In early 2017, Epic introduced the Epic App Orchard, which opened up their platform to developers to create apps that use SMART and FHIR technology to integrate into Epic. This is an evolution to the traditional quarterly update integration that Epic began offering a number of years earlier.

In developing Krames On FHIR, Krames’ Product Team conducted many interviews with existing clients to see what were their “pain points” and looked for suggestions to improve upon or eliminate those pain points. The Krames On FHIR results have been truly impressive:

Benefits for Patients

· Provide the right content in the right format to the patient anywhere along their healthcare journey from Discovery to Recovery and beyond!

· Access easy to understand content on thousands of topics in English and Spanish, with content available in up to 15 additional languages and over 1,450 videos

· Gain knowledge and tools to effectively adhere to treatment plans, take medications properly, and self-manage conditions outside the health system to reduce readmissions

· Receive suggested patient education content, customized by their physician, in their preferred format - print, digital or video – accessible through their MyChart Patient Portal, Bedside or Mobile app with the ability to revisit or share the education with loved ones and care givers

· Pre/post procedure automated education via SMS to improve outcomes and ensure medication adherence.

Benefits for Clinical Teams

· Access to regularly updated patient education in clear, plain language developed using Krames evidence-based methodologies in multiple modalities

· Suggest the most relevant encounter education (including our vast video collection) to reduce clinical efforts and clicks.

· Deliver Krames patient education to your patients through MyChart Portal, Bedside or Mobile app or even through your Care Plans teaching points

· View the dates of the education materials that the patient has previously received and see how the patient has interacted with the content

· Improve 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

· Providing multiple formats of education (print, video, digital, etc.) addressing SDOH issues and positively affecting HCAHPS

Benefits for IT Teams

· Eliminate quarterly uploads of patient education, reducing the technical resources needed for maintenance and support

· Piloted Epic’s Tesseract with Epic to reduce and simplify API integrations

· Adhere to the latest industry standard SMART on FHIR API standards

· Facilitate implementation using our pre-approved app

· Follow a detailed project plan and how-to guide for implementation, provided by EPIC

· Adhere to regulatory requirements, as the application allows clinicians to share information to the Patient Portal and write data back into the EHR

For 40-plus years, Krames solutions—which now include those of our WebMD and Medscape family—have been attracting, educating, and retaining patients. Partnering with a results-driven company like Krames is key for health care networks to provide a personalized patient experience that coordinates digital and physical touchpoints. Patients stay engaged with their care plan and clinicians, improving their satisfaction and loyalty and reducing readmissions—creating healthier outcomes for all.

Imagine the impact if you had the time to call every patient every day to let them know what to expect, know and do. Care teams would have real-time visibility into risk status and patients would have a superior outcome and experience. 

With GetWell Loop, care teams can engage all patients across their care journey through automated virtual check-ins. By sending the right information at the right time, our digital care management software identifies patients in real time who need help. Care teams are able to reach more patients and proactively intervene before costs and complications escalate, and patients feel like their care team is with them every step of the way. 

• Focus care teams on the right patient at the right time 
• Automatically deliver daily touch points for each patient 
• Remotely monitor staff without devices and receive actionable data that provides a real-time window into the patient 
• Reach more patients without adding staff and allow teams to manage by exception Increase revenue and reimbursement payments 
• Drive positive provider reviews and ratings 

Get Well delivers digitally enabled, consumer-centered experiences that build lifelong loyalty while deepening patient relationships, improving clinical quality, and growing market share. Get Well seamlessly blends innovative technology and personal interaction to touch every part of the healthcare consumer journey -- in the community, at the point of care and beyond.

Get Well’s 360 Platform, which combines our legacy Inpatient, Rounds+, Loop, and Navigate products, is the consumer digital platform for a new era and includes six modules aimed at solving the most pressing issues facing healthcare systems:

1. Activation & Growth: Targeted outreach aimed at (re)activation, care gap closure, and value-based care (VBC) initiatives utilizing customized campaigns at scale to reactivate and reattach patients.
2. Health Equity: Augmented staff combined with tech-enabled care that closes health and social gaps within your communities through SDOH screening and navigation to appropriate resources, Maternal Health equity and navigation and youth mental health services.
3. Point of Care Engagement: Multimodal smart room technology that improves communication, engagement, and outcomes for patients, families and care teams. Includes interactive patient care (IPC), digital patient, staff, and unit rounding, and digital white board and door board signage.
4. ED Interactive Experience: A no-download, no-account-required interface that provides smart-triage, expectations setting & management, and entertainment to distract and de-escalate ED patients. Solution is launched on patients’ devices and enables medication fulfillment, pulse surveying, and patient retention.
5. Guided Care: A library of over 300 digital care plans that navigate patients through pre and post discharge pathways that utilizes AI-enabled virtual monitoring, Automated clinical workflows, symptom surveys and patient check-ins. 
6. Navigation & Retention: Digitally-led engagement with augmented care navigators providing disease specific outreach and navigation to in-network providers and services.

Leading healthcare organizations continue to partner with Get Well for the following reasons:

1) Digital consumerism at our core: Get Well has invested over $50M to build a first of its kind digital health platform for consumer-centered experiences. Our team comes from digital consumer-first companies such as Marriott, Apple and Airbnb, and leverages this experience to reimagine the healthcare consumer journey.

2) Comprehensive, all-in-one platform: Our platform-first approach allows us to drive rapid innovation and efficiently meet the needs of healthcare organizations today – not down the road. We enable a more streamlined digital experience across the healthcare consumer journey, eliminating the need for costly point solutions.

3) Clinical expertise and training: With a renewed investment in learning resources and user support, we make it even easier for care teams to engage consumers in their healthcare journey, streamline their workflow, improve communication and achieve outcomes.

4) Unmatched interoperability and security: Get Well holds the top 1% of security designations in the world and has set up nearly 500 integrations with various partners to make our platform highly integrated and interoperable.

Unparalled, proven FHIR app

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, AI physicians assistant, etc.!)

1. **FHIR experience** - Krames On FHIR is a proven solution that addresses an organization’s patient education gaps. Krames has over 39 live clients and anothr 20 in different stages of implementation with thousands of clinicians who are using Krames On FHIR every day! No other patient education vendor can say that. Plus, we’ve developed repeatable best practices to prevent delays, reduce risks, and eliminate disruptions during implementation.

2. **Breadth and depth of expertise** - Krames brings to clients more than 40 years of experience focused on health care education, clinical workflow solutions, and positive patient outcomes - all rooted in the science of behavior change. We have internal experts experienced in health care regulations and risks who understand that evidence-based, clinically validated content - updated in real-time through FHIR technology - enables quality clinical education and speed to market for your organization.

3. **Direct to Patient automated education**- Our Direct To Patient automated education extends our Krames patient education outside of the four walls/portal and into the patients pocket! Pre/post procedure education, medication education and adherence, medications savings, and wellness to improve outcomes.

4. **Ease of use** - Upon conducting many hours of clinician focus groups, we created Krames On FHIR for seamless integration into the EHR workflow. It's a strategically developed application with a modern, initiative user interface that enhances the clinical workflow.

Get Well Loop has close to 15 years of experience in this space with dozens of published case studies and peer reviewed studies documenting our partners' success across patient satisfaction, outcomes improvement, lower total cost of care, and increased staff efficiency. Below are some representative examples:

• Increase Patient Loyalty & Market Share - 93% of GetWell Loop patients are extremely likely to recommend their physicians. 

• Elevate Outcomes and Regulatory Compliance - GetWell Loop has been proven to reduce readmissions by 45%, complications by 54% as well as improve patient comprehension by 45%. GetWell Loop patients are also 15% more likely to be discharged to home. GetWell Loop also captures and reports Patient Reported Outcome Measures. PROMs collection rates for GetWell Loop clients are 76% with no additional work from the care teams.

• Optimize Care Team Efficiency - By providing a real time look at patient recovery and risk, GetWell Loop helps care team members reach the right patients and the right time reducing call volume and unnecessary office visits and increasing the number of patients that the care team can reach without adding additional staff. 84% of GetWell Loop patients report that GetWell Loop helped them avoid unnecessary phone calls or office visits.

• Extensive Content Library of 300+ clinically validated care plans - One of the greatest challenges in digital engagement is determining what information to send a patient, when to send it, and in what format it should be received to ensure comprehension and drive compliance. 

Compared to other solutions where clients have to build care plans or interactions from scratch, Get Well Loop provides an evidence-based library of 300+ highly personalized digital care plans that were designed to drive engagement and outcomes. A care plan consists of education, reminders, assessments, and tasks broken down into daily bite sized chunks and delivered to the patient automatically over a schedule of weeks or months. Our library includes episodic specific procedural and acute-on-chronic care plans as well as general discharge care plans. Each care plan is written in a highly empathetic way and serves as a continuous virtual presence with patients on their roads to recovery. GetWell Loop anticipates commonly asked questions and answers them through insightful instruction, reducing calls and frustrating hold times for patients.

Content Customization

GetWell Loop content can be adjusted to accommodate varying physician practice patterns or preferences. We work with organizations to determine appropriate levels of standardization and use episodic specific surveys to gather information from the physicians on their practice patterns. That data is then used in combination with current discharge instructions to identify variance and support you in making decisions on specific care plan customizations. At the enterprise level, our content/care pathways can be customized by facility, practice, care setting, and physician. The care plans are further customized automatically for each patient using patient’s medical history. GetWell Loop enables communication in a scalable and engaging way without compromising the voice of the provider.

Interoperability

Extensive integration experience

Get Well has years of experience integrating with all major HIT systems that reduces implementation time and burden for hospital IS departments. Our deep integration expertise ensures that our technology is fully embedded and communicating with your core health IT platforms to pull critical information, document information, and maintain current workflows.

IDeep integration with the EHR

GetWell Loop recognizes physicians and practice staff have large panels of patients to treat with limited time. Providing integration into a longitudinal patient record means clinical decisions and care plan adjustments can be made without having to manage several inboxes or dashboards. GetWell Loop has developed a clinician SMART app for Epic and Cerner which allows clinicians to access the Get Well Loop clinician dashboard and communication tools from directly within Epic or Cerner.

Additionally, GetWell Loop provides the option for portal integration allowing patients to access to Loop within EHR or custom patient portal, without need for additional login.

Configurability

It is important to meet organizations where they are with resources, previous technology investments, and workflow, so our team has built the tool in a way that allows for customization throughout. There are configurability options related to, integration, content, branding, triage methodology, bidirectional communication, alerting, and workflow. For each organization that we partner with, our goal is to understand your current resources and how we can best fit in.