A dilemma exists in implementing the role of Care Navigator, when that care management role includes translation of medical treatment choices for patients and their families; how is the Navigator to assist patients/families to understand when an intervention is more or less likely to cause overall benefit or harm, especially in the usual situation of multiple simultaneous co-morbidities?

Physicians know (or should know) that, as people age and accumulate disabilities, more aggressive interventions may be as likely to cause harm as benefit. We call this transitional time in patients one of increasing frailty, in which frailty is defined as vulnerability to adverse clinical outcomes; I wonder if taking frailty into account might make the Care Navigator’s job clearer in the Minimally Disruptive Medicine care model.

Several studies have shown that frailty in either of two constructs (the Hopkins/Fried Phenotype or the Rockwood/FI-CGA) predicts quite powerfully patients’ likely benefit or harm from interventions. It’s easiest to think of “vitality” or normal adult functioning as one end of a spectrum, with “frailty”, with decreasing functioning at the other end, and the challenge is to assist a patient/family to understand where the individual patient sits on that continuum of vitality-frailty; placing a patient on that spectrum makes it easier to consider the likely benefits/risks of treatment.

Our group uses the FI-CGA, which has a wider mathematical “spread”, allowing more nuanced measurement of a patient’s frailty in this way. We use the patient’s score to contextualize shared decision-making among patients/families and caregivers.

So, a patient who is “vital” (not frail, such as, for example, the 95-year-old still playing tennis regularly) has a much better chance of a successful outcome with a hip fracture repair than a frail 75-year-old with a history of stroke with dementia, depression, and physical disability. At the same time, no tool, including the FI-CGA, predicts which patients will do well or poorly at different levels of frailty or vitality, so we try never to say “you should” do one thing or the other. Rather, we outline the choices, the patient’s frailty, a ballpark sense of what the patient’s status could be with or without the intervention, and then try to help the patient/family determine which treatment choices they prefer given the attendant risks and benefits of treatment or non-treatment of acute or chronic illness.

Studies published recently suggest that frailty measurement may be the best way to assist geriatric patients/families and caregivers to understand their risks and benefits before embarking on treatment; frailty may assist Care Navigators in their management/translational roles as they apply the Minimally Disruptive Medicine care model to these patients in the future.

Dr. Evans is founder of Videx-US, a company that offers clinical decision support software for elderly patients based on the Rockwood/FI-CGA to place patients in the vitality-frailty continuum. IVR Technology Group is the technology partner of Videx-US.

Several intensive discovery sessions later, and effectively being attached at the hip for the past few weeks, ITG got to work. We identified the correct teams for each project – infrastructure, communications, security, website, and information management. We scoped out each piece, making sure to identify all the overlaps between teams and clarifying the lines of communication in those situations. The result is evident from the website, while it’s only part of the larger picture and there is more work to be done.

This is also a testament to a solid partnership. Amazing things happen when we become a part of your team and when you become a part of ours. When we’re on the same side of an obstacle, tackling it and overcoming it becomes possible and easier. It’s excellent to have Warbird as a partner, and it’s fantastic being theirs. Higher stakes require more than a steady dedication to the work; it requires the partners to be that much more committed to each other.

That, ultimately, is what ITG is all about. We want excellent partnerships; technology is how we pursue them.

When the launch day came, we were ready. In fact we were more than ready: the website had launched, but we knew that there were going to be things that would still break. After all, we had only 3 weeks to develop, let alone enough time to test. I was monintoring my emails while also trying to meet company founders and industry leaders. We had some high profile individuals looking and commenting on our product and we weren’t about to disappoint them. Our developers were literally on call, ready to work up a fix. It was a stressful day, no doubt; but it went very smoothly.

Fast forward 6 months and we’re at it again. This time: standing up a $40 million company, with about 150 staff in less than a month. We’re helping them with their website, their infrastructure, their information strategy, their laptops and desktops, their networking, their phone system. It’s been hectic, but it’s been fun! What drives us is the thought of meeting expectations and as much as possible, exceeding them.

Bottom line: we’re serious about partnerships with our clients. We enjoy doing a good job, and we’re excellent at doing a great job. What’s more is, we’ll walk far with you to do it. If you’d like to know, give us a ring, we’ll put you in touch with our existing clients and let them tell you.

Our Corporate office is in Buffalo, It is the second largest city in New York. Nevertheless, the city is increasingly becoming known as one of America’s most hospitable cities, awarded the titles of third-cleanest city in the country, USA Today’s “City with a Heart”, and winning the “All-America City Award” twice. Buffalo, although most famous for its winters, here are few more reasons why you love this city.

Buffalo is the home of our amazing team of committed and talented employees, who are working 24/7 to satisfy our customer needs. Our Team:

If you are accepting payments away from your primary place of business or need a backup payment processing solution there is no need to purchase a wireless terminal and/or set up the wireless calling plan that the remote terminal requires. Now you can get a dedicated telephone number to call, local or toll free, and simply dial your Pay-by-Phone virtual terminal to take the payment. This same telephone number could be added to any invoices that are sent to customers so that they can direct dial your Pay-by-Phone virtual terminal.

If you are accepting electronic payments in your call center the Pay-by-Phone virtual terminal should allow your company to certify that you no longer store, process, or transmit payment card data over the telephone network. The Pay-by-Phone virtual terminal supports several Industry standard interface options to other IVR telephone networks. Web Services integrations into back office accounting and ERP packages are also available so that transaction related information can be sent and received via the telephone. Click here to learn how Pay-by-Phone can enhance your business!

Our ‘Customer Success Program’ is all about helping to define your business’s individual success goals; ultimately better understanding your concerns and expectations. Through in-depth analysis and regular success checkpoints, we promise to configure the best experience for your business.

The growth and new business acquisitions of 2011 have positioned IVR Technology Group in the industry as one of the few providers capable of designing and building solutions in Web and Mobile Applications, SMS and Custom IVR Design.

We are here to educate our customers on the incredible value our products and services provide. In the New Year our Success Team, with a wealth of strategic and tactical wisdom, will be reaching out to help improve processes and re-engineer the way our client family does business!

• An Interactive Voice Response (IVR) saves time, reserving your best call reps for the toughest questions.
• An Interactive Voice Response (IVR) never marks time, acknowledging calls 24 hours a day every day of the year.
• An Interactive Voice Response (IVR) saves money, automating your repetitive business approaches.

Large and small businesses have adopted IVR technology because it saves money that would otherwise be spent on living, breathing (expensive) employees. An IVR system’s effectiveness is rated by the percentage of callers who ask to speak to a live operator. The lower the percentage, the more successful the system. Of course there are some IVR systems that never give you the option of speaking to a live operator. But even among IVR fans, that’s considered bad practice.

How does it work?

Interactive Voice Response (IVR) requires a computer and special hardware called a telephony board or telephony card in order to accept calls. Callers are guided through the menu options and asked to choose from among them. Simple IVR software accepts only keypad input and works by decoding the keypad tones and directing calls accordingly. More advanced IVR systems use voice recognition technology to allow users to speak their responses. Many IVR systems use text-to-speech technology to generate custom responses to callers for data such as flight times or account balances.

A complete system may work as follows: -

• Whenever a miner goes to work, he would punch attendance, which IVR will record and start calling him periodically.
• When a miner comes out, he will log his departure and IVR will no longer make the outbound calls to him.
• When a miner is unable to respond in the first call, IVR will call him within 2 minutes and would repeat for 2/3 times. After that, IVR will raise an alarm.
• When IVR raises an alarm, it can check with other miners to get information about the miner who is not responding.

IS THE IVR SYSTEM SECURE?

The IVR system is secure and confidential. Each time you call the IVR system you will need to enter your 9-digit ID number and your 4-digit PIN. Remember to keep both of these numbers private. A temporary PIN will be mailed to you. The first time you use IVR the system will ask you to change your temporary PIN to a new number. Do not share your new PIN with anyone.

How does IVR Tech Group’s IVR can help you?

IVR Technology Group’s interactive voice response and speech recognition platform can be integrated with your data sources and the web to deliver feature-rich but simple to use IVR solutions – driving efficiency, improving business productivity, and enhancing caller satisfaction. And just as important, your custom-developed IVR is hosted in the cloud so there is no technology to manage.

Deliver a personalized call experience with advanced IVR technologies such as text-to-speech, voice print verification, name and address capture, reverse phone lookup and more. Have a full IVR staff a call away that quickly implements your needs or simply consults with you on caller experience design. Our in-house voice talent and transcription staff also provides IVR support that’s hard to replicate with doing it yourself.

Need some help in developing your IVR? Our team is adept at consulting with every industry on solutions ranging from automated surveys, lead generation, to medical after hours response. Feel Free to Call Us to receive Free IVR setup, up to $500 of Custom Development.

What is Voice Broadcasting/Voice Blast?

Voice broadcasting is a mass communication technique, begun in the 1990’s, that broadcasts telephone messages to hundreds or thousands of call recipients at once. This technology has both commercial and community applications. Voice broadcasting users can contact targets (whether they be members, subscribers, constituents, employees, or customers) almost immediately.

How does it work?

Voice broadcasting phone software manages a database of phone lists as well as digitized phone messages. Using analog, digital or VOIP telephony components, these computers can simultaneously broadcasting thousands of phone messages. Personalized information can be included in the phone messages through the integration of text to voice software.
Voice broadcasting and voice blast allows you to instantly send interactive phone calls with ease while managing the entire process right from the Web. Instantly send alerts, notifications, reminders, political calls, get out the vote – GOTV – messages, interactive polls or surveys with ease right from the Web. Your free Voice Shot account guides you through the process of recording and storing your messages, managing your call lists, scheduling delivery as well as viewing and downloading real-time call and caller key press results.

How does IVR Tech Group’s Voice Broadcasting/Blast software can help you?

Voice Broadcasting (Voice Blast) from IVR Technology Group enables your company to automatically send interactive phone calls and SMS messages. You can opt to do it yourself using our robust web-based portal or have our staff take care of the details for you. Our outbound calling technology can be used in any industry for a variety of solutions. For instance:

•  Emergency alerts
•  Notification calls
•  Reminder calls for appointments or overdue payment
•  Political calls such as Get Out The Vote
•  Interactive polls and surveys
•  Health assessment calls
•  Generate leads
•  Promote events
•  Provide order status updates
•  And more

Key Features

Complete control to schedule and manage broadcasts. With our self-service Broadcasting technology, you can schedule call windows, determine how quickly to send out calls, and pause calling campaigns.

High capacity and enterprise-grade reliability. Our system allows you to scale up to hundreds of simultaneous calls per campaign. You get dedicated capacity on-demand.

Expert help. For clients that simply want to deliver calls but don’t have the time to dabble with the technology, we provide a hands-free solution with the help of our experienced staff.

Advanced IVR functionality. Do more than just deliver a pre-recorded message. Use outbound IVR to create an interactive calling campaign. For instance, call out and run a survey or allow the called person to transfer to an agent closest to them geographically.

Deliver targeted messages. IVR Technology Group’s Voice Broadcasting system can automatically detect whether an answering machine picked up or a live person and can be
configured to deliver different messages based on that information.

Robust call reports. In real-time, look at reports of calling activity. How many live answers did you get? How many people transfer to an agent? What were the various responses from those called?

Schedule call delivery days in advance. You can set delivery dates and times, run campaigns over multiple days, or at different times during the same day.

Powerful call list management. IVR Technology Group’s Voice Broadcasting system allows you to upload call data files from a host of applications such as Excel or Access as well as industry-standard formats such as CSV.

Record calls. Whether you choose to record all calls, some types of calls, or random calls, it is very simple to turn on and configure call recording.

Intelligent Re-dialing. If the outbound system reaches a busy number or a no answer, it automatically queues the call for a second or third attempt. Unanswered calls are re-dialed free of charge.

Automated interactive opt-out mechanism. Voice Broadcasting comes with tools that provide you with an option to include an opt-out message in your broadcasts, helping you to comply with the FTC’s Telemarketing Sales Rule.

API integration with your applications allows you to make outbound calls based on trigger events in your software. Once programmed, calls can be queued and delivered without any human intervention.

Call Us to get connected with our Voice Broadcasting/Blast System and Get a free trial for 1 month:

• Low price, no contracts or startup fees
• Free developer support
• Ability to schedule for specific times
• Real-time tracking and analytics and many more

Voice Broadcasting and Voice Blast works! Let us prove it. Give us a call today for your FREE month trial and our free unlimited expert consulting. Allow us to run a test for you, and see for yourself how beneficial this service really is.

Toll Free 1-800-438-1709
Sales@ivrtechnology.com

HERE is our special offer:  Let us prove to you the our call tracking platform is the best in the industry.  Call us today @ 800-438-1709 and we will give you, FREE Set-up, No per number charge for one month, 2 hours or free training, and 100 minutes of usage.

HERE is our system…  What is Call Tracking?

The counting and gathering of marketing data on incoming phone calls that have been generated by a website, billboard, radio spot, any marketing effort. This accomplished by the use of tracking phone numbers and dynamic phone number substitution.

What does IVR Tech Group’s Call Tracking Software offer?

Our expertise, 20 years of call tracking experience and what we feel is the best Call Tracking platform on the planet.  IVR Technology Group’s Call Tracking offering allows marketers to measure phone call conversions. Marketers can utilize Call Tracking to:

• Increase conversion rates
• Optimize advertising spending
• Route leads to the right sales person
• MAKE MORE SALES

What is Call Track Basic?

As a marketer, you can use Call Track Basic to assign unique local or toll-free numbers for use in various media (e.g. newspaper ad, direct mail piece, infomercial, or the yellow pages). Calls that come into each number can be routed to your sales team and you can get instant reports on which media source or ad produced what number of the calls. Armed with this information, you can buy more of what works and cut out spending on advertising that doesn’t.

What is Call Track Dynamic?

Using Call Track Dynamic, you can assign multiple phone numbers to various online traffic sources such as pay-per-click ads, keywords, specific landing pages, banner ads, and different domains. Based on the referral source of a visitor, Call Track dynamically displays a phone number to be called on your page. Online reporting on this activity can now give you in-depth information on what online marketing efforts pay off with more phone calls.

IVR Tech Group’s Call Tracking Features:

• Unlimited support and training from our team of experts.
• Low price, no contracts or startup fees
• Real-time call tracking reports online give you instant insight into your marketing efforts. Your data can be downloaded into Excel, sent via email, or integrated with your analytics or CRM software via our API.
• Customized call routing can be set up on all your numbers giving you the ability to do anything from simple call forwarding to your office number to sending callers to an IVR to qualify the lead before transferring to a live agent. You can also route calls to our virtual automatic call distributor that can intelligently shuttle calls to different agents based on a variety of factors such as time of day, queue lengths, and so forth.
• Whisper message at the beginning of a transfer tells you who is calling and where they heard about you so you can be prepared to handle the call before you are connected.
• Integration with Google Analytics allows you to track your leads all in one place. We also can provide custom integrations to other web-based or in-house information systems via our API.
• Downloadable reports for each number.
• Call recording included.
• Free developer support and many more.

GET STARTED WITH IVR TECH GROUP’S CALL TRACKING SOFTWARE AND GET A FREE TRIAL NOW!!

Hope to see you on the 16th – 19th of October in sunny Orlando!