Diabetes Mellitus
This program is for managing and engaging patients with type I or type II diabetes mellitus. It may be used at any time following diagnosis in adults. It includes a version for post-discharge patients and a version for chronic patients.
Program Goals
- Halt or delay disease cardiac, macrovascular, microvascular and other complications and risks
- Minimization of risks through glycemic controls
- Prevent cardiovascular morbidity
- Reduce cost through care standards, engagement, and assessment
Program Details
- Digital Check-Ins: Post-discharge: 2 times/week for 90 days, Chronic: 2 times/week for 1 year
- Pathways: 17
- Risk Alerts: Disease Mgmt: 56, Physical Wellness: 25, Emotional Health: 13
- Assessments: PHQ-9, GAD-7
What's in a Program — A Deeper Dive
Programs contain proprietary clinical content, rules, and configuration settings that leverage the features of the RoundingWell platform.
Pathways
RoundingWell Pathways facilitate efficient patient management. Whether it’s disease management, or physical or emotional health needs, evidence-based protocols guide clinicians through every step in a protocol.
Pathways put protocol into action
Backed by clinical literature, programs include pathways that extend evidence-based guidelines and best practices throughout the care continuum.
BYOP — Bring your own pathways
Customers can further modify a program’s pathways to suit their organization’s needs. Also, customers can convert their own protocols and policies into our actionable pathway format.
Documentation that almost writes itself
As clinicians assign tasks, complete tasks, capture task notes and communicate with other clinicians, care management documentation is being timestamped and logged for automatic export back to the patient’s chart in the EHR.
Digital Check-Ins
Whether a patient is managing a chronic condition or they’ve been recently discharged, RoundingWell is effective at connecting with patients between visits through lightweight digital touches called Check-Ins.
Direct to the patient—or caregiver
Questions are automatically sent to patients or an approved caregiver to assess their current health status and to screen for specific needs. Education content tailored to the patient informs them about their disease, condition, and treatment plan.
Reduce complications, proactively
By syncing to the patient’s current setting and treatment phase, RoundingWell Check-Ins help anticipate patient needs. Check-Ins incorporate notifications, screenings, and direct messages. Any potential patient-reported complications will trigger risk alerts.
Risk Alerts
Risk Alerts can be auto-triggered from rule-based EMR data or from patient-generated data from Check-Ins. Actionable alerts enable clinicians to practice exception-based care.
Alerts auto-trigger pathways
Once a risk is identified, RoundingWell automatically triggers a pathway if one exists. Also, customers have control over what alerts are identified, and clinicians are able to sort and filter their alerts.
EHR Integration
Bi-directional integration streamlines workflows through automation and improves the efficiency of your clinician teams as they manage patients.
Auto-populate patient profiles
Segmenting your population is helpful in tracking care programs, assigning patients to a clinician or team, comparing patient groups, tracking and comparing performance, etc.
Auto-trigger important workflows
If the clinical data is available, RoundingWell can automatically trigger risk alerts and pathways based on EHR data.
Eliminate double documentation
Activity captured in RoundingWell is timestamped and logged for automatic export back to the patient chart in the EHR (via ORU messages).
Assessments
Capture electronic assessments and screenings, such as PHQ-9, GAD-7, TICS, and PAM. Assessments are scored, which can then trigger risk alerts or prompt other actions in a workflow.
Worklists & Reports
Patients automatically appear on a worklist when they match the inclusion rule(s) for that list. Reports uncover clinician and team adherence to standardized protocols.
Ready to schedule a demo?
Get in touch for a demo of our platform and to see care programs in action.