Step 2: Clinical Data Transmission

Now that we've configured the Engagement Trigger™, how do we get the clinical data into ClOEE? ClOEE’s underlying interoperability infrastructure supports clinical data ambiguity, this allows ClOEE to securely exchange and transmit clinical data between disparate health systems in various data formats.
ClOEE supports;

  • HL7 formats (v2,v3,Structured & Unstructured)
  • FHIR
  • API protocols

This open connectivity allows ClOEE to seamlessly integrate with EHR and PMS. Seamless integrations allows CLOEE to react in realtime to pre-defined events.


Step 3: Patient Registration & Enrollment

Patient registration is the process of adding patients to ClOEE. ClOEE supports manual and dynamic patient registration protocols. Manual registration is done via patient list uploads. Dynamic registration allows patient addition via web-service methods, this includes HL7, FHIR & API protocols.

Patient enrollment is the qualification of patients into clinical engagement campaigns. ClOEE’s inbuilt logic engine and algorithms processes inbound clinical data and identifies patients who meet the potential risk threshold of defined Engagement Triggers™.


Step 4: Patient Outreach & Engagement

To maximize Patient Outreach and Engagement, ClOEE has an automated engagement component that aligns back office engagement management features with personalized patient communication strategies. ClOEE’s back office features provide a full cost saving automation of the patient engagement cycle.
Back office features include;

  • Automated communication interfaces
  • Multi device compatibility
  • Full feature scheduling support
  • Real time campaign performance metrics & reporting
  • Multiple catch-all engagement protocols
  • Active management calendar & synchronization
  • Communication cycle and load management

Step 5: Action/Visit Fulfillment

Action Fulfillment is the process of taking a positive action to the recommendations/instruction of the clinical outreach campaign. An action would be as simple as confirming that you've already had a flu shot or scheduling additional screening for an identified potential risk. To maximize fulfillment rate ClOEE uses engaging outreach protocols to personalize the patient engagement experience.
Protocols include;

  • Physician voice™
  • multi-language support
  • Portals Anywhere™
  • multi channel communications
  • relatable/identifiable media
  • location based scheduling
  • health conversational bots

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