Using traditional dependence solely on local on-site resources, health care facilities have struggled with the challenge of meeting variable patient demand with a fixed number of staff for unscheduled care processes. Day to day patient arrivals can vary by as much as 50% from the expected mean. Some days facilities are under-staffed and patient care suffers; other days are over-staffed resulting in excess costs. This systematic stress is exacerbated by the increased exposure risk for staff and patients as they interact face-to-face for tasks that can otherwise be performed faster and more efficiently by remote personnel. A mechanism to improve efficiency and productivity is clearly needed.

The Solution: EmOpti's Emergency Medicine Workflow Solution is a software platform designed to help your providers optimize emergency department and urgent care workflows for many use cases, enabling a combination of on-site and virtual resources to collaborate and improve patient outcomes while also improving staff productivity. The Solution was designed from the beginning to take advantage of multiple AWS infrastructure components, from the CHIME service to manage video sessions to Sagemaker to enable automation based on machine learning, to deliver super-fast provider workflows with unique virtual consult routing and queue management.

Imagine a world where every patient care area has an intelligent video "portal" used for multiple purposes. The EmOpti Emergency Medicine Workflow Solution supports multiple ED use cases, all improving efficiency and productivity while delivering improved patient outcomes. These use cases include:

• Tele-triage
• Rapid discharge
• Virtual rounding
• Virtual registration
• Automated discharge teaching
• Social services virtual consults
• Specialist virtual consults
• Hospitalist integration
• Language interpretation
• Academic teaching

The speed and usability of the Solution has proven effective in intense, high volume environments, where the system is used on virtually every patient hundreds of time each day as part of routine operations. In many cases the number of consults provided per hour by a remote provider is virtually double the number seen when the same process occurs using in-person staff. And when the remote provider services multiple facilities simultaneously further improvement in productivity occurs through a load-leveling effect that better matches resources to fluctuating demand.

To address staff shortages EmOpti provides telehealth and hybrid workflow solutions with automation to accelerate patient throughput, increase revenue and reduce costs. EmOpti’s technology is proven to support high volume, complex, multi-facility deployments with high reliability. The team is comprised of experienced clinicians, logistics experts, health business analysts, and innovative software developers.

Artificial intelligence tools can be added optionally at the point of care including clinical decision support for specific patients and to answer general questions about clinical performance for quality assessment and benchmarking.

The EmOpti Telehealth software platform supports 20+ in-hospital use cases, enabling virtual teams to provide remote video consultations and collaborate with on site personnel to optimize care, decrease exposure risk and decrease costs in emergency departments, inpatient units and other acute care settings.

EmOpti's professional services division helps health organizations address staff shortages by offering virtual physicians, dieticians and other professional staff to provide high quality clinical care.

Solutions include:

*Emergency Medicine - Triage, Discharge, Rounding, Registration, Discharge Teaching, and more.

*Hospital Medicine - Rounding, Oversight, Sitter, Discharge Planning, Interpreter, Specialist, and more.

*Urgent Care - Triage, Oversight, Registration, Transfer Coordination, Interpreter and more.

*Intelligent Face Sheet - AI based Clinical Decision Support provides a co-pilot function for clinicians at the point of care.

*AskOBI - AI based chatbot for natural language question-response including the unique capability for real time queries of tabular and statistical information from both customer's and national benchmark databases.

*Professional Services - Physicians, dieticians and other professionals provide assessments, order entry, results review, and consultation with patients and other staff for multiple use cases. 

PreMedicus® ER is a novel user-friendly patient facing mobile app for digitally guided self-diagnosis that accurately triages over 100 medical conditions. PreMedicus® ER delivers real-time hyper-personal triage advice with in-app 911 call capability, and GPS guidance to nearby pharmacies, physician offices, urgent care facilities or emergency departments as deemed appropriate by the Triage Engine. PreMedicus® ER can be integrated with telemedicine platforms and the digital front door of urgent care, ER and retail pharmacy facilities.

PreMedicus® ER initially collects and organizes patient responses to a carefully crafted health questionnaire to create a custom Health Report. The Health Report helps the patient understand their current health status and risks for future problems in easy to understand language.

In times of acute illness, the PreMedicus® ER app takes the patient through a brief targeted interview, and in under five minutes renders a reliable Preliminary Diagnosis and accurate Triage Decision using data from current symptoms and their personal health database. The PreMedicus® ER app delivers relevant health education and advice curated from world-class sources about the likely diagnoses, and then activates global GPS to guide the patient to the closest appropriate facility regardless of where in the world they are located. The patient can share their Illness Report with telemedicine or in-person health providers and family members.

We performed a real-world pilot study in a busy inner city academic hospital that cares for a predominantly disadvantaged population with high uninsured and Medicaid rates. We proved that our digital approach to Preliminary Diagnosis and Triage was as reliable as that of the ER physicians. The majority of adult patients regardless of age found the app easy to use, and expressed interest in using this tool. Our pilot study data is available upon request.

We are eager to partner with a hospital system or health insurer in a pilot study of this unique self-diagnosis, triage and health maintenance tool.

PreMedicus® LLC is an Atlanta digital medicine startup founded by Pulmonary and Critical Care physician Dr. Tony Kimani. While in China with his Georgia Institute of Technology MBA class, he saw patients waiting long hours for ER care with advanced smartphones in hand. He was inspired to design and commercialize patient-friendly mobile apps for critical healthcare needs. We are pioneers in the emerging field of digital precision population health, which takes inputs from clinical medicine, public health, social determinants of health, wearables, natural language processing and AI to generate highly individualized disease prediction, prevention and early diagnosis. We are a portfolio company of the Advanced Technology Development Center at Georgia Institute of Technology.

In the post-pandemic era, the paradigm is rapidly shifting to favor digitally-enabled, patient-centered, inter-connected healthcare technologies that help clinicians safely deliver personalized, high quality, cost-effective and efficient care. PreMedicus® solves the need for rapid and accurate evaluation and disposition of a mixed population of worried well, sick and injured people contemplating ER care. By bringing order to the fear and confusion associated with acute illness, our digital assistants reduce the potential for medical errors from incorrect information, improve care quality and reduce ER congestion. We liberate and empower the patient-provider relationship by giving patients a voice in their healthcare, and freeing providers to be fully engaged by pre-organizing relevant clinical information. 

Our mobile applications (apps) work together to create value for major healthcare stakeholders by digitally streamlining critically important medical and business functions in the acute care setting. These digital tools engage patients in their own care, expedite virtual or in-person evaluation, increase workplace safety, optimize staff workflow, provide patient decision support, shorten reimbursement cycles and provide strategic data insights in the fast paced tele-medicine, urgent and emergency care environments.

Our customers are large employers, insurers, telemedicine providers, ACOs, hospital systems and government health departments seeking to safely manage urgent and emergency care while engaging patients in their own healthcare decision-making.