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

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MoBE Map
MoBE Map

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Solutions

Description

Product Description:
eFamilyCare's Care Advisors allow for consistent and dedicated support to the family caregiver. This support relates to mentation, mobility, medication and any other support that the family caregiver needs in caring for their aging loved one. The Care Advisor also can collaborate through our platform with members of our partner's clinical care team (care navigators, physicians, social workers, etc.).
About eFamilyCare:
eFamilyCare is a technology enabled services company that utilizes a HIPAA-compliant proprietary telehealth platform along with a dedicated Care Advisor (social workers/nurses with deep experience treating geriatric populations). Our aim is to build a personal, long-term relationship with the family caregiver and our team will respond quickly to any problems the family caregiver is having in caring for their aging loved one including: • Post-acute transition support • Medication reconciliation • Home safety • Coaching and education about the care plan, including end of life planning, recognition of cognitive changes, ADL's/IADL's, etc. Through our solution, we can address some of the major issues that continue to be issues within chronically ill populations, including: • Decreased hospitalizations, ER visits and nursing home placements • Increased collaboration between clinical care team and more timely referrals • Improved treatment/medication adherence • Closing gaps related to HEDIS Measures and improving patient satisfaction • Increased patient engagement and isolation mitigation • Availability of real-time information rather than reliance on claims data
Product Description:
he MoBEMap algorithm combines data from claims, platform interactions, personal monitors, and social determinants of health to dynamically score each individual’s health risk. By monitoring risk levels in real time, MoBE can immediately react. Upon sensing rising risk, it works with the patient to shift health behaviors and bend back the risk curve, rather than waiting for the next doctor appointment or clinical interaction. How does MoBE shift behavior? In addition to monitoring risk, the MoBEMap recognizes each person’s individual priorities, motivations, and abilities, calculating their unique behavioral propensities. This allows MoBE to prompt small health actions the patient can take to reduce risk and improve overall health. However, the algorithm is never static. The self-learning AI enhances the MoBEMap each time a patient interacts, refining messaging, delivery, frequency, and interaction to adapt to each individual. The MoBEMap will only trigger health actions that the patient is both willing and able to take. This is the key to precision nudging. Does this work? The MoBEMap personal health algorithm has been calibrated through RCTs, pilots and deployments at scale– having produced results in real world trials in the US. Some of these results (excluding maternity) were presented at Scientific Sessions of the American Heart Association in 2019.
About CareCentra:
CareCentra’s mission is to help people choose the healthiest possible action, in a connected, collaborative, compassionate way. We built the first AI-driven, behavior shaping platform that offers remote digital care journeys for patients with multiple chronic conditions - all of the same platform. This omnichannel solution creates micro-interventions tailored to individuals. In other words, it offers a choice of health actions and nudges patients towards those they are motivated to do and able to do in managing their health. An integrated suite of four digital care experiences out-of-the-box – a Patient Experience, a Care Giver experience for family members of patients, a Care Navigator Experience for case managers and healthcare professionals, and a Population Health module that reports progress visually, deliver this vision. Randomized clinical trials with Intermountain Health have demonstrated that this precision nudging platform significantly improves care plan adherence, reduces utilization, and improves patient satisfaction

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EHR Integrations

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