Rural & critical-access primary care

Twelve-minute visits. Three thousand patients. One brief before the door.

Helose texts on the days your care plan says log BP, glucose, or weight — from your practice number, no patient app, works on SMS-only phones. Before the visit, staff open a brief that merges what is in the EHR with what patients actually reported at home.

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Wed home log day

  1. Hi Margaret, Lakeview Family Medicine: home log day on your care plan. Reply with BP, glucose, or weight when finished.
  2. 140/88 Delivered
  3. Thanks. Logged for your care team.
  1. Hi Margaret, Lakeview Family Medicine: reminder for tomorrow (Thursday, Mar 12) at 2:30 PM.
  2. OK Delivered
  1. More short of breath since yesterday and shoes feel tight Delivered
  2. Thanks for telling us. A nurse from Lakeview will call today. Chest pain or severe shortness of breath? Call 911.

Patient thread

Problem

The care plan lives at home. The chart only updates at visits.

  • Weeks between visits for chronic panels
  • Home readings stuck on phones, not in the chart
  • Staff time lost to callbacks and cold starts
  1. Visit
  2. Week 2
  3. Week 4
  4. Week 6
  5. Week 8
  6. Next visit

Pre-visit brief

Chart context plus home texts — ninety seconds before the room.

On the plan from your EHR. From texts between visits. Before the door: what to ask first. Not a data dump — what changed since the last visit.

  • Blood sugar trend and active meds from your EHR
  • 2 of 3 home logs + shortness of breath flagged Friday
  • Works beside your EHR — nothing to replace
Pre-visit briefing Margaret K. · Blood pressure follow-up · Thu 2:30 PM · chart linked from your EHR

On the plan

  • Active problems: High blood pressure, type 2 diabetes — last A1c 7.8% (Jan), kidney function stable

  • Meds: Lisinopril 20 mg daily; no new starts since Mar 4

  • Care gaps: Annual foot exam due; mammography overdue per panel report

From texts

  • Home logs: 2 of 3 scheduled log days — Mon 138/86, Wed 140/88; Fri window open

  • Appointment: Day-before reminder acknowledged (OK)

  • Symptoms: Fri: more short of breath, shoes feel tight — routed to nurse, no dose change by text

Before the door

  • Reconcile Friday shortness of breath with home BP trend and current diuretic plan

  • Ask barrier if Fri log missed — transportation vs. forgetfulness

  • Foot exam and mammography — schedule if room in visit

EHR + clinic

Your EHR holds the chart. Helose handles between-visit follow-up.

Read-only connection to your EHR for problems, meds, and labs. Text conversations your chart was never built to store. The brief pulls it together for your team and your EHR vendor.

  • For the rural clinic

    • Home log days and day-before appointment texts — only on days you schedule, not daily spam
    • Structured replies (140/88, OK, symptom flags) tallied before the visit
    • Staff review drafts; licensed clinician approves outbound messages
    • Chronic visit prep: collect home data before diabetes and blood pressure follow-ups
    • Caregiver lane for older adults — authorized family on the same thread

  • Works with your EHR

    • Complementary layer — Helose never writes to or replaces the system of record
    • Read-only sync for problems, meds, labs, and more from the chart
    • Brief opens when the chart opens — desktop companion beside your EHR workflow
    • Patient texts, home logs, and replies live outside the chart until your team needs them
    • Standard approved-app sign-in — your clinic controls access

Between visits

Patients text your number. The briefing updates.

Home logs · Appt reminders · Symptom routing

  • Home logs

    Hi Margaret, Lakeview Family Medicine: home log day on your care plan. Reply with BP, glucose, or weight when finished.

    140/88

    Thanks. Logged for your care team.

  • Appt reminders

    Hi Margaret, Lakeview Family Medicine: reminder for tomorrow (Thursday, Mar 12) at 2:30 PM.

    OK

  • Feeling worse

    More short of breath since yesterday and shoes feel tight

    Thanks for telling us. A nurse from Lakeview will call today. Chest pain or severe shortness of breath? Call 911.

Deliverables

Less reconstruction. More knowing.

  • 90 sec brief at chart open

    EHR problems, meds, and labs merged with home log texts — one screen before the twelve-minute visit.

  • Less staff phone tag

    Log days, appointment reminders, and symptom flags by text — not front-desk callback loops.

  • No app SMS only

    Works on 3G and flip phones. Sensitive details stay on secure links when needed — not in the text thread.

Helose is built for HIPAA-covered clinics. BAA at onboarding. US-only infrastructure. We never train models on your PHI.

Providers set the plan. Helose keeps it moving between visits.

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