Customizing Care To Remarkable Results — Telehealth Platform
- Telehealth Web Application
- Electronic Health Record (EHR) Integration
- HIPAA Compliance
- Medical Device Integration
- Healthcare Provider Portal
- Risk Assessment Engine

CareCycle Navigator is a SXSW Interactive Innovation Awards finalist. This responsive web application allows for remote clinicians to effectively and efficiently monitor high-risk patients. The system receives real-time vital data and prioritizes patients based on their daily risk levels. The platform utilizes historical, demographic, and vital data to ensure each patient is monitored in the correct context and evaluated thoroughly. Patients monitored through this coordinated care solution, have a re-hospitalization rate of 4.5%, compared to the 28% national average of this patient demographic.

In the United States, 20% of elderly patients with chronic conditions will be readmitted within 30 days of a hospital visit. Re-hospitalization hurts these patients’ chance of recovery and is a serious financial penalty for health care cost. CareCycle Management (CCM) Navigator is a clinical decision engine and analytics platform that integrates with wearable devices to reduce re-hospitalizations in this high-risk group, including acute care situations.

Navigator allows clinicians to efficiently care for patients, even in the face of changing patient situations. Navigator uses real-time updates to triage patients in real-time, drawing immediate attention to patients at risk. With a data warehouse containing over one million days of patient monitoring, CCM has identified 15 risks and over 100 facets that predict re-hospitalization. This data creates a rich entity model that combines real-time vitals and clinician assessments within a patent pending Node.js decision engine to prioritize patients and identify their risks.
Managing re-hospitalization takes teamwork, so Navigator includes CRM and collaboration features for hospitals, physicians, and clinicians. RESTful API’s presented by Navigator allow embedded and wearable devices to share patient vitals. Continuity of care across disparate teams is accomplished via an Enterprise Service Bus (ESB) exchanging industry-standard HL7 messages with the Electronic Medical Record (EMR) systems used by hospitals and physicians. With a complete patient picture, healthcare professionals can collaboratively provide patient care via asynchronous workflows. Armed with data and collaborating with colleagues, healthcare professionals are presented with webbased data visualizations and custom charts to educate patients and intervene with medication and treatment when necessary.

Navigator is a patent pending rules engine managing over 2,000 patients daily for hospital systems like the University of Texas Southwestern Medical Center. Real-time vitals from patient devices combine within Navigator’s predictive model, patient profile, and clinician assessments to produce a dynamic acuity score, predicting hospitalization risks and allowing interventions before hospitalization. Developed in partnership with the University of North Texas Medical School, Navigator has helped over 31,000 patients reduce their re-hospitalization risks to an industry-leading 7%.