"If only the care that patients receive while inside the hospital could continue after they’ve left, there would be no gap in the care continuum and fewer cases of rehospitalization,” says Michael Donohue, CEO of Axial Exchange. Oftentimes, patients are discharged from hospitals without the information or support they need to make a full recovery. This creates an environment where they lack key details about their condition or post-discharge care procedures, which in turn causes a lack of visibility into patient health and behavior. By helping health systems and payers implement a seamless, interactive two-way channel between care teams and their patients, Axial Exchange overcomes these issues and provides a better patient experience with customized care plans.

The firm’s HIPAA-compliant mobile application and web-based console allow care teams to keep track of their patients’ health data and social determinants and provide key answers to health-related questions by pushing trusted health content to their mobile devices. This establishes a direct link between patient and care team and improves the quality of care. “We offer visibility into patient health by continuously capturing patient clinical indicators, such as glucose, weight, and blood pressure,” explains Donohue. The app empowers patients to comprehend their “health journey” and participate more actively in their healthcare regimen. This, in turn, assists care teams to improve patient outcomes and reduce overall healthcare costs through early intervention, optimized care, and reduced readmissions.

The Axial Exchange app enables patients to integrate remote monitoring devices and wearables, such as glucometers, scales, and fitness trackers, such that the data generated can be sent to the provider for operationalizing analytics. This provides better visibility into the patient’s health and assists care teams with early detection of complications.

Through the Axial Exchange app, care teams can increase efficiency, productivity and lower costs in four key areas—care coordination, population health management, communication and engagement and case management. Care teams can now gain better insight into patients’ social determinants, which include the social, economic, and environmental factors that influence their health. This allows care teams to devise custom care plans for their patients and close gaps in care. It helps eliminate healthcare silos and facilitates the continuous capture of a patient’s clinical indicators so that care teams can make decisions based on near real-time patient behavioral data. This strong connection between care team and patient helps reduce network leakage. By endowing patients with the right information at the right time and educating them about the available support options, patients are more likely to remain in your system of care or narrow network.

What differentiates Axial Exchange is their ability to execute, appreciation of the end user workflow and a culture based on hope, not fear. “We plan for what can be done, we remain agile and our decisions are always made on the premise of ‘what can be accomplished.’ This allows us not only to deliver the best solution but also wins our customers’ vote of confidence,” adds Donohue. The firm has recently signed strategic partnerships with two leaders in population health management, where it has already begun to embed its capabilities into their enterprise platforms.