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We are a group of doctors, nurses and engineers focused on improving global best practices in care

Hospitalists use of time

  • Indirect patient care 69%
  • Communication 24%

Source: O’Leary et al. 2006. How hospitalists spend their time: insights on efficiency and safety. Journal of hospital medicine, 1, 88-93.

Causes of adverse events

  • 93% organizational causes

Source: Smits et al. 2010. Exploring the causes of adverse events in hospitals and potential prevention strategies. Qual Saf Health Care, 19, e5-e5.

Rate of preventable adverse events

  • 51% highly preventable

Source: Wilson et al. 1995. The quality in Australian health care study. Medical journal of Australia, 163, 458-471.

The Problem: Reactive Care

Reactive care is the greatest constraint hospitals face and it exacts a massive price.

Details are missed and windows of opportunity close. Complications multiply. Patients suffer. Staff try to catch up while they slowly burn out. Time and resources are wasted.

Yet reactive care is considered normal because care teams are fragmented geographically and have no standard for what, when, or how to communicate with each other.

We think that’s not good enough.

Reactive care is too little too late

Cost of Physician Turnover

$250,000 per physician

Source: Buchbinder et al. 2001. Primary care physician job satisfaction and turnover. The American journal of managed care, 7, 701-713.

Physician Burnout Rates

46% of US physicians experience symptoms of burnout

Source: Shanafelt et al. 2012. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Archives of internal medicine, 172, 1377-1385.

Cost of Nurse Turnover

$88,000 per RN

Source: Jones, C.B., 2008. Revisiting nurse turnover costs: adjusting for inflation. Journal of Nursing Administration, 38, 11-18.

Nurse Burnout Rates

34% of hospital nurses experience symptoms of burnout

Source: Mchugh et al. 2011. Nurses’ Widespread Job Dissatisfaction, Burnout, And Frustration With Health Benefits Signal Problems For Patient Care. Health Affairs, 30, 202-210.

The Solution: Proactive Care

Proactive care delivers dramatically different results.

But proactive care is possible only when doctors and nurses coordinate with the patient at the bedside to plan ahead and stay ahead.

Our solution creates the conditions to make proactive care routine.


We give our fellow physicians and nurses a new care model that lets them communicate at a much higher level and deliver better care together.

That care model is called the Accountable Care Unit (ACU) and its defining feature is Structured Interdisciplinary Bedside Rounds (SIBR). With ACUs and SIBR, healthcare organizations finally have a way to make proactive care routine.

Patient deterioration can be stopped early using proactive care

What does proactive care look like for you?

Hospitalizations are stressful events for patients and their families: the lack of autonomy, control, interval updates and communication contribute to the sense of frustration and uncertainty.

As patients and healthcare professionals ourselves we understand that the current delivery of hospital care does not meet your needs. Demand more, demand better!

Proactively including patients in their care plan and decisions from door-to-door should be the norm. We have the solution!

Care is better together

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