A board-certified OB-GYN built an AI decision support platform that lives inside Epic workflows, replacing whiteboards and verbal handoffs with real-time predictions and automated documentation. We built the clinical platform, the bidirectional Epic integration, the AI prediction engine, and the full HIPAA and SOC 2 compliance program.
Talk to UsAn AI-powered clinical decision support platform for Labor & Delivery, built by a board-certified OB-GYN
Clinical portal infrastructure, bidirectional Epic integration, AI prediction and documentation engine, full HIPAA and SOC 2 compliance program
Epic, SMART on FHIR, HL7/ADT, AWS SageMaker, Azure Active Directory, React, Python
Live in production across a 7-hospital network
Numbers pulled directly from live deployments across the network, not projections.
Delivery timing prediction accuracy
Reduction in coding denials
Clinicians onboarded in under 4 minutes each
Bed days recovered through Unit Intelligence forecasting
Every Labor & Delivery unit generates the data needed to predict delivery timing and plan staffing. In most hospitals, that data sits scattered across EHR systems, whiteboard trackers, and verbal shift reports, too slow to act on.
Shift handoffs happened verbally, and information got lost between the outgoing and incoming nurse.
Experienced clinicians estimated timing under time pressure, with no predictive model behind the estimate.
ICD-10 and CPT coding done at the end of an exhausting shift missed codes, and missed codes meant denied claims.
Units were overstaffed on slow days and understaffed when volume spiked, with no forecast to plan against.
The platform runs on a SMART on FHIR integration layer, AWS-hosted prediction models, and an Azure-authenticated portal architecture.
The Super Admin Portal gives hospital network administrators a centralized dashboard to onboard hospitals, manage practitioners, control role-based access, and assign hospitals to third-party practices. The Provider Portal is where physicians and nurses work, with a practice-level roster view and a real-time personal dashboard. Authentication runs through Azure Active Directory across both portals.
When a provider opens the platform from within Epic Hyperspace, the patient's full record is already there: demographics, MRN, clinical history, active vitals, and relevant prior data. As a patient moves through Labor & Delivery, over 300 clinical data points sync in real time between the platform and Epic in both directions.
The Pre-Admission Model predicts delivery timing from intake data. The Post-Admission Model updates that prediction in real time as labor progresses. Both run on AWS SageMaker and return predictions through a REST API that feeds the Provider Portal directly.
Hospital procurement teams require HIPAA compliance and SOC 2 certification before engaging. We connected all cloud services, integrated JIRA for incident tracking, and established access controls restricting PHI to authorized personnel only.
We can walk you through the architecture behind ±12-minute delivery predictions inside Epic workflows.
Partner with us to design, build, and scale digital solutions that drive better outcomes.
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