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Description
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Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details
Spiras Care
Spiras Care

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Categories

Solutions

Description

Product Description:

Spiras Health is the premier next generation care management organization delivering nurse practitioner led in-home specialty care, utilizing predictive analytics and employing smart use of technology for members with advanced chronic conditions, specifically COPD and CHF made more complicated by co-morbidities and SDoH. The Spiras Health Solution combines monthly in-home services, telehealth, 2-way digital communications, and remote monitoring longitudinally. By treating patients with a whole-person approach through multiple modalities, developing clinician/patient relationships, and extending specialty services such as pulmonology, cardiology and palliative care into the home, Spiras Health is able to support adherence to treatment plan, coordinate care, communicate and collaborate with PCP/SCP and other care team members. The results are enhanced quality of life, improved patient/provider satisfaction, total cost of care reduction, and increased communication, coordination and collaboration among care team, patient, caregivers and community and referral back into a health system's ecosystem for continuity.

About Spiras Health:

Spiras Health, headquartered in Brentwood, TN, provides longitudinal care services to complex, chronically ill patients, specifically COPD and CHF. The Spiras Health approach combines home-based services, telehealth, 2-way digital communications, and remote monitoring. This multi-modal approach allows the patient access to care, regardless of situational complexities, in the mode that suits their preferences, needs, and risk. This also provides ongoing data, from a multitude of sources, to Spiras Health for accurate and efficient interventions. Spiras Health creates value to patients by improving quality of life and to health system/payor partners by reducing total cost of care by addressing avoidable costs and supporting quality metrics. Spiras Health utilizes/provides: 1. Multi-disciplinary team approach consisting of MDs, NPs, RRTs, RNs and community resources 2. Predictive modeling and machine learning to identify patients at highest risk for avoidable costs 3. Patient activation strategy for ongoing engagement, goal setting, treatment plan adherence, and behavior modification 4. Multi-modal approach to care delivery 5. Provider collaboration process to partner with patient's PCP and specialists, bridging care from physician office to home 6. Improved clinical and financial outcomes

Product Description:

Rimidi’s cardiometabolic platform supports disease management of some of the most prevalent and costly chronic conditions. The platform provides access to the tools required to manage multiple disease states – Diabetes, Cardiovascular Disease/Hypertension, Heart Failure, Nonalcoholic Fatty Liver Disease (NAFLD) and Nonalcoholic Steatohepatitis (NASH), and Obesity. The platform consolidates relevant clinical data from the EMR for each disease state with patient-generated health data from connected devices or surveys, and layers clinical decision support that can be mapped against national or practice guidelines. Our cardiometabolic snapshot allows clinicians to quickly assess patient status for each comorbid disease state -- are screenings up to date? Are key metrics well-controlled?

About Rimidi:
Rimidi is a cloud-based software platform that enables personalized management of health conditions across populations. Created by doctors, Rimidi avoids the disconnect in connected care by combining patient-generated health data with clinical data from the EHR to drive patient-specific clinical insights and actions. The net effect is a better health system with optimized clinical workflows that enable better decisions, better relationships, better outcomes and ultimately a better healthcare system. For more information, visit rimidi.com and follow us on Facebook, Twitter and LinkedIn.

Compatibility level

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Clients

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Use Cases

Description:

Spiras Health is generating significant savings to Medicare Advantage health plans. The unique model consists of the following:


1. Predictive analytics to identify the most appropriate members who will benefit from Spiras and who are at highest risk of incurring avoidable spend

2. Multi-modal approach to care delivery: nurse practitioner driven care, delivered in the member’s home through market-based RTs/nurses; augmented with smart use of technology in the form of tele-video conferencing, 2-way digital communication and remote patient monitoring

3. Provider and Health Plan care coordination and collaboration, closing the loop with community provider

4. Value creation through cost reduction in ER/hospital avoidance, revenue increase through member acquisition/retention, support of Star gaps closures and HCCs, quality metrics impact

Pediatric use cases:

None provided

Users:

Patients dealing with chronic illness, specifically COPD and CHF, with multi-morbidities and social determinants of health.


Medicare and Medicaid Health Plans and Direct Contracting Entities

Description:
  • A physician sees a patient with poorly controlled diabetes in the office and is prompted in the Rimidi diabetes view to enroll the patient in remote monitoring and to consider a therapy adjustment to optimize cardiovascular risk reduction. The physician creates a dynamic care plan with each encounter that posts back to their EMR. The physician reviews the patient’s home glucose readings one week after therapy adjustment to ensure adequate control.
  • A patient uses the connected glucometer provided by the practice. She can see whether she is in her target range, receive messages from her care team in response to her data, and access the diabetes educational course recommended to her on her home device. She feels more connected and in control of her diabetes.
  • A care coordinator monitors a clinic’s patients with diabetes, heart failure or hypertension remotely, addressing alerts configured for the clinic and ensuring that they are meeting clinical guidelines and helping to avoid costly admissions and readmissions. Documentation for RPM and CCM activity is done in the Rimidi app and aggregate for billing purposes.
  • A primary care physician scans a patient population in the Rimidi app and sees several patients with cardiometabolic risk factors that are at risk for Nonalcoholic Fatty Liver Disease. The physician receives guideline-based, clinical decision support to guide the patients to the appropriate level of care—whether that’s a specialist referral, bloodwork, or imaging.
  • A clinic uses Rimidi to send depression screening questionnaires before all annual physician exams for their patients with heart failure and diabetes. Patients can complete the questionnaire on any device and Rimidi posts the responses back to the EMR as well as visualizing them within the Rimidi app.


Pediatric use cases:

Rimidi has developed a view specifically for tracking gaps in care in Pediatric Obesity, a major risk factor for future development of cardiometabolic conditions.

Users:

Clinicians, care teams

EHR Integrations

Integrations:

Pop health platform, ADT

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

eClinicalWorks

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized), Mobile / Tablet (native app)

Integrations:

Ambulatory EMR, Credentialing, Other

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Cerner, NextGen, Athenahealth, athena

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized)

Client Types

None provided

Differentiators

Differentiators vs EHR Functionality:

Spiras Health is a next generation care management and care delivery provider bringing specialized services to members at home. Spiras focuses on members at highest risk of incurring avoidable spend due to unnecessary utilization of ER and hospital, primarily as a function of poor adherence to treatment plan and uncontrolled symptom exacerbations.


This solution begins by targeting patients with diseases of the heart and lungs (CHF/COPD) made more complicated by multiple co-morbidities and social determinants of health. However, care for all conditions is provided - with a whole-person approach.




Differentiators vs Competitors:

Spiras is distinguished by:

  • Predictive models that identify avoidable spend
  • Specialty care delivery - in-home with multi-modal use of technology
  • Longitudinal vs acute/episodic
  • Ability to take risk for specialty care


Differentiators vs EHR Functionality:

In the sales process, we often hear “Doesn’t Epic (or other EHR) do that?” Rimidi is not built to replace the EHR, but to enhance it by bringing in additional data sets, providing more efficient workflows, and improving the user experience. Rimidi can install and configure its platform within 3-6 weeks which is significantly faster and more cost effective than onsite EHR teams can build and support enhancements to meet clinical needs. Rimidi’s modern technology stack enables rapid cycle innovation and iteration post-go live.

Differentiators vs Competitors:

Rimidi’s cardiometabolic platform is most often compared to other Remote Patient Monitoring solutions, but the platform-approach to RPM allows Rimidi to do so much more. Some key differentiators of the Rimidi platform are: (1) tight integration with leading EHRs via SMART on FHIR, (2) the breadth of the comorbid disease states we cover, (3) our incorporations of patient-reported outcomes and social determinants of health measures and (4) our Clinical Decision Support engine. Rimidi’s CDS cards support almost any insight or intervention a client wants: RPM data alerting and interventions, referral management, lab or medication recommendations, clinical trial identification, and more. 



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Company Details

Founded in 2015

Founded in 2012

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