Product one · AI Hospitalist + Prospective CDI
Clinical intelligence at the point of care.
Clinical safety surveillance, AI-assisted decision support, and prospective Clinical Documentation Integrity in one physician workflow, from pre-rounding through the signed note.
What it does
A second clinical reader that never loses the thread.
The system analyzes available clinical records: admission documentation, medical histories, medications, laboratory results, diagnostic studies, specialist recommendations, and daily clinical changes.
It identifies potentially overlooked clinical conditions, medication-related concerns, treatment inconsistencies, important unanswered clinical questions, and opportunities to improve diagnostic specificity. Its review accompanies the physician throughout the hospitalization.
Clinical safety
Overlooked chart information, medication discrepancies, potential contraindications, and clinically relevant questions for physician assessment.
Prospective CDI
Clinically supported opportunities for diagnostic specificity, severity documentation, and potential DRG/CC/MCC implications, at the point of care.
Decision support
Evidence-supported considerations and high-value questions, so the encounter focuses on what changes management.
Physician in control
The physician evaluates findings, answers clarification questions, and approves documentation. No autonomous treatment, ordering, or EHR write-back.
The physician workflow
Before rounds. After rounds. Before the note is signed.
Ingest and prioritize
The AI reviews available patient information, identifies potentially overlooked safety concerns, and suggests non-routine, high-value questions for the physician to investigate during the encounter.
Reassess with new information
The physician contributes updated history, examination findings, and clinical decisions. The system integrates them into its assessment and identifies additional questions or concerns where appropriate.
Combined safety and CDI review
The AI runs clinical safety and CDI checks together, surfaces actionable findings, and prepares a physician-reviewed note. The physician remains responsible for clinical judgment, treatment decisions, and final documentation.
- Patient
- Test, Synthetic B.
- Age
- 64
- Problem list
- Heart failure, CKD stage 3b, type 2 diabetes
- Changes 24 h
- Weight −2.1 kg, BNP down, K⁺ 3.2
Magnesium not checked this admission. Consider repletion and a magnesium level if clinically appropriate.
Echo 3 months ago: EF 30%. IV diuresis in progress. Evidence may support a more specific heart failure diagnosis if the physician agrees.
Specify acuity and type in the assessment if supported by your clinical judgment.
Dietitian note documents moderate malnutrition criteria. Not reflected in physician assessment.
Intended benefits
Fewer misses. Better notes. Less administrative drag.
- Help physicians recognize clinically significant information that may be missed during routine chart review.
- Improve clinical decision-making and care coordination.
- Identify medication, diagnostic, and treatment concerns.
- Increase the accuracy, specificity, and completeness of physician documentation.
- Reduce avoidable retrospective CDI queries by resolving documentation issues prospectively.
- Reduce administrative burden while maintaining physician oversight.
Benefits describe design intent. Reductions in query volume, documentation precision, and any financial impact must be measured in deployment studies.
Technical foundation
Designed for real clinical workflow, inside an authorized environment.
Patient information stays inside the authorized clinical environment. External medical knowledge is retrieved using focused clinical concepts, never patient identifiers.
EHR connection
Read-only Epic SMART on FHIR integration; normalized encounters, medications, allergies, diagnoses, laboratory results, notes, reports, and orders.
Existing clinical intelligence
Preserves the physician-developed AI Hospitalist instructions, standard-of-care review, prospective CDI behavior, and existing CDI logic. No replacement clinical rules invented.
Clinical knowledge
Planned or developing connectors for RxNorm, DailyMed, openFDA, PubMed, and society guidelines; configurable institutional pathways for UpToDate and OpenEvidence where supported.
Clinician control
The physician evaluates findings, answers clarification questions, and approves documentation. No autonomous treatment, ordering, or production EHR write-back is claimed.
A working prototype has retrieved and displayed synthetic patients from the Epic developer sandbox through a live, read-only connection, including patient retrieval, normalization, orders, clinical reports, and a clinician interface. The physician-authored clinical engines are being integrated. Production clinical effectiveness has not yet been validated.
See it with synthetic patients