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February 24, 2022

Ask the Expert: What’s different about Bright.md’s clinical content?

Dr. Christina Chen Unlike other virtual care platforms, asynchronous telehealth solution Bright.md includes proprietary clinical content for all of the conditions it can help treat, which make up more than 50 percent of all primary and urgent care visits. With more than 130 diagnoses, Bright.md’s clinical content is evidence-based and updated regularly based on the latest clinical guidelines.

Because we have been building and refining our clinical content for more than eight years, our clinical content engine can’t be replicated. We sat down with Bright.md’s medical director, Dr. Christina Chen, to discuss the ins-and-outs of our approach to clinical content and how it supports clinical practice.

Dr. Chen is a board-certified physician trained in family medicine. She began practicing medicine in 2007 and has vast experience delivering care both in-person and virtually. As Bright.md’s medical director, she ensures platform content is of the highest quality and adheres to the strictest standards of evidence-based medicine. Dr. Chen oversees the development of new content and monitors the latest guidelines and recommendations to keep clinical modules up to date. She also provides insight to the product team and works with our customers to optimize the clinical experience for their providers.

Q: When you say “Bright.md’s clinical content,” what do you mean?

Bright.md’s clinical content is what we like to think of as the “medical brain” of our platform. Clinical content is used throughout both the patient and provider experience. For instance, Bright.md gathers condition-specific history from a patient during their clinical interview. We also have specific “red flags” we screen for that allows us to determine it’s safe for a patient to receive care asynchronously. From there, a chart note is generated from the patient’s clinical interview answers. Our clinical content includes treatable diagnoses available for any specific condition or set of symptoms, as well as treatment options that include both over-the-counter (OTC) and prescription medications, specialist referrals, and digital therapeutics. Lastly, Bright.md generates after-visit summaries that patients receive once care has been delivered.

Q: Who writes Bright.md’s clinical content?

Bright.md has an in-house team that creates, maintains, and updates our clinical content. The team includes myself as our medical director, as well as a team of physician editors and content specialists. Our physician editors are board-certified clinicians in their respective specialties.

Q: How do you determine what clinical protocols to use?

We use a number of different resources to inform our clinical content, including clinical practice guidelines from professional medical societies, validated screening tools, proven clinical decision rules, recommendations from organizations like the Centers for Disease Control (CDC), and online medical compendiums like UpToDate. All of the resources we use are trusted for their adherence to evidence-based medical guidelines. Now with that said, we recognize medicine is constantly evolving—so we ensure our clinical content is relevant and up-to-date with internal processes like protocol/guideline monitoring, clinical updates, analytics review, and vetting of clinician feedback.

Q: What types of conditions and diagnoses are covered by Bright.md’s clinical content?”

Our content includes more than 130 treatable diagnoses, most of which are low-acuity, episodic conditions typically seen in the Urgent Care and Primary Care settings.

With Bright.md, common treatable conditions for adults include:

  • Birth control, including emergency contraception
  • Bladder infection (UTI)
  • Coronavirus Infection (COVID-19)
  • Colds (Upper Respiratory Infections), Flu, and Allergy
  • Depression and anxiety
  • Migraine or headache
  • Sinus pain or pressure
  • Smoking cessation
  • Yeast infection

And common treatable conditions for pediatrics include:

  • Acne
  • Burn or sunburn
  • Cold, Flu, or Allergy
  • Ear pain
  • Head lice
  • Rash and other skin conditions

Learn more about the entire Bright.md solution
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Q: What makes Bright.md’s clinical interview different from other, similar solutions?

With Bright.md, a patient doesn’t get just a “stock” interview. Instead, our interview flow mimics the history-taking conversation that usually happens in a face-to-face interaction between a patient and provider. So essentially, it’s more personalized—we have logic built in that lets every patient path be unique and dynamic, based on how they answer questions. Once a clinician reviews the patient’s interview and delivers care, the patient receives a personalized After Visit Summary with their diagnosis and treatment plan. Here, we don’t only introduce the treating clinician to the patient, we’re also tying the patient’s unique symptoms back to the diagnosis, along with the specific medications prescribed, the home care advice given, and the follow-up instructions provided.

Q: How do providers interact with the clinical content? What does the process look like?

Once a patient completes their interview, our platform uses that information to generate a chart note for the provider to review. Included in that chart note is all the necessary information for clinical decision making, including a thorough history of present illness report, self-guided physical exam components, current medications, medication allergies, a medication contraindication review, pregnancy/breastfeeding/menstruation status when appropriate, past medical history, and social history.

Bright.md also presents the provider with a most-likely diagnosis based on the patient’s interview responses, as well as the evidence-based treatment options for that diagnosis. The provider is free to change that diagnosis as they see fit, and if they do, the evidence-based treatment options will change as well. Once the provider has chosen the appropriate diagnosis and treatment plan, they simply sign the chart note and care is delivered—no further documentation or follow-up is required. Essentially, Bright.md is a clinical decision support tool that automates almost 100 percent of the documentation process for providers. And as a result, providers can practice more effectively at the top of their license while delivering quality, evidence-based care for their patients.

Q: Why should I trust Bright.md’s clinical content over internal protocols or in-house content?

Bright.md’s clinical content has been honed and vetted over the course of eight years and is used to provide quality care to hundreds of thousands of patients. It’s been peer-reviewed by dozens of clinicians at our customer organizations—leading health systems throughout the country. As mentioned earlier, the resources we use to create and maintain our clinician content are trusted for their rigor and adherence to evidence-based practice guidelines.

Q: What would you say to clinicians who are wary of relying on Bright.md’s clinical content?

I would say that Bright.md’s clinical content enables the same quality of care for low-acuity conditions as any face-to-face appointment. We’re able to gather just as comprehensive—if not more comprehensive—patient history than what’s gathered in direct patient-provider interactions. This is done through the platform’s consistent and thorough clinical interviews that are evidence-based and dynamically changing based on the patient’s responses. By automating the documentation process and presenting just the evidence-based treatment options for a particular diagnosis, Bright.md enables providers to deliver care that meets, and often exceeds, national quality standards, while also maintaining provider autonomy.

Q: How does Bright.md’s clinical content impact costs to deliver care and ultimately drive value?

The clinical content within our asynchronous telehealth solution allows providers to practice at the top of their license, efficiently providing high-quality care in a fraction of the time and at a fraction of the cost. Providers using our platform deliver care for low-acuity, episodic conditions in an average of 3.5 minutes per patient. Patients, in turn, are only waiting six minutes on average between the time they submit their interview responses to when they receive their diagnosis and treatment plan. Together, these numbers have huge implications for improving patient satisfaction, increasing patient retention, improving access to care, reducing provider burnout, and driving cost savings for the health system.

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