Redefining the Point of Care: Engaging Patients in their Lived Environment The process of engaging patients in their lived environment means extending the “Point of Care” into their daily lives and homes going beyond the 15-30 minutes of a telemedicine visit. It’s a precision-focused condition management model that gives patients like Dave consistent support throughout their daily life and addresses their physical conditions, behavioral issues, and lifestyle factors within their existing daily framework. This engagement approach is necessary to change behaviors that reduce adverse events (ED visits), increase medication compliance and improve quality metrics. Switching an office visit to a televideo visit alone will have limited impact on quality and cost metrics. There are multiple limitations to traditional in-office and telehealth visits, including time constraints, logistical difficulties that interfere with appointment adherence, and even patients’ reluctance to fully engage with physicians and be transparent during visits. Furthermore, patients often “disconnect” from their doctor once they leave the office. Their physicians’ instructions fade as they return to their normal life until the next appointment, three to six months later. Concierge Care behavioral digital therapeutics engage patients in their lived environments by deploying evidence-based personalized logic and customized practices, surveys, and assessments to learn about their specific clinical and lifestyle profile (physical co- morbidities, behavioral and emotional challenges, and practical as well as social determinants of need), to treat them as whole patients, with consideration for the lifestyle factors that influence their ability, capacity, confidence, and desire to activate and sustain a care plan. It helps to keep the physician and care plan present and relevant each day, and increases the sense that the physician cares and is continuously involved. SECTION 2 | A DAY IN THE LIFE OF THE HEART HOUSE PATIENT AND CAREGIVER
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