Cerebral Palsy

Impact:

• Prevents safety errors through structured communication.
• Saves 5–7 minutes per handoff, enabling immediate care.
• Reduces complications that could extend stay (up to $100k per patient).
• Improves hospital protocols and nurse productivity.

Step 2: Early Detection of Respiratory Decline

Traditional time: Subtle changes buried in flowsheets and missed overnight
With Realize-365: Real-time trend recognition and alerts

Overnight, SpO₂ dips to 92% twice (baseline 96–98%), with a rising respiratory rate. Without trend analysis, this isn’t flagged until morning rounds.

Realize-365 triggers an alert:

• “SpO₂ dropped to 92% twice overnight (baseline 96–98%) with RR trending upward.”
• Suggests: “Initiate respiratory therapy assessment to rule out atelectasis or infection.”

Impact:

• Enables early intervention, preventing ICU transfers.
• Optimizes bed capacity and staffing.
• Reduces emergency escalation costs and extended stays.
• Strengthens hospital rapid-response protocols.

Step 3: Morning Physician Rounds

Traditional time: 10–15 minutes reviewing fragmented notes across EMR tabs
With Realize-365: 1–2 minute consolidated summary

Physicians spend rounds piecing together updates across nursing, therapy, respiratory, and pharmacy. Critical changes, such as new mobility restrictions, are easily missed.

Realize-365 provides a consolidated summary:

• Pain avg. 3/10.
• Cleared for supported standing.
• PT initiated assisted gait.
• Wound intact.
• Mild RR increase flagged.

Insight: “Do not allow unsupported standing; postop week 1.”

Impact:

• Increases physician productivity 25–50%, enabling more patients per round.
• Reduces missed or delayed orders.
• Shortens LOS, optimizes throughput, boosts annual revenue by >$10M through referrals, efficiency, and reduced insurance burden.

Step 4: Therapy Sessions (PT/OT/ST)

Traditional time: 5+ minutes verifying restrictions before sessions
With Realize-365: Therapy-ready summaries and imaging integration

Before gait training, the PT needs confirmation of post-op imaging. Without Realize-365, reports may be missed.

The Pulse retrieves findings instantly:

Date	Study & Notes	Key Findings	Clinical Relevance
08/12/2025	MRI Knee	Surgical site intact; no hematoma.	Safe to progress to partial weightbearing.
08/14/2025	X-ray Pelvis	No hardware displacement	Continue hip mobilization.
08/16/2025	Surgeon Note	Cleared for supported standing.	May introduce assisted gait.

Impact:

• Prevents therapy delays and inappropriate intensity.

• Reduces reinjury risk and costly complications.
• Improves staff productivity and discharge timelines.
• Increases therapy-driven revenue (> $500k/month).

Step 5: Multidisciplinary Team (MDT) Rounds

Traditional time: 20–30 minutes reconstructing updates manually
With Realize-365: Unified summary available at meeting start

MDT rounds often miss cross-cutting issues (e.g., fatigue linked to nutrition).

Realize-365 provides an integrated summary of therapy progress, nutrition, complications, and pending tasks, enabling the team to focus on planning.

Impact:

• Saves $100k+ per day in wasted time.
• Improves coordination and outcomes.
• Reduces 30-day readmissions.
• Supports faster discharge planning and better bed turnover.

Step 6: Evaluating Postoperative Nutrition

Traditional time: 10–15 minutes manually compiling calorie counts and therapy load
With Realize-365: AI-driven adequacy analysis

Dietitian manually totals intake, weight, and therapy load, often with incomplete logs.

The Pulse generates a structured review:

Date	Weight (lbs)	Tube Feeding Type	Adjustment Last 7 days	Daily Calorie Intake (kcal)	Target Calories (kcal)
02/12/2025	31.1	Peptamen Junior	None	850	1000
02/14/2025	30.9	Peptamen Junior	Increased bolus by 10%	870	1000
02/16/2025	30.6	Peptamen Junior	Added high-protein snack	900	1000
02/18/2025	30.9	Peptamen Junior	No change	850	1000

Impact:

• Prevents feeding-related complications in high-risk children.
• Accelerates nutritional adjustments by 1–2 days.
• Saves 10–15 minutes per review, enabling focus on complex cases.
• Reduces costly complications, improving recovery and hospital protocols.

Step 7: Assessing Discharge Readiness

Traditional time: 20–30 minutes compiling notes and calls across teams
With Realize-365: One consolidated discharge package

Coordinators traditionally call multiple teams to confirm readiness.

Realize-365 auto-generates a discharge plan including:

• Orthotics/PT/OT follow-ups with calendar and contacts.
• Patient-friendly MAR with icons, photos, and reminders.
• Illustrated wound-care guide.
• Integrated 30-day home therapy plan.
• Securely shareable plan for outpatient teams and family.

Impact:

• Saves 20–30 minutes per discharge (>$100k/month).
• Prevents missed tasks and last-minute delays.
• Improves family experience with clear instructions.
• Reduces readmissions, improves throughput, and increases revenue (~$500k/month).