Health software platform Somnoware now includes a chronic care management module. The new module enables pulmonologists to get complete visibility into patient history, anticipate exacerbations and therapy non-adherence, and make timely interventions, according to the company. It helps them identify patients with specific comorbidities or those requiring greater level of care.

The Chronic Care Management module in Somnoware enables pulmonologists to view detailed demographic, diagnosis, comorbidity, therapy adherence, hospitalization, readmission, and other patient data. They can see historical data, visualize emerging trends, and obtain predictive analytics (based on the application of artificial intelligence and machine learning to this data) on important metrics such as hospital admission and CPAP therapy adherence. The module provides a population dashboard where care providers get a snapshot of the key statistics of their patient population. They can quickly view a list of high risk patients and click on any patient to go to the detailed patient chart.

The patient chart in Somnoware provides detailed patient information automatically aggregated from over 150 systems including electronic medical records, patient questionnaires, prior test data, and wearable devices. This data includes socio-demographic characteristics, indicator variables, comorbidities, and past patient behavior. Pulmonologists also have access to diagnostic and therapy information (eg, results of pulmonary function tests, sleep study data, CPAP usage, leak information, and disease severity), and prior hospital admission history for COPD patients. Using Somnoware, pulmonary care providers can proactively communicate with high risk patients using email, text, chat, secure messaging, and other mechanisms to improve outcomes.

“Our chronic care management offering, focusing on conditions like COPD and sleep apnea, has the power to revolutionize respiratory healthcare in the US and across the globe. Pulmonologists can now get a 360-degree view of the patient, evaluate different engagement and intervention strategies, anticipate outcomes, and take timely actions —all from one screen,” says Subath Kamalasan, CEO of Somnoware, in a release. “This enables them to achieve a significant reduction in the cost of care while improving care quality.”