How Pulse Health identifies early respiratory fatigue, standardizes discharge education, and detects outpatient exacerbations before they become emergencies.
Per review session
30% lower hospitalization risk
Identifies deterioration 12-18h earlier
Patient: James Whitaker, 67y (Diagnosis: Severe COPD with frequent exacerbations)
Setting: Hospital Admission → Outpatient Pulmonology → Home Health. History: 40 pack-year smoker, HTN, Type 2 DM. Reason for Admission: Acute COPD exacerbation with hypoxemia.
By hospital Day 2, James appears clinically stable on 2 L/min O2. However, findings like "thicker sputum", rising RR, and mild accessory muscle use are buried across 7 different EMR tabs.
Realize-365 pulls information from multiple EMR tabs to generate AI Summary:
Insight: Pattern concerning for early CO2 retention and impending ventilatory fatigue. Recommend ABG reassessment, pulmonary consultation, and consideration for early BiPAP.
Discharge requires confirming inhaler regimen, O2 settings, and correct spacer usage. Info is scattered across pharmacy lists and notes.
Query: "Compile discharge medication regimen, oxygen titration plan, inhaler technique documentation, missing education items."
Insight: Patient needs reinforcement on inhaler sequence and spacer technique. Recommend scheduling video-based inhaler demo before discharge.
Two weeks post-discharge, home health notes SpO2 drop, HR increase, and thicker sputum. Most EMRs bury these in free text.
Query: "Show 7-day trend for SpO2, HR, sputum consistency. Assess risk for early COPD exacerbation."
Insight: Pattern shows progressive oxygenation decline + rising HR + worsening sputum quality consistent with early COPD exacerbation. Recommend prednisone and early outpatient flare protocol.
To determine eligibility for CCM (Chronic Care Management), clinicians must know annual exacerbation count and adherence. This info lives in disconnected fragments.
Query: "Extract full 12-month COPD burden: exacerbations, ER visits, steroid courses, refill adherence."
Insight: Patient meets GOLD Group D criteria. Recommend enrollment in CCM: telemonitoring, RT-guided inhaler optimization, pulmonary rehab reinforcement.
Pulse Health identifies early signs of respiratory failure (rising RR, CO2 retention) that are often missed in routine checks.
Ensuring patients understand their inhaler regimen and O2 use prevents avoidable readmissions and ER visits.
Automated analysis of long-term trends helps enroll high-risk patients in chronic care management programs.