The problem we solve: cliexa addresses three key aspects of chronic disease management that are inherently flawed in the healthcare system: the relationships between clinicians, payors and patients. In a recent Becker’s Hospital Review, it was found that half of physicians' average workdays are spent entering data into EHRs and conducting clerical work, while just 27 percent of their workdays are spent with patients. Care providers continue to face regulatory and workflow challenges, payors look for justification of cost, while patients have difficulty tracking their disease activity and medication history. A continual trend of ineffective tools and cumbersome implementation have restricted physicians and hospitals from fully leveraging and realizing the clinical and financial benefits of patient-reported data.
About our solution: cliexa provides a platform that improves quality of care, clinical workflow, income generation, time spent with patients, while reducing liability concerns. Patients will play a greater role in their care with cliexa and will be able to make valuable correlations to causative factors for pain flare-ups through remotely reported outcomes. The discrete clinical data and patient reported outcomes enable providers to improve clinical decision making, while reducing liability and billing concerns with payors. These algorithms help providers respond more efficiently to new data so their patients will have fewer complications or side effects. Payors will be provided with longitudinal data to better understand necessary treatment decisions and patient status. This will lead to improved communication and greater efficiency in the billing process, while expanding the understanding of clinical processes that support patient well-being for future coverage improvements.Progress to date:
Our six applications have been successfully implemented in clinics across Colorado, and we have secured instrumental partnerships with organizations such as the American College of Cardiology and Kaiser Permanente. The development of our cardiology platform is nearing the final stages, with the connection to wearable devices being the final obstacle to overcome in the commercialization of cliexa-PULSE. We are currently commercialized in four clinics and piloting at another four.
Earlier in 2018, we carried out a case study in a rheumatology clinic to identify how screening and monitoring of Rheumatoid Arthritis patients through our customized RA platform. The results we saw were significantly reassuring: 85% of patients said they would recommend cliexa forms to other clinicians, cliexa-RA scored an average of 3.57 out of 4 when compared to paper in ease of use, 3.61 in patient-reported reduction of time spent, and 3.50 when asked how easy the platform was to understand.
Creator: Ronald Berry III
Bio: I am graduating from the University of Denver with a BS in Biochemistry this upcoming Spring 2019. cliexa has been my home for the past 6 months and will continue to be as I slide into a Product Management position upon earning my degree. We are very passionate about providing improved digital healthcare to patients and providers across the nation.
Title: Research Associate
How We Address the Mission of The Challenge(s)Our solution targets the Lafayette General Foundation Challenge by providing patients with chronic diseases a tool to remotely monitor and track their wearables data and overall health over a period of time. This will provide an enhanced relationship between the patient and physician to provide a higher quality of care and a greater sense of control of the patients health. It is time to unleash the power of patient reported data in the healthcare industry in a manner that will benefit both patients and providers.
New Orleans and Our CompanyAs cliexa is currently based out of Colorado, our connections to New Orleans are limited to an extent. We are successfully implementing our product in systems across the country similarly to how we would do so in New Orleans and the surrounding areas. Currently, cliexa is partnered with the University of Virginia for a NIH funded research opportunity on patient reported outcomes, as well as a close collaboration on application development with the Maine Medical Center. Our infrastructure is now functional to implement cliexa from abroad through our implementation plan with the cliexa team, as we recognize that implementing a platform in healthcare systems is a difficult task that requires troubleshooting. This could entail remotely implementing or having a hands-on approach to immediate implementation over a 30-day period.
cliexa addresses multiple specialties in the healthcare system ranging from primary care to chronic care management, and encompassing everything in between. The strongest aspect of cliexa is the customizability to each specialty whether in a clinic or hospital. In Colorado alone, there are 15,422 physicians practicing our target specialties with an average of 359 patients per physician according to AMA Physician Masterfile using 2016 US Census data. This value is even more staggering nationwide at 860,939 physicians practicing in our target areas with an average of 373 patients per physician. According to this same Census, there are 953,695 allopathic and osteopathic physicians in the United States with a total healthcare spending of $3.4 trillion in 2016 as estimated by CMS. Due to these numbers based on the 2016 data, we can assume that our total market value is roughly $3.06 trillion. The projects have skyrocketed since 2016 for investment in Healthcare IT, total spending in the healthcare system, and the number of people being affected in our target areas increase as well. Newest projections on the healthcare market predict that global healthcare spending will increase to $8.734 trillion by 2020 according to research from The Economist Intelligence Unit as described by Deloitte. The Healthcare IT sector is rapidly expanding, and cliexa is in an optimal position to take the healthcare system by storm in the coming years.
"Data and Reports - Workforce - Data and Analysis - AAMC." Association of American Medical Colleges. Accessed January 04, 2019. https://www.aamc.org/data/workforce/reports/458480/1-1-chart.html.
"Just How Big Is The Healthcare Industry? Here's What You Need to Know." Dreamit. April 24, 2018. Accessed January 04, 2019. https://www.dreamit.com/journal/2018/4/24/size-healthcare-industry.
Young, Aaron, Humayun J. Chaudhry, et al. "A Census of Actively Licensed Physicians in the United States, 2016." Journal of Medical Regulation 103, no. 2 (2017): 7-21. doi: 10.30770/2572-1852-103.2.7.
Projected 3 Year Growth
cliexa has a modular mobile front-end and HIPAA compliant Cloud Infrastructure with Integration services that can be configured for any specialty to collect digital data and integrate with any EMR using HL7/FIHR or file services. With the recent partnership with American College of Cardiology, cliexa plans to implement multiple disease tracking platform including medical device and claims data into member institutions and sign new health systems for Platform-As-A-Service model and grow the business up to $20 MM revenues annually by the end of 2022.
With cliexa’s unique business model, clinicians are provided reimbursement guidance for the services rendered, opening a per patient reimbursement potential of $35-$150 per month for already rendered services. Clinics can choose between a $10 per patient per month option that includes our fully integrated platform or strictly digital intake forms at $1 per form. Through this model, cliexa strengthens revenue streams with discrete data to support clinical decisions.
Our top three competitors addressing issues similar to ours are Optum, Outcomes.com, and Mentegram. These companies are similar to cliexa since they focus on remote patient monitoring through seamless EMR integration, pushing disease activity scores directly to the system. What differentiates us from our competitors are customizable, clinically validated add-on assessments integrated into our platforms. These assessments enable patient reported outcomes to be filled out remotely and send disease activity scores directly to their provider for review and to push onwards to their specific EMR system. We provide the assessments directly for providers and are able to customize the structure and layout on our platform to their preference. This, alongside our modular application framework, is what separates cliexa from our competitors in the digital health market.
Current pilots with most likely targeted to become paying clients within Q2 2019:
Kaiser Permanente Rock Creek Rheumatology Clinic
Mednow Primary Care Clinic (3 Clinics)
Colorado Pain Care (4 Clinics)
DTC Family Practice - Health One (3 Clinics)
New Health Services Pain and Behavioral Health
UCHealth Longmont Primary Care and Pediatrics
Colorado Arthritis Center
Anderson Podiatry Center as of January 2019
American College of Cardiology (Innovation Collaborator, Investor)
Kaiser Permanente (Innovation Partner, Investor through Colorado Permanente Medical Group)
National Mental Health Innovation Center (Innovation Collaborator)
University of Colorado Boulder (Research Collaboration Agreement with jointly filed IP)
University of Virginia (Research Collaboration)
University of Northern Colorado (Research Collaboration)
Maine Medical Center (Innovation Collaborator)
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