Patient Engagement for Chronic Disease Management
NexJ Connected Wellness is a digital platform for cloud-based population health management that incorporates mobile and wearable technologies to deliver patient engagement for chronic disease management.
It is based on research, proven at trial, and purpose-built for the objective of engaging and empowering patients with chronic disease to better manage their own health and wellness. By doing so, patients can achieve their health goals, payers can lower costs, providers can improve care to patients, pharmaceutical manufacturers and retail pharmacies can improve medication adherence.
Through extensive research and trials, NexJ has distilled three essential elements of patient engagement that now comprise the foundation of the NexJ Connected Wellness platform.
Share patient-friendly care plans to keep patients informed as to their condition, next steps and ‘what if’s’. Secure messaging, online scheduling and assessments improve collaboration and care coordination.
Enlist support from the patient’s family and friends
The patient’s personal circle of care enables patients to create their own trusted network of healthcare professionals (HCPs), family, friends, and advocates – anyone they choose to include. Patients can securely share their personal health information and message with anyone in their personal circle of care. Caregivers can monitor the patient’s progress and provide encouragement and support when it’s needed.
The personal circle of care makes person-centered health a reality by placing the patient at the hub of decision-making and managing their own health and wellness. This approach promotes wellness and proactively addresses illness to improve outcomes for patients while reducing their burden on health systems.
Enable shared decision making while improving care coordination
Patient-friendly care plans were developed in collaboration with Beth Israel Deaconess Medical Center (an affiliate of Harvard Medical School) based on a program called Passport to TRUST. They are used to support patients during transitions in care, such as post-discharge or between doctor’s visits. They are an essential tool for improving patient-provider communication and collaboration.
A study at Beth Israel Deaconess Medical Center demonstrated the dramatic impact of patient-friendly care plans:
- 96% of patients were satisfied with their physician versus 38% satisfaction with their prior doctor visit
- 97% of the patients found the written summary of the plan to address their concerns very helpful
- 69% of the patients shared this written summary with family and/or friends
- 80% reduction of patient phone calls to their physician
They are written in easy to understand lay-language to communicate to patients and to their personal circle of care:
- Information about the patient’s condition
- What treatments have happened to date
- A roadmap to health including what treatments are expected next
- What to do in case of adverse events
- Notes for their next visit
Having this information available allows patients and their family to stay informed and less likely to return to hospital for care that can be best managed elsewhere in the community. Multiple care plans can be created for the same patient for different conditions. When providers are given access to the patient’s health information, they can collaborate on the patient’s health and wellness and ensure that a shared care plan prescribed for one condition doesn’t negatively impact the shared care plan for another.
Stay in touch with your patients between visits
Efficiently communicate with your patients and their personal circle of care using Conversations, the platform’s secure messaging capability. Conversations allows HCPs to quickly and easily discuss the patient’s care with the patient’s care team, saving time, improving quality of care and patient safety.
The patient, their family and friends can use Conversations to collaborate and coordinate care. For example, the patient’s spouse can discuss the patient’s meal plan with the nutritionist, the patient’s daughter can confirm with the friend that she will take her parent to their appointment. Any member within the patient’s circle of care can efficiently communicate with each other in real-time. It’s fast and secure.
Messages can be sent in-context of a condition, and can include attachments and hyperlinks.
Maximize schedule utilization
Patients can request appointments with their HCP using NexJ Connected Wellness’ scheduling capabilities. Patients view available appointment slots and make an appointment request. HCPs accept or reject the appointment or suggest alternate times. Appointment duration is automatically matched to the requested appointment type, improving providers’ ability to manage their schedules.
HCPs improve appointment efficiency by sending the patient pre-appointment instructions, such as lab tests, imaging, or fasting requirements. HCPs can better fill all available time slots to capacity. Automated wait lists ensure appointment cancellations are quickly filled and email reminders help reduce the incidence of missed appointments.
Maximize clinical throughput
Using the platform, patients can complete pre- and post-clinical surveys and assessments online, allowing HCPs to consistently apply clinical best practices, quickly identify potential problems, and take corrective action.
Assessments are automatically made available to patients based on their profile and historical interactions, appointment type, or chronic conditions. Once patients complete and submit the required assessments, HCPs can review the information and add any pertinent details to the patient’s chart for his/her examination, thus improving appointment efficiency.
With no forms to fill out in the clinic, administrative workload is reduced and the appointment times can be shortened. With shorter appointments and more efficient processing, providers can process more people, thus maximizing their clinics’ throughput.
NexJ Connected Wellness supports an unlimited number assessment types such as health risk assessments (HRA), patient activation measure (PAM) assessments, pre- and post- appointment surveys, Framingham risk assessments, and health quality assessments (HQA).