eVisit Solutions for the Public Sector

Improve the efficiency of the ED by leveraging the eVisit application to connect to a Virtual Provider-in-Triage (PIT) who supports multiple different facilities. A nurse, physically present with the patient, initiates a virtual encounter with the PIT; the encounter is queued for the Provider, displaying key information such as facility, acuity, wait time, and language. The provider joins the video encounter, assesses the patient, orders in the EMR, and concludes the session. In 60-90 seconds, the patient has been triaged and the door-to-order time has stopped. Many patients can be treated or discharged sooner, and organizations typically see a 75-90% reduction in the LWBS rates overall.

Combat staffing shortages by leveraging bunkered nurses across multiple units in multiple facilities. Supporting nurse-initiated workflows to conduct intake, discharge, and routine check-ins, as well as patient-initiated workflows to facilitate easy access to nurses and routine communication with families outside the hospital, eVisit brings a hardware agnostic virtual nursing solution to the acute care setting. Nurses can initiate a patient call directly from the integrated EHR. A virtual "knock" is displayed on the patient's TV or bedside tablet, and then the two are connected for care delivery. Conversely, when patient initiates, requests are queued within eVisit's Virtual Triage Center and appropriate resources are alerted. Leveraging this model, hospital systems are able to address staffing shortages and improve patient satisfaction overall.

Provide stroke patients with sufficient access to time-sensitive reperfusion interventions by meeting with a virtual neurologist or specialist. By leveraging eVisits application, an ED or Inpatient Clinician can request a telestroke consult for a patient.simply by answering a few intake questions about the patient. Based on the intake information, the patient is sorted by severity and placed in the queue for the virtual neurologist/specialist. The virtual neurologist/specialist is alerted that a consult is waiting in their queue and can join the visit with the in-person clinician via video or audio. The virtual neurologist/specialist can perform their assessment and detail out a treatment plan before moving to the next consult in the queue. This entire eVisit workflow can be embedded into a customer's existing EHR. Customers have seen a reduction in tPA response time from 24 mins to 2 mins. Not only does telestroke decrease the response time for acute stroke assessments, but it meets the demand for specialty care in underserved communities and expands the collaboration between in-person clinicians and neurologists to provide standardized stroke care.

Provide quicker response time to emergencies and changes in patient condition, leading to more timely interventions by meeting with a virtual specialist. Similar to the Telestroke use case, an in-person clinician will request a Tele-ICU consult in eVisit for a patient by submitting some quick intake questions. The patient is places in the queue for the virtual specialist to join the visit with the in-person clinician. By integrating eVisit into a customer's existing EMR, the virtual specialist is able to review any vital signs and lab results before, during, or after a virtual visit. Not only does this provide in-person ICU staff additional support and resources to improve patient outcomes, it also helps to standardize care practices across multiple ICUs, ensuring consistency in treatment protocols and adherence to best practices. Leveraging this model, hospital systems are able to address staffing shortages and improve patient satisfaction overall specifically in rural care hospitals.

Collaborate and share expertise between providers to reduce delays in patient diagnosis and treatment via a virtual platform. Similar to the Telestroke and Tele-ICU use case, in-person providers will request a virtual consult in eVisit with a particular specialists via an intake form in the context of a patient. Leveraging the eVist embedded EHR queue, the specialists can view all consult requests assigned to them from various locations and the patient in context for that particular consult. They are able to review all of the patient information before joining the video or audio visit. Once in the visit with the onsite clinician, they can receive additional information about the patient and add additional specialists to the virtual visit in order to make a comprehensive treatment plan. By connecting with a specific providers to consult on patient care, this has resulted in our customers seeing a 73% increase in internal in-network patient referrals. With the model, patient are receiving improved access to specialized and timely care.

Reduce patient leakage and no-show rate by providing convenient appointment availability and access to specific healthcare specialists. By leveraging eVisit's application, patients (and clinicians) can request a virtual visit based on their specific needs. By removing language, internet bandwidth, and geographical barriers, patients are receiving faster and expanded access to appropriate healthcare specialists. eVisit integrates into an organization's existing EMR and patient portal, so patients and clinicians can easily access virtual care appointments. Our virtual queue displays the clinician's schedule and alerts them of when a patient is ready for their virtual visit. The queue will display the total wait time per patient, the time that the patient has joined, whether the patient is being seen on-demand, or scheduled visit. The virtual queue also displays the language selection that the patient has made, as well as appropriate contact info, and other relevant data points. Clinicians can easily join a virtual visit with the patient and invite other clinicians, loved-ones, or third-party interpreters to encourage a successful completion of visit. With a 98% patient and clinician Net Promoter Score, our customers have improved their third-next available appointment metric and improved their same day appointment and cancellation metric

Reduce patient wait times by redirecting non-life threatening conditions away from the ED to virtual care. eVisit supports various patient-initiated digital front door options to expand access to care and promote new patient acquisition. Patients can simply fill out a quick intake form or request a virtual urgent care visit via their existing patient portal. Similar to the primary and specialty care workflow, Clinicians can manage patient requests via the eVisit queue and join video or audio visits with the patient to provide treatment and communicate the next course of action for the patient. Our customers have seen that 16% of virtual visits have resulted in a referral which has increased access and improved net new patient capture.

Reduce oncology patient readmissions and improve patient outcomes with virtual care. Customers can use eVisit to schedule a patient for a virtual visit with an oncologist. While also offering quick and easy patient virtual access to an oncologist with a single click email/text entry. During the virtual visit, oncologists can add additional healthcare providers, patient loved-ones, or interpreters to ensure the cancer patient is receiving comprehensive care and support. Oncologists are also able to see patient's home environment, evaluate nutrition, identify fall risks, and other stressors. A virtual visit also reduces the need for patients to travel to healthcare facilities to consult with an oncologist or receive follow-up care especially for those patients that are immunocompromised. Using eVisit, one customer is able to facilitate 60% of their oncology visits virtually. This model not only boosts care access for cancer patients, but also increases the customer's in-clinic capacity for more critical cancer patients.

Provide more accessible, convenient, and comfortable mental health care with virtual visits. Leveraging the eVisit platform, patients are able to request mental health care based on specialty or preference for a specific clinician and join a visit from the comfort of their own homes. Some patients seeking behavioral health visits feel more comfortable discussing sensitive topics in a familiar environment by using a virtual platform. Clinicians can also have a hybrid work model by easily being able to view and manage existing patients and new patient requests via our eVisit queue. Offering Behavioral Health Virtual visits, our customers are able to improve access to care especially in rural areas or for patient populations that may have transportation restrictions. This model also creates additional revenue opportunities by allowing organizations to capture new patients

Increase patient access to care by integrating virtual care into existing public resources. Leveraging the eVisit platform, one customer was able to integrate virtual care into on-site kiosks and carts to better assess and treat new arrival patients at shelters. A virtual visit request is made with the first available provider using a kiosk or cart. From there the providers can join the visit and add an interpreter (if needed) to convey an accurate diagnosis and treatment plan for the patient. Removing the language, transportation, and technology barrier for these underserved patient populations leads to better overall health outcomes. Another customer was able to integrate eVisit with the community's 911 call center. The 911 call center would route non-life threatening patient calls to the local health system to initiate a virtual visit instead. The local health system would connect that patient with an ED provider via video or audio to receive the necessary care. This not only reduced the need to send a costly ambulance and overcrowd the EDs, but also increased first responder support for patients who need immediate care.

Provide behavioral health patients with access to time-sensitive interventions by meeting with a virtual psychologist. Using eVisit, a clinician can request and initiate consultation or direct care requests for a patient to reducing total length of stay in the ED and improving patient care quality.