Primary Care
Outpatient Care Enhancement

Enhancing Outpatient Care with Realize-365

How Pulse Health 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

Diagnostic Clarity

Evidence-aligned diabetes diagnosis

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.

Pulse Health Action

Query: "Extract the last 12 months of labs, weight, vitals, and medication adherence. Compare patterns to ADA criteria and determine whether this presentation meets 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: Patient now meets ADA diagnostic criteria for Type 2 Diabetes Mellitus based on A1c 6.6% and fasting glucose 136 mg/dL. Symptom profile supports diagnosis.

Impact

  • Reduces chart review time from 10 minutes → 10 seconds.
  • Provides evidence-aligned diagnostic clarity and allows 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.

Pulse Health Action

Query: "Extract all active medications from the past 90 days, identify interactions with beta-agonist therapy, and provide a safety recommendation for 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: Patient is safe for Albuterol refill. Note: Metoprolol may reduce bronchodilator response; consider reassessing need for beta blocker or switching to a more selective agent if asthma control worsens.

Impact

  • Prevents medication conflicts and asthma flare risk.
  • 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.

Pulse Health Action

Query: "Is it safe to refill his lisinopril today? Show last refill date, creatinine/potassium values, and any missed follow-up appointments."

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

Insight: Safe to refill lisinopril today. Labs and BP stable. No contraindications or missed follow-ups.

Impact

  • Turns a 5–7 minute manual review into a 10-second safety check.
  • Prevents refill errors related to renal dysfunction or overdue visits.

Why this case matters

Efficiency

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

Safety Nets

Pulse acts as a second pair of eyes, catching interactions between drugs prescribed by different providers (e.g., Urgent Care vs PCP).

Evidence-Based

Instant comparison against ADA and other guidelines ensures every diagnosis is backed by the latest clinical standards.