Primary Care
Outpatient Care Enhancement

Enhancing Outpatient Care with Realize-365

How Realize-365 automates chronic disease tracking and medication safety checks, turning minutes of chart review into seconds.

Saved 10 mins

To 10 seconds per chart review

Safety Check

Instant drug interaction analysis

Record Clarity

Evidence-aligned diabetes findings

Clinical Background

Patient: Mr. Aaron Jamie, 52y

Setting: Primary Care Outpatient Clinic. Medical History: Prediabetes, obesity (BMI 33), mild intermittent asthma, borderline hypertension. Reason for Visits: Routine management, new symptoms, and chronic disease risk assessment.

1

Evaluating New-Onset Fatigue & Polyuria

Clinical Problem

Mr. Jamie reports new fatigue, increased thirst, and waking twice nightly to urinate. His last hemoglobin A1c (6 months ago) was 6.0%. The PCP/GP must review labs, vitals, weight trends, and medications spread across several prior visits which is time-consuming and prone to oversight.

Realize-365 Action

Query: "Extract the last 12 months of labs, weight, vitals, and medication adherence. Compare patterns to ADA criteria and surface whether documented values fall within diagnostic thresholds for diabetes."

ParameterTrendInsight
A1c5.7% → 6.0% → 6.6%Meets ADA criteria (≥ 6.5%)
Fasting Glucose112 → 124 → 136 mg/dLDiagnostic range
Weight208 → 214 → 219 lbsProgressive weight gain

Insight: Documented A1c (6.6%) and fasting glucose (136 mg/dL) fall within ADA diagnostic thresholds for Type 2 Diabetes Mellitus, for clinician review alongside the symptom profile.

Impact

  • Reduces chart review time from 10 minutes → 10 seconds.
  • Surfaces evidence-aligned findings clearly, allowing immediate care planning.
2

Medication Safety & Drug Interaction Check

Clinical Problem

Mr. Jamie presents with mild wheezing and asks for a refill of his albuterol inhaler. He also recently started a new medication from urgent care (unknown to the PCP/GP). Instead of manually searching multiple drug databases, the physician uses Pulse.

Realize-365 Action

Query: "Extract all active medications from the past 90 days, and identify interactions with beta-agonist therapy relevant to the albuterol refill."

Metoprolol (25mg)Beta blocker effect may blunt Albuterol. Use caution.
Azithromycin (recent)No major interaction. Safe.
Prednisone (recent)May indicate recent flare. Monitor.

Insight: The documented medication list is compiled with source links for the prescriber’s refill review. A documented interaction reference — metoprolol may reduce bronchodilator response — is surfaced for clinician review.

Impact

  • Surfaces documented interaction references for clinician review.
  • Replaces 5–7 minutes of manual medication review.
3

Quick Medication Refill Safety Check

Clinical Problem

Mr. Jamie requests a refill for his blood pressure medication during a busy afternoon clinic. The provider must verify last refill date, recent BP control, any missed appointments, and most recent renal function labs. This normally requires checking 3–4 different EMR sections.

Realize-365 Action

Query: "Summarize documented refill history, creatinine/potassium values, BP readings, and any missed follow-up appointments relevant to the lisinopril refill review."

Last refill30 days ago (Refill due)
Creatinine / Potassium1.0 mg/dL / 4.2 mEq/L (Stable)
Recent BP / Missed Appts138/84 / None

Insight: Documented labs and BP are stable and no missed follow-ups appear on record — the full documented history is compiled with source links for the prescriber’s own refill decision.

Impact

  • Turns a 5–7 minute manual review into a 10-second safety check.
  • Surfaces documented renal labs and visit history for clinician review before refills.

Why this case matters

Efficiency

Automating routine checks like diabetes screening and refill safety frees up significant time for patient interaction.

Documented Reference Checks

Pulse consolidates prescriptions from different providers (e.g., Urgent Care vs PCP) into one view, surfacing documented interaction references for clinician review.

Evidence-Based

Instant comparison against ADA and other guidelines ensures clinicians always have the latest guideline context at hand.