Conversational AI for Healthcare Journeys

Clinical Journeys is a healthcare management system created to automate the follow-up of high-risk patients post-discharge or after significant medical events, using conversational AI for healthcare. The solution offers a digital alternative for clinical & case management teams for patients requiring frequent outreach. Using predefined clinical logic, Clinical Journeys monitors the health of discharged patients through chat-based interactions, tracking the progression or resolution of their symptoms, reporting status back to clinical teams, and prompts proactive outreach by providers if patients’ conditions worsen. As a patient's condition improves, the solution intelligently ends monitoring for the patient.

Discharged or newly diagnosed patients, or patients who otherwise fit specific eligibility criteria, are automatically enrolled and receive a text with their unique Clearstep link. Patients are then asked about their overall status, signs/symptoms, objective information, and medication compliance. Clearstep then calculates (1) risk + severity score, (2) relevant endpoints (including the need for intervention), and (3) frequency of auto-follow-up. All calculated data is associated with the patient and available to population health or care teams.

Readily available Clinical Journeys conditions include Chronic Obstructive Pulmonary Disease (COPD), Retail Health Products/Services Advisor, +15 Behavioral Health Conditions, Chronic Heart Failure (CHF), and COVID-19.

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Clinical Journeys is meant to reduce the number of “touches” chronic and high-risk patients require between appointments and post-discharge. The solution automates the outreach to these patients to collect vital information regarding their condition and packages the insights into concise, easy-to-use reports for their care teams. Care teams can feel assured that the clinical monitoring captures appropriate care trends while requiring minimal manual intervention. Care teams only need to reach out when clinically appropriate – Clearstep handles the rest.

Healthcare organizations are constantly pressured to provide high-quality care while minimizing costs and negating inefficiencies. Clinical Journeys allow care teams to not worry about sacrificing the quality of care post-discharge by ensuring patients are continuously monitored without needing to do the monitoring themselves. Additionally, the ability to escalate worsening conditions to care teams before patients need urgent care helps healthcare organizations reduce readmissions and avoid adverse health events among their patient populations.