This document describes Patient Code Software (PtCS), a real-time clinical decision support tool developed by Academic Technology Ventures to reduce diagnostic errors. PtCS integrates a patient's key medical data like labs, imaging reports and vital signs to help providers make more accurate diagnoses. A field study at a 630-bed hospital found PtCS increased documented comorbidities by 75% and case mix index, while decreasing mortality rates, lengths of stay, and saving $450k annually through improved documentation efficiency. The document outlines PtCS' benefits of improving care quality and financial performance for hospitals while facing no direct competition in the healthcare IT field.

2. Patient Code Software
 Co-founder Corey Park, CEO of Academic Technology Ventures (ATV)
 Co-founder Todd Griffith, a partner of ATV
 Exclusive license from Stony Brook University
 Patent pending

3. The Problem
 Medical Errors are the 3rd leading
cause of death in the United States.
 An estimated 10 to 20% of cases are
misdiagnosed – exceeding drug errors
and surgery on the wrong patient or
body part.
 Misdiagnosis accounted for 14% of all
adverse events. 75% of these errors
involved negligence.
 Diagnostic errors are the leading cause
of malpractice litigation.
 500,000 missed diagnostic opportunities
that occurred out of the 500 million
primary care visits that occur annually in
the United States.
http://www.ncpa.org/sub/dpd/index.php?Article_ID=23148cvcv BMJ 2016;353:i2139 doi: 10.1136/bmj.i2139 (Published 3 May 2016)

4. Impact on Healthcare
 30% of annual healthcare spending in the United States, approximately $750
billion, is wasted on unnecessary services and other inefficiencies
 28% of 583 mistakes were life threatening, resulted in death, or permanent
disability.
 40K – 80K deaths per year are due to diagnostic errors.
 Patients and their families bear the more significant costs of diagnostic errors:
 lifelong care for permanent disabilities, lost income due to the patient’s premature
death or disability, and incurred debt.
 Businesses are impacted through the loss of experienced employees, lost
productivity, and increased insurance payouts.
https://www.pinnaclecare.com/download/Human-Cost-Financial-Impact-Whitepaper.pdf

5.  Real time decision support tool
 Accurate diagnosing
 Documentation of diagnosis with
trending results at the finger tips
of the provider
 Key data points:
 Lab Results
 Radiology
 EKG Reports
 Echocardiogram Reports
 Other Clinical Data
 Embedded workflow
 Seamless integration
(Example of PtCS Dashboard running on Cerner)

6. Pilot Hospital
Pilot hospital:
 Academic general medical and surgical hospital
 630 beds
2015
Admissions: 32,008
Inpatient Surgeries: 8,579
Outpatient Surgeries: 11,617
ER Visits: 88,085

7. Four Year Field Study
Immediate results:
 Increase in CMI
 2015, continued increase in CMI without
Cardiothoracic services
 Clinical document improvement
 Decrease in O/E mortality rates
 Decrease in length of stay (LOS)
 Increased in bed turn over
 Decrease in readmission rates
 $4.2 million increase in revenue every year
since 2012
 Cost savings of $450K in reduction of FTE
positions
1.49
1.72 1.73
1.78
1.81 1.81
1
1.05
1.1
1.15
1.2
1.25
1.3
1.35
1.4
1.45
1.5
1.55
1.6
1.65
1.7
1.75
1.8
1.85
1.9
1.95
2
2011 2012 2013 2014 2015 2016
YEARLY AVERAGE CASE MIX INDEX
Cardiothoracic
Services discontinued
Their increase in CMI equates to $4.2 million on an annual basis since 2012

8. O/E Mortality Index
0
0.5
1
1.5
2
2.5
2009 2010 2011 2012 2013 2014
Total Inpatient
Mortality Rate Index (%)
Observed Expected
2012 Q3
PtCS Intervention

9. Documentation Review
Provider Documentation
Method
# of Reviewed
Cases (96)
Total # of Missed
Dx
Missed Dx per
Case
Cases with
One Missed Dx (%)
Electronically (Template) 13 56 4.3 100%
Comorbidity sheet 48 51 1.1 87.5%
PtCS 35 9 0.3 27.3%
The above table shows that there are significantly fewer patients with missed diagnoses when PtCS
is used than in either of the other two groups (statistical significance p<.001)
• Average time taken by clinical documentation specialists to document the comorbid conditions in a
patient’s EHR: 9 minutes
• Average time taken by clinician with PtCS: 3 minutes
Documentation Time Savings

10. Reduction in undocumented afflictions
 75% more diagnoses when compared to using physician
documentation alone.
 Increased CMI resulting in over $4 Million in additional
revenue.
 Better Physician Performance Ratings
Significant impact on hospital savings
 1/3rd the amount of time necessary to identify a comorbidity.
 Reduction in difference between observed and expected
mortality
 Reduced risk/liability for hospital
 Increased throughput
Benefits

11. The Value of PtCS
Better Patient
Care
 Reduced
Observed vs.
Expected Mortality
Delta
 Improved
Physician Ratings
 Reduced Hospital
Time
 Fewer Re-
Admissions
Better Financial
Performance
 Accurate CMI
 Higher Thru-Put
 More Billable Items
 Reduced Liability
 Reduced Time to
Bill
Value Proposition
Criteria
Contributing
Output

12. The Competition
There are currently NO OTHER applications in healthcare IT space that are substantially similar
to that of PtCS. PtCS is a REAL TIME decision support application. It allows for accurate and
efficient documentation of diagnoses upon the initial assessment or admission. It is integrated
seamlessly into the hospital’s EHR. Physicians have all evidence based results at their fingertips
without having to “search” for patient information.

13. Patient Code Software Team
Dr. Donald Thomas III, CEO
• 30+ years experience in healthcare
• Former CMO for L.A. County Health
Department
• Restructured Medicaid medical division for a
major health insurer
Todd Griffith, CTO
• 20+ years experience in Technology
• Co-founder, PtCS
Marie Franko, RN, BSN, VP Business Development
Army Veteran
• 16+ years of experience in healthcare
• 8+ years experience of healthcare IT
• Expertise is focused on the SDLC, current and
future workflow analysis, project and change
management, training, and sales
Mark Tumblin, Advisor
• 30+ years experience in healthcare IT
• Leadership roles at Symphony Performance
Health, Press Ganey, and LifeWatch to name a
few, serving as COO, CIO, and CSTO.