A Quick Intro To The CITE Solution

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Engage-Encourage-Empower Your Patients - But What About Your Staff And System Performance?

u.4.Staff.001.jpegAs reimbursement models and care delivery shift towards patient centered and value based journey solutions, health systems are challenged with the operationalization. While conventional methods reached the ceiling and only provide limited results in one category, CITE solutions, as the world’s only medical grade engagement system, enable enterprises to: 

- Engage all patients equally and meet civil right requirements 

- Encourage top of licensure performance and reduce charting time

- Empower system innovation, efficiency and revenue pathways

As the only holistic engagement solution, Phrazer/Kitsune harmonizes patient, staff and system performance. CITE systems offer personalized engagements for your patient population with continuity and quality across demographies. The patented MRM feature supports a care dialogue between patients and staff with actionable information and procedural guidance resulting in effective coordination of resources. Departments and the entire organization are empowered to innovate at no additional cost, boost current and future initiatives and establish a new level of patient experience, health outcomes, staff performance and system operation. A truly transformative solution for patient equity, efficiency, and efficacy.

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If You're Not Performing SBIRT, Here Are a Few Reasons Why You Should

 

Let’s start with one fact.

For every dollar spent on screening for substance use and providing early intervention approximately $4 can be saved in healthcare costs. (1)

 

Quick Recap on what SBIRT is:

Screening, Brief Intervention and Referral to Treatment (SBIRT) is an evidence-based approach to identifying patients who use alcohol and other drugs at risky levels, and in turn reduces and prevents related health consequences, disease, accidents and injuries.

SBIRT is unique in that it screens for all types of substance use, not just dependencies. Each part of the SBIRT process provides information and assistance tailored to the patient’s needs.

The primary goal of SBIRT is not to identify alcohol or other drug dependent individuals, but rather, it is intended to meet the public health goal of reducing the harms and societal costs associated with risky use.

 

Why isn’t everyone doing it?

Well the simple answer is, multiple reasons. Time constraints and cost are two prominent factors that are always present when trying to incorporate additional activities into the care process.

In a typical family practice, providers usually have between 10-15 minutes with a patient. This isn’t anything new. Healthcare professionals already know it’s incredibly challenging to give the patient the time they need to address the initial reason for the visit, much less anything that may come up while the patient has the provider’s attention (insert patient statement “oh and I have this thing on my back, could you look at it?”). How can you expect to do more without increasing the time per patient?

When considering cost, every health organization is on a budget so optimizing every dollar to provide the maximum benefit is critical. You’re already working on a budget, and giving a dollar to a new activity can often mean taking a dollar away from some other part of care. Again, this isn’t new, but it is the harsh reality of operating a health system. So, how do you accomplish more with the same or even less budget?

 

A Solution to Starting SBIRT Activities

Many health organizations are looking to technology that can automate the information gathering process and provide a summary to staff for quick review. Typically they are looking for a technology that has low overhead, requiring no additional outside resources, and can be set up quickly in existing workflows to start engaging patients.

Setting Phrazer up for a patient engagement takes ~30 seconds and can be completed by an intake staff member (or the patient in some workflows). Then simply allow the patient to begin screening activities in the waitroom or wherever the patient will have wait time to complete.

With the CITE Engagements on Phrazer, patients don’t need to be able to read or write to complete and Phrazer can screen in any patient language (English, Spanish, Somali, Hmong, American Sign Language or any other language, you name it).

Phrazer actually educates the patient how to use as they start their interactions. The patient simply follows the onscreen provider and interacts with the touchscreen to enter their answers.

The patient follows a branching system to reduce survey fatigue so the patient is only asked questions that are relevant to them based on previous answers. (For example if they don’t drink alcohol, they only perform the AUDIT-C and don’t move on to complete the full AUDIT)

It is key to point out is that the patient is doing all the screening on their own without training on the device and requires no additional staff time. Outside of basic setup in some workflows you are able to completely gather this valuable information with minimal employee expenditure.

Patients typically take from 5-15 minutes to complete and when a patient is done, Phrazer generates a patient summary (See Below for example), including scores for each screener, based on the patient answers for staff to utilize during the care process.

 

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These printouts travel with the patient, via the electronic record or paper copies, and providers can review before walking into the room with the patient. The goal is to give relevant information to the provider to identify and have meaningful conversations with at risk patients without becoming a time burden on staff. With technology, this goal is realistic with solutions that fit into the existing workflow without disruption.

Once care is provided to the patient and the provider signs off on the care provided, the records along with recommended billing codes travel to the billing team for reimbursement. Reimbursement is pushed using the patient’s health insurance (private insurance, medicare, medicaid) and in the following days, reimbursement is sent to your facility.

Through the use of technology you can reduce the cost and time burden of implementing new or upgrading existing SBIRT activities.

Let’s recap a few reasons why you should be providing SBIRT services:

1. It’s proven that preventative care including SBIRT activities reduces the overall cost of healthcare

2. You will be providing more holistic care to your patients based on additional screening information meaning a safer, healthier population

3. Insurance typically covers the cost of care and increasing your billable dollars can assist with your bottom line

If you’re curious to learn more about how existing health systems have adopted a technology approach to operationalize new processes, let us know, we would be happy to share more about our experience. Email info.sbirt@geacom.net

For more information on how to implement SBIRT in primary care, check out this NCBI study: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5809898/


(1) Fleming, M. F., Mundt, M. P., French, M. T., Manwell, L. B., Stauffacher, E. A., & Barry, K. L. (2000). Benefit-cost analysis of brief physician advice with problem drinkers in primary care settings. Medical Care, 38(1), 7–18.

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Phrazer/Kitsune Secure Payment Gateway and Potential Uses

Phrazer/Kitsune is available to engage all patients equally.  Included on the platform is a secure JP Morgan payment gateway that accepts all major credit cards with ease.   This gateway opens a variety of opportunities for expanded patient entertainment services and revenue generating activities.  The obvious low hanging fruit is the ability for patients to make co-pays or access additional services on a pre-pay basis.  Additional options include access to: 

- additional food services

- entertainment

- access to the gift store

- pathways for donations

- giving financial “tips”

and much more.

As medical systems look to find budget for activities the payment gateway, available at the time of service, is a potential conduit for funding these initiatives.   For more information and detailed insights, contact your GeaCom representative.

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May is Mental Health Awareness Month - How CITE Solutions solve long-standing challenges

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Mental illness touches us all. If you are not one in 5 US adults who is personally affected in any given year, you most likely know someone who is. Worst of all, the existing stigma and discrimination prevents people from seeking the help they need. Health Systems are tasked and committed to change, but with the utilization of conventional methods the engagement will remain inequitable, the available workforce will still be insufficient, and the challenges around operationalization and efficiencies will continue to grow. 

We at GeaCom are committed to patient equity, quality of care and solving longstanding challenges though innovation. We are proud that CITE solutions make a difference for patients and staff in all care settings, specifically in mental health. In honor of Mental Health Awareness Month, let’s take a look how CITE solutions solve longstanding challenges in mental health.

1 in 5 Adults in America experience mental illness 

GeaCom’s solution empowers medical practices across the country to operationalize systematic mental health screenings, brief interventions and referral to treatment (SBIRT). Phrazer/Kitsune engages all patients equally, regardless of language, cultural background, level of literacy and provides relevant, personalized mental health engagements throughout their journey. Utilize CITE solutions to make mental health a priority for your community. From mental health inpatient units to outpatient programs, CITE solutions have been proven effective to benefit patients, staff and enterprise efforts around mental health.

Depression is the leading cause of disability worldwide.

As a platform for innovation, Phrazer/Kitsune is fully adaptable to your practice and offers illness-specific engagement modules, such as Depression, Bipolar disorder, or Anxiety for your entire patient population. Empower your patients to author their own chart and experience value-based care without stigma or human bias. Involve family members more deeply in the care process by utilizing specific engagements for family and loved ones. Additionally, the Patient Entertainment Portal & Services on Phrazer offers a sensory integration module that patients and family can access anytime for calming sounds and images, general mental health topics and guided exercises, such as breathing techniques, meditation or brain gym. For staff, the CITE system offers competency development modules around mental health, process adherence support and real-time, actionable information for a meaningful interaction.

Nearly 60% of adults with a mental illness didn’t receive mental health services in the previous year.

CITE solutions support your efforts to screen early, provide personalized mental health engagements and guidance on where to find mental health services within the community. Increase awareness and access to mental health resources and utilize Phrazer’s virtual health capabilities to bring in mental health specialists at the time of need - easy and effectively. 

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PEPS for Medical Foundations at Time of Service

Most hospitals have a foundation, funded by individual donors who hope to provide better health service while experiencing a 501C tax credit.  The bulk of these donors are wealth individuals who both have experienced a positive result from care and desire the tax benefit.  GeaCom believes that there is a larger population ready and willing to donate to the medical cause, especially when it is front of mind and easy.  Crowd source funding from your own user population is effective and through the use of Phrazer/Kitsune the donor can made a quick infusion of any denomination while the system provides them with instant record for use in tax purposes.  This can become a new era for medical foundations which easily produces more than a doubling of funding for the vital services they provide.

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Ethics of PEPS Sponsorships

Phrazer/Kitsune not only provides patients of all backgrounds an empowered care journey solution but it also provides patient driven education, therapy and entertainment via the Patient Entertainment Portal and Services (PEPS).  To help incentivize and fund the introduction of this breakthrough solution, GeaCom is enabling sponsorships.  A sponsorship is a small introductory advertisement for each use.  This model seeks to employ non-disruptive, simple/single sponsorship much like Public Radio does.  In return for this sponsorship the patient gets free services and entertainment.  Should the patient not desire the sponsorship in return for free access, they may choose to make a small payment for premium services.

 

The types of sponsors sought include health authorities, cancer associations, healthy food producers, exercise entities, charities, hospital donations, foundations and more of that ilk.  The experience of the sponsorship is a logo, audio and a link for more information offer.  The resulting revenue pays for the maintenance and growth of the offering while providing an additional financial resource to the medical system to improve its services.  The result is a healthier, happier patient, a more robust PEPS experience and a more supported medical facility.

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Why Innovation is Hard and Special

When was the last time you recall a major change in the healthcare process?  Is it possible that the right way to process and serve patients was figured out over 100 years ago?  Arrive, wait in line to register.  Register slowly 1:1.  Sit down with paper (real or digital) and fill out a form, in English only, unassisted then wait alone.  Have a brief triage and wait about an hour.  Get roomed and sit alone and wait.  You get the point.  GeaCom knows this is way past due for modernization.  Patients know it’s time to modernize.  Staff understand and demands a better way with modernization.  So why no modernization? 

Current entrenched suppliers such as the Electronic Medical System, survey solutions, computers on wheels, etc are huge companies that don’t benefit from change.  In actuality they benefit from status quo and fight any innovation through nefarious methods such as:

- consuming budget purposely

- claiming to be adding matching solutions in the future

- offering discounts to keep competition at bay

- using relationships (at all levels) to keep outmoded solutions in play

- claim the innovation is risky or complex

The greater the innovation, the greater the resistance. 

Nicolo Machiavelli 1469~1527:

It must be considered that there is nothing more difficult to carry out nor more doubtful of success nor more dangerous to handle than to initiate a new order of things; for the reformer has enemies in all those who profit by the old order, and only lukewarm defenders in all those who would profit by the new order; this lukewarmness arising partly from the incredulity of mankind who does not truly believe in anything new until they actually have experience of it.

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Sloppy Innovators & Poor Execution Slowing Market Innovation

GeaCom has meticulously designed, tested and developed over a decade to provide the world’s best FDA quality, mission critical solutions.  Excellence in mission critical takes time.  Aside from development GeaCom had to take pace with the market space and learn their current and future needs. Time, care and quality are necessary to doing healthcare right.

Some quick schemes or not well thought out solutions try to short cut the process by using unsafe and unqualified consumer devices in their programs.  These approaches create unsafe infectious disease vectors and exposed private health information as proven by 100s of inappropriate attempts.  Some entities believe that Software-as-a-Service is the only model that makes money but solving long standing global problems doesn’t lend to money making schemes on unsophisticated platforms.

People are suspicious of trying innovation because they have experienced half-baked attempts.   ‘Flash in the pan’ ideas fail, cost money and typically don’t achieve claims.  People think about the “dot-com” era, silicone valley style, arrogant innovators who waste money and don’t do the hard work.  So how do you differentiate?

GeaCom is a midwestern entity that has taken the full, vetted path to quality and success via innovation.  GeaCom has worked extensively with global technology leaders like Micron, QualComm, Texas Instruments and others.  GeaCom has been mentored by medical leaders at Mayo Clinic, HealthPartners, North Memorial, BC Health Authorities and others.  GeaCom has performed medical trials on 5 continents with 10s of thousands of patients and has now successfully performed over 10 million patient/staff engagements.  All of this and we’re still the new underdog in the market but to be sure, GeaCom is not a startup, it is the world’s best staff, patient, system engagement solution and a pioneer in defining the future of healthcare.

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Legacy Suppliers Slowing Innovation

GeaCom has always asserted that Civil Rights coverage with total continuity and quality of care across demographies is a breakthrough that the market and world must have.  This seems self evident, however, change is a serious process and in that process incumbent solutions (no matter how inadequate), outmoded methods and legacy thinking are difficult habits to overcome.  Here is how GeaCom has approached this challenge:

Better population coverage and regulatory compliance:  we rely on people’s understanding and need for fairness.  It isn’t fair that a vital community service is unequally available and applied.  Civil Rights matter because our society values and relies on equality.  GeaCom is the ONLY medical supplier able to provide a solution that meets ethical demands.

Better quality and ease of use:  Producing the only FDA quality solution that meets the stringent infectious disease, safety and security requirements for patient/staff engagement is a massive challenge.  No other Company has even tried, much less succeeded.  Having end-to-end oversight, quality control and purpose built use is only available via GeaCom.

Better economics and efficiency:  The CITE Methods are fully modernized and significantly more efficient and have opened new, novel revenue opportunities in the form of win/win for patients and staff.  No other approach to patient/staff engagement has provided such a powerful ROI (over 1000%) and revenue enhancement.

Adaptive innovation:  The CITE creation model includes new methods, new technologies and innovative delivery methods and this means that customers/users can bring their ideas for incorporation without cost or delay.  GeaCom empowers the enterprise, staff and patients to bring and realize their own innovation quickly and easily.

A better company to work with:  We are a passionate company, motivated, mission driven and totally committed to every program.  GeaCom is a world leading innovator, North American manufacturer, ethical entity committed to a mission of better healthcare journeys for patients, staff and system performance.

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