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Digital Solution Brings Agility and Efficiency to Healthcare Facilities in the USA

Médico utilizando aparelho celular

CareX was developed in a partnership between CESAR and the American startup CarelogiQ. The solution is a management and communication system that enables doctors and nurses, within health facilities, to exchange information, for example, about medication, prescriptions and patients’ state of health. The MVP (Minimum Viable Product) began to be developed in 2016 and was implemented as a pilot program in 2017. Since then, the digital solution has been implemented in a Nephrology group practice in the USA, to provide success in value-based payment arrangements, by enabling provider collaboration and closer monitoring of patients through symptom reporting and remote monitoring, as well as telehealth capability.

CESAR’s partnership with CarelogiQ dates from when its founder, Dr. Sanjeev Rastogi, sought us out so that, together, we could develop a solution that would improve communication between healthcare professionals and their patients.

“CESAR was already familiar to our technology lead, through a collaboration with Google. After I was introduced to the CESAR team, I was impressed with their openness in the development process, and the ease of working with their team. CESAR has shown diligence to meet deliverables within timelines specied, and always maintained a high level of integrity and professionalism in their approach. The teams communicated very well and were well coordinated by the Project manager. It was a pleasure to interact with all members of the CESAR team”. Dr. Sanjeev Rastogi.

Since this solution targets the North American market, the development of CareX had to comply with the US legislation. In order for CareX to be HIPAA (Healthcare Insurance Portability and Accountability Act) compliant, CESAR’s team needed to acquire an in-depth understanding of the legal requirements to ensure the App would meet the security and technical controls required by this statute.

The challenge of creating a health system in the midst of a full-blown pandemic

Like every MVP, CareX has undergone several improvements and adjustments. But nothing compared
to the challenge of adapting to the new and pressing needs of health facilities during the initial waves of the Covid-19 pandemic. Serving patients remotely became the top priority of the App, and thus the team needed to focus on offering the best experience set of functionalities for this new reality.

“The CESAR team had to adapt quickly to this new reality, in order to evaluate mechanisms and solutions to integrate and develop the functionalities that would not only allow remote consultations, but also the submission of patients’ health data who were already being attended when the pandemic started.” says Edson Lima, a Project Manager at CESAR.

Video calls and billing for services within the platform were two of the main improvements implemented due to the pressure to maximize protection measures against the pandemic. In addition, by incorporating technologies such as the Internet of Things (IoT) and cloud computing, the solution makes critical patient data available remotely, to ensure that information about patients is accessible by the health care team anywhere and at any time.

The team also created a medication database and made data available, via CareX, to physicians and nurses thus empowering them to perform medication reconciliation easily. Today, CareX also has data-driven algorithms and collaboration tools so that healthcare teams are able to easily and quickly connect with patients and their families.

Reducing the risk of elderly patients being infected became another CareX priority during the pandemic. When the solution started offering a telemedicine service, this contributed to protecting the community, as being moved to a hospital, one of the places with the highest risk of contagion in the pandemic, would not always be necessary.

We chose an interative and close to the end user approach to develop CareX, meeting the real needs of doctors and patients, besides being a solution that could be easily adapted. The pandemic tested the adaptability of CareX rigorously. Thus, the result could not be better: agility and safety in the service provided which helped CareX to gain recognition as an integral component of a high quality health service.

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