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"Engaging patients & providers with the right information, at the right time, to do the right thing"

Patient Engagement Systems (PES) technology is proven to reduce costs and improve outcomes. It does this by delivering timely and personalized clinical data to patients and their primary care providers. Care is more coordinated, complex and costly chronic conditions are more effectively managed, and physicians are more able to engage with their patients.

PES helps patients and physicians by:

  • Identifying patients with chronic conditions.
  • Enabling physicians to more easily engage with these patients.
  • Providing patients with timely, personalized information.
  • Providing physicians with accurate, relevant information and decision support.
  • Strengthening the key relationship between the patient and the provider.

PES improves health and outcomes, including:

  • Fewer inpatient admissions.
  • Fewer ER visits.
  • Better physiologic control.
  • Higher HEDIS and Medicare Five-Star Quality Ratings.

The PES platform includes the following modules:

Detection and Surveillance.This technology identifies and defines discrete, disease specific populations for health interventions and improved risk-based coding for payers. You can’t manage what you can’t measure!

Patient Engagement & Communications.This is the engine that creates and sends all patient reminders, alerts, and messages. PES automatically analyzes patient clinical data and provides treatment recommendations based on nationally recognized clinical guidelines. These communications are personalized and specific to the patient's specific chronic conditions and relevant clinical data to engage more effectively than generic messages.

Analytics and Clinical Decision Support. This provides the primary care physician and care staff with the information they need to better identify, manage, and monitor their most costly patients—those with chronic conditions. These tools have been shown to improve adherence and awareness to treatment guidelines. Key tools in this module include patient flow sheets, clinical work lists, quality report cards, and population management reports.

How PES works

PES's proprietary algorithms review laboratory results and other medical data every day to identify patients who need attention to meet HEDIS, NCQA, CMS Five-Star, and clinical guidelines for care. It automatically informs the practice when to initiate testing and changes in therapy, and reaches out to the patient directly from their provider to stimulate patient engagement and action. On-line and push messaging keeps practice managers, quality staff, physicians, and office staff in the know about the status of the entire panel.

Successful chronic care requires a strong patient-provider relationship. PES creates the optimum conditions for such a relationship to develop. This diagram shows how the PES system helps engage both patients and providers to create the desired result.


Ensuring a Better Patient Experience

Research shows that informed and engaged patients take a more active role in their own care. Healthcare organizations are discovering how patient engagement contributes to their financial and quality objectives.

PES software is based on the Chronic Care Model. PES makes it easier for providers to prepare for clinical encounters, inform and remind patients of care plans, and to interact regularly and effectively with patients about chronic care management.

Developed by and for Primary Care Physicians

PES software was originally developed by clinicians and information scientists at the University of Vermont. This team, led by professors and practicing clinicians Benjamin Littenberg, MD and Charles MacLean, MD, directed the original NIH study. Drs. Littenberg and MacLean still lead PES product development today.




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