HEARTED
140 million
Emergency Department visits each year in the US1
9 million
Americans present at Emergency Departments with chest pain each year.2
460,000
of them have acute coronary syndrome (ACS).3
How do ED doctors know?
History
ECG
Age
Risk factors
Troponin
(0-2)
(0-2)
(0-2)
(0-2)
(0-2)
Total: (0-10)
21.9 hrs
9.9 hrs
Median Length of Stay
Median Length of Stay (HEART)
12 Hrs
Time Saved
With NO increases in adverse effects2
Manual integration is hard...
Pt. comes to ED with chest pain
Triage Nurse meets pt., gets vitals
Troponin
Age
Risks
History
EKG
ER doctor reviews pt. info
ER doc calculates HEART score (0-10)
Diagnosis
Cath Lab
Discharged
Admitted for Monitoring
Stress test/Imaging
History incomplete
ER doctor meets pt. for history
Triage Nurse sees other patients
Doctors don’t have time!
Pt. comes to ED with chest pain
Triage Nurse meets pt., gets vitals
Troponin
Age
Risks
History
EKG
ER doctor reviews pt. info
ER doc calculates HEART score (0-10)
Diagnosis
Cath Lab
Discharged
Admitted for Monitoring
(70%)4
Stress test/Imaging
History incomplete
ER doctor meets pt. for history
Triage Nurse sees other patients
An instant HEART score without a black box
EHR-based risk calculator, with an AI that fills in the blanks from patient notes
12 Hrs
Time Saved
Per patient with HEART scoring
1 day
Available patient-days in ED
Per 2 patients with HEART scoring
$1.47M
Columbia Presbyterian Hospital
Increase in revenue per year
Sell to hospitals through EPIC AppOrchard
3.2M
$921M
more patient-days per year
profit for a hospital per patient-day
How much we make hospitals per year
✕
=
$288
Since 70% of EDs do not have time to calculate HEART score
From lower Cath Lab intake and stress tests, and higher ED admits
Purchasing fee of $713 per month per provider
We make $500M per year
| Target | HEART Score | Cross-platform integration | S/U Data | Interpretable |
Praxis EMR | Primary Care | x | x | ✔ | ✔ |
eClinicalWorks | Secondary Care | x | x | ✔ | x |
DeepScribe | Primary/Secondary Care | x | ✔ | ✔ | ✔ |
Veradigm | Secondary Care | x | x | ✔ | ✔ |
| Secondary Care | ✔ | ✔ | ✔ | ✔ |
advantage
A cross-platform integrated EHR analytics system focusing on accurately determining HEART score.
Novel way of bringing together disparate health data
Save the next patient sooner
Don’t change your normal workflow
Increase ED throughput
Aiesha Chaudhry
Undergraduate
Rhyan Schweyk
Undergraduate
Zan Chaudhry
Post Bacc.
Ryan Bose-Roy
A nice fella
Ojas Chahal
Undergraduate
Appendix Slides
9M
2
3.2M
patients visit ED with chest pain per year2
percentage of ED docs not calculating HEART4
more patient-days per year
✕
=
/
patients per patient-day2
70%
Appendix Slides
$3k
$219
revenue from ED-admits per patient day5
ED profitability6
more from additional ED admits
✕
=
7.3%
$430
$52
lost profit per 2 cath lab visits (1 patient-day)7
reduction in objective cardiac testing2
more from avoided cath lab visits
✕
=
12.1%
($358
$17
average cost to hospital of a cardiac stress test in 20228
more from fewer cardiac stress tests per patient day
=
-$288)
average revenue generated by a cardiac stress test in 20229
24%
average fewer amount of cardiac stress tests performed with HEART per patient day2
References