Talis Clinical is a Cleveland-based health tech startup that provides clinical documentation and decision support solutions to enhance patient safety during perioperative events like surgery requiring anesthesia. Their flagship product, ACG-Anesthesia, is an anesthesia information management system that tightly couples documentation of care with clinical and operational decision support. It uses patient data and risk algorithms to provide single-screen summaries of appropriate care protocols and risks for physicians and nurses. Talis also offers remote monitoring solutions that allow physicians to oversee multiple surgical cases and be notified of any deteriorating patient conditions. Their goal is to simplify workflows and bring the entire care team together to ensure safe patient care through all phases of perioperative care.

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73CIOReview| |JULY 2014
72CIOReview
CIOREVIEW.COMNOVEMBER 27 - 2015HEALTHCARE 50 SPECIAL
T h e N a v i g a t o r f o r E n t e r p r i s e S o l u t i o n s
50 Most Promising Healthcare Tech Solution Providers 2015
Company:
Talis Clinical
Description:
A Cleveland based health tech start-
up that supports patient care, while
positively impacting the clinicians and
providers
Key Person:
Gary Colister,
President & CEO
Website:
talisclinical.com
Talis Clinical, LLCTalis Clinical, LLC
recognized by magazine as
An annual listing of 50 companies that are in the forefront of tackling
Healthcare Technology challenges and impacting the marketplace
Editor-in-Chief
Pradeep Shankar
H
ealthcare is in the middle of a transformation--a
transformation driven by technologies. The emerging
trends from wireless sensor technology and remote
patientmonitoringtoBigDataanalyticsandelectronic
patient portals are redefining where and how healthcare is being
delivered.
In this scenario, for the healthcare providers who are still
resistant to technology, there is a big problem on hand: They are
going to be left behind in the compatetion. In this technology
“revolution”, the major part is played by Electonic Health Records,
which is facilitataing the seamless flow of data. The goal is for
doctors, nurses, patients, researchers, and insurers to share useful
medical data for enhanced care delivery. Another catylyst in this
revolution is the ever-increasing ubiquity of mobile and cloud
platforms that surpass merely the ability to track in real-time a
patient’s health. These platforms capture the data from disparate
sources such as wearables, phones and glucometers, and pulls it
all together to give a patient and caregiver a holistic and real-time
view of the patient’s health.
A recent report from Accenture also points to a new trend
on the rise--emergence of machines. It’s all about ‘digital self
scheduling’-- sharing patient’s own EMRs, training machines
and connecting with phycisians via social platforms. According to
the study, 66 percen of health systems in the U.S. will have self-
scheduling by the start of 2020. And nearly half of health execs
strongly agree that within three years, they’ll need to focus on
training machines just as much as training employees.
As more healthcare organizations invest in these technologies
and system capabilities, they’re seeing positive results. The
implications for privacy are numerous and worrisome, but so are
the consequences of not seizing this opportunity to save lives and
improve quality of life.
In this scenario, in order to simplify and assist CIOs identify
the right Healthcare Technology solutions; CIOReview presents
“50 Most Promising Healthcare Tech Solution Providers 2015.”
A Distinguished panel comprising CEOs, CIOs, VCs, analysts,
and the CIOReview editorial board has selected the top solution
providers. In our selection process, we looked at the vendor’s
capabilitytofulfilltheneedforcost-effectiveandflexiblesolutions
that add value to the Healthcare landscape.
C
reating innovative solutions to
support patient safety, while
also providing compliant
clinical documentation,
has been the goal of many Health IT
companies. To achieve this, technology
has to leap frog the traditional big box
Electronic Health Record (EHR) deficits
with true innovation in design, workflow
and functionality.
Talis Clinical, a Cleveland based HIT
start-up, is delivering technology to one
of the most complex care settings that
exists–induced paralysis under anesthesia.
“The focus of Talis’ endeavors is to
operationalize decision support, overcome
interoperability challenges, and provide
superior anesthesia workflows to positively
impact perioperative outcomes,” according
to Gary Colister, President and CEO.
Talis supports this intricate care model
by delivering an integrated approach that
bridges the communication challenges
among all the caregivers involved from the
time the surgical decision is made, through
post-operative recovery.
The technology imbeds an “engine”,
Advanced Clinical Guidance, allowing
physicians to build and incorporate
configurable multi-parameter risk
stratification algorithms. These tools are
inherent throughout Talis’ platforms,
such as ACG-Anesthesia™, an intuitive
anesthesia information management
system (AIMS). This solution tightly
couples documentation of care with
clinical and operational decision support,
upholding the delivery of safe patient care,
anesthesia management and medico legal
compliant billing.
With extracted EHR and surgical
scheduling data, ACG accesses patient
history, conditions, and proposed
procedure information, and delivers a
single-screen summary of appropriate
care protocols and relevant risk factors
that may impact the anesthetic plan.
This information is presented to the
physicians and nurses via the ACG-
Provider Portal™, a web based platform
accessible securely on any portable
device.
“The portal is a way for us to bring
the care team together,” states Gary. “Its
user-friendly interface makes it easy
for clinicians to stream data and run it
through the optimization engine.”
ACG vigilance continues through
the intraoperative and postoperative
phases of care. In addition to the
point-of-care AIMS, Talis provides ACG-
Remote View™, allowing surveillance
for physicians overseeing multiple cases
involving Certified Registered Nurse
Anesthetists or residents. The physician
is notified if there is a detection of
deteriorating patient conditions, or if a
treatment modality is not administered. At
a touch of their mobile device, real-time
case events and live view wave form data
are displayed. Talis developed a medical
device integration solution to capture and
transmit complete patient monitoring data
with low latency and minimal bandwidth
requirements.
RemoteView surveillance extends
into the PACU and ICU, where ACG
guidance can keep all clinical team
members appraised of patient conditions.
Algorithms assessing physiological
monitoring data notify the physician in
the event a patient experiences an adverse
event. Automated calculation of scores for
recovery and readiness for discharge helps
improve throughput and improve patient
satisfaction.
Talis Clinical is passionate about
helping clinicians enhance patient care
by avoiding process breakdowns and
providing easy-to-use tools. The company
is on a never-ending road to benefit its
clients and ensure safe patient care in
perioperative events using technology.
The rich data-collection capabilities
of Talis enable a spiral of continuous
improvement, whereby techniques are
constantly advanced in order to achieve
better outcomes.
“Down the road, we see Talis
Clinical as a complete solution provider
for perioperative services,” says Gary.
“We have a good start with leading edge
technologies and great developers to help
us achieve our mission,” he concludes.
Talis Clinical
Enhancing Perioperative Events and Ensuring Safe
Patient Care
Our solutions have a user-
friendly interface that
ensures safe patient care
and healthy participation
in the hospital
eco-system
Gary Colister Bishoy Magdalla