Our Mission Provide software based solutions that transform ordinary patient data from Emergency Medical Services (EMS) and Hospitals into "actionable knowledge" to improve the care and treatment of patients. Vision Healthcare delivery will fundamentally improve when outcomes are more predictable and visible. Combining clinical, financial, and operational data into a common solution will enable an information framework that will drive sustainable operational and clinical improvements. Advanced information tools applying predictive models, quality improvement (QI) methods, and advanced technology as a part of the healthcare delivery process will enable improved patient care decision making. Patents CCSI holds or is exclusive assignee on 6 US (and foreign) patents related to Time-Insensitive Predictive Instrument (TIPI) technology. 5,718,233 Continuous monitoring using a predictive instrument February 17, 1998 An instrument for continuously monitoring the condition of a patient who has a cardiovascular disease, the instrument including an electrocardiograph; a waveform analyzer which analyzes a current segment of an ECG waveform; a computer receiving output from the waveform analyzer; and a control module. The computer is programmed to complete a monitoring cycle in which the computer uses the output from the waveform analyzer to compute a probability of a life threatening cardiac condition based upon the current segment of the patient's ECG waveform. The control module causes the computer to periodically repeat the monitoring cycle and for each repetition of said monitoring cycle to compute a change-of-condition measure, wherein the change-of-condition measure is calculated by subtracting a computed probability for a previous monitoring cycle from the computed probability for the current monitoring cycle. The computer is also programmed to compare during each monitoring cycle the computed change-of-condition measure for that monitoring cycle to a threshold value and if in excess of the threshold value to generate an alarm notification. Assignee: Tufts-New England Medical Center Exclusive: CCSI 5,501,229 Continuous monitoring using a predictive instrument March 26, 1996 (Continuation of 5,718,233) An instrument for continuously monitoring the condition of a patient who has a cardiovascular disease, the instrument including an electrocardiograph; a waveform analyzer which analyzes a current segment of an ECG waveform; a computer receiving output from the waveform analyzer; and a control module. The computer is programmed to complete a monitoring cycle in which the computer uses the output from the waveform analyzer to compute a probability of a life threatening cardiac condition based upon the current segment of the patient's ECG waveform. The control module causes the computer to periodically repeat the monitoring cycle and for each repetition of said monitoring cycle to compute a change-of-condition measure, wherein the change-of-condition measure is calculated by subtracting a computed probability for a previous monitoring cycle from the computed probability for the current monitoring cycle. The computer is also programmed to compare during each monitoring cycle the computed change-of-condition measure for that monitoring cycle to a threshold value and if in excess of the threshold value to generate an alarm notification. Assignee: Tufts-New England Medical Center Exclusive: CCSI 5,724,983 Continuous monitoring using a predictive instrument March 10, 1998 (Continuation of 5,718,233) A method for continuously monitoring the medical condition of a patient, the method including the steps of continuously monitoring one or more clinical features of the patient; periodically computing a probability of a medical outcome or diagnosis based upon the continuously monitored one or more clinical features; from the periodically computed probability of a medical outcome or diagnosis, computing a change-of-condition measure; periodically comparing the change-in-condition measure to a threshold value; and if any computed change-in-condition measure exceeds the threshold value, generating an alarm notification. Assignee: Tufts-New England Medical Center Exclusive: CCSI 5,277,188 Clinical information reporting system January 11, 1994 A clinical information reporting system for use with an electronic database for a health care facility, the electronic database containing records for a group of patients and operational information which is accessed and used during the course of operation of the facility, the records containing clinical information for said group of patients, the reporting system including an electrocardiograph which generates ECG-related data for the group of patients; database application logic for incorporating the ECG-related data for the group of patients into the database; and report generating logic for generating a process of care report from the information stored in the database, the process of care report presenting selected process of care information derived from the database as a function of a clinically meaningful class of the group of patients, wherein the clinically meaningful class is defined at least in part in terms of the ECG-related data supplied by the electrocardiograph and stored within the database. Assignee: Tufts-New England Medical Center Exclusive: CCSI 4,957,115 Device for determining the probability of death of cardiac patients September 18, 1990 A device for determining the probability of death in cardiovascular patients including an electrocardiograph adapted to deliver a signal in the form of an electrical waveform containing information about the condition of the patient's heart; a waveform recognition and measurement device adapted to analyze the waveform and generate output based on the analysis; and a computer adapted to receive the output and calculate a numerical value representing the probability based on the output. Also provided is a method for assessing cardiovascular mortality risk at a health care facility or provider using this device Notes: Often referred to as the mortality predictive instrument and used in the TPI Assignee: Tufts-New England Medical Center Exclusive: CCSI 6,917,829 Method and system for a distributed analytical and diagnostic software over the intranet and internet environment July 12, 2005 An apparatus for monitoring the medical condition of a patient, including a monitoring device which during use monitors one or more clinical features of the patient; a predictive instrument arranged to receive output from the monitoring device and programmed to compute a probability of a medical outcome or diagnosis based on the monitored one or more clinical features, the predictive instrument further programmed to compute that probability by executing an algorithm which models the medical outcome or diagnosis; and an interface through which a user enters information characterizing the patient, wherein the predictive instrument is further programmed to request that algorithm from a remote location. Assignee: CCSI Other TIPI related patents 6,067,466 Diagnostic tool using a predictive instrument May 23, 2000 A method for evaluating a medical condition of a patient including the steps of monitoring one or more clinical features of a patient; based on the monitored features, computing a primary probability of a medical outcome or diagnosis; computing a plurality of conditional probabilities for a selected diagnostic test, the computed conditional probabilities including a first probability of the medical outcome or diagnosis assuming the selected diagnostic test produces a first outcome and a second probability of the medical outcome or diagnosis assuming the selected diagnostic test produces a second outcome; and displaying the computed primary probability as well as the plurality of computed conditional probabilities to a user as an aid to determining whether to administer the selected diagnostic test to the patient. Assignee: Tufts-NEMC 4,998,535 Thrombolysis predictive instrument March 12, 1991 An instrument for predicting the benefit of using thrombolytic therapy to treat a patient with a heart condition including a first input port for receiving inputs derived from electrocardiograph measurements of the patient's condition, and a processor for computing an estimate of said benefit based upon the electrocardiograph-derived inputs. Assignee: Tufts-NEMC 5,276,612 Risk management system for use with cardiac patients January 4, 1994 A risk management system for use in a health care facility which receives patients who may be experiencing cardiac problems, the system including a first input port for receiving inputs derived from electrocardiograph measurements of a patient; a predictive instrument for using the inputs to compute a probability of the patient having a particular heart condition; a printer for generating a risk management form reporting the computed probability for the patient as well as other clinical and ECG-related observations for the patient, the form also containing categories requiring a person who is evaluating the patient to enter additional information relating to the evaluation of the patient, the computed probability triggering the printer to generate the form only when the computed probability falls within a preselected range which is less than the total range of possible values for the computed probability. Assignee: Tufts-NEMC

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