Pulsara Blog

On March 1st, 2024, Pulsara was honored to participate in the largest student-led disaster drill in the world at Texas A&M’s Disaster Day in College Station, Texas. The team, comprised of students in various healthcare disciplines, used the Pulsara communication platform to manage the incident, including triaging and tracking around 300 patients, documenting treatments, and ordering and delivering meds from the field pharmacy.

The following is an excerpt from an article by the Texas A&M University Health Science Center, originally published on Texas A&M Today on March 1st, 2024. Check out the full article here. 

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Texas A&M University students sorted through the chaos of tropical storm-induced floodwaters, an earthquake and a shooting on Friday in a simulated disaster designed to prepare future health care professionals for large-scale emergencies.

The student-led exercise, held at Texas A&M Engineering Extension Service’s (TEEX) Disaster City in College Station, tested students in a variety of areas, including triage, patient care, mental health support and disaster management.

Started by the Texas A&M School of Nursing in 2008, the training has grown from a small event in the gym of a local church to a daylong disaster simulation involving more than 700 students, over 100 faculty and staff members, and numerous emergency response professionals. Students from Texas A&M schools of dentistry, medicine, nursing, pharmacy and public health, as well as athletic training, psychology and veterinary medicine students and the Corps of Cadets, participated in the drill.

Christine Kaunas, assistant vice president for Interprofessional Practice, Education & Research (IPER) at Texas A&M Health Science Center, said the annual Disaster Day exercise is an important component of preparing students to work together in emergency situations.

“Since 2020 alone, Texas has seen over 15 disasters and related declarations, including wildfires, tropical storms, hurricanes, winter storms, and of course COVID-19. Ensuring that our health professions students are prepared to respond effectively when, not if, a disaster strikes is crucial,” Kaunas said.

With a new protocol and Pulsara, Metropolitan Emergency Medical Services can now transport eligible pediatric behavioral health patients directly to behavioral health facilities—resulting in a 44% decrease of pediatric behavioral health patients transported to the ED. 

Metropolitan Emergency Medical Services (MEMS) is a public, non-profit EMS entity serving Little Rock, Arkansas, and its surrounding counties. The organization’s service area covers approximately 1,800 square miles and nearly half a million Arkansans. MEMS transports around 77,000 patients each year. In 2020, MEMS adopted Pulsara to improve communication with area hospitals for time-sensitive emergencies such as stroke, STEMI, and trauma. 

In the wake of the COVID-19 pandemic, MEMS faced a new challenge: a growing number of pediatric behavioral health cases. Between 2022 and 2023, mental health calls accounted for 10% of MEMS’ overall call volume, with a noticeable surge in pediatric mental health cases. MEMS was transporting every behavioral health patient under 18 to Arkansas Children’s Hospital, creating a bottleneck in the emergency department as patients wait to be transferred to a behavioral health facility. Mack Hutchison, Clinical Manager for MEMS, explains: “Many of these patients do not need medical clearance and can occupy a room in the ED for up to 24 hours before a bed is found for them at a behavioral health facility.” Hutchison had an idea: what if those who didn’t need medical clearance could be routed directly to a behavioral health facility, relieving pressure on the ED and getting patients care more quickly?

Download the case study or read on to learn more!

As 2023 comes to a close, we're pausing to look back at the case studies and research findings published by Pulsara customers. From streamlining emergency response times to enhancing patient outcomes, the stories published this year showcase the transformative power of collaboration, cutting-edge technology, and the relentless pursuit of excellence. Join us as we explore the accomplishments of our customers in 2023, celebrate their stories, and highlight the results they've achieved this year!

The following is an excerpt from an article by Kasia Kerridge, originally published on kktv.com on December 12th, 2023. Check out the full article here. 

COLORADO SPRINGS, Colo. (KKTV) - Colorado Springs firefighters are reflecting on how to better communicate with local hospitals after Club Q.

11 News spoke with the Colorado Springs Fire Department one year after Club Q, which has rolled out a tracking technology by Pulsara. Firefighters put wristbands on patients, connecting to an app, which gives real-time information to hospitals so medical staff can prepare. This is especially important for mass casualty events like Club Q.

Initial data shows improvement in door-to-CT times for thrombolysis patients

Earlier this year, the University of Dundee, Scotland became the first facility in Europe to implement Pulsara. In combination with radiology AI solution Brainomix, the University began using Pulsara to improve patient care and enhance communication around stroke patients. According to a recently approved abstract submission to the Scottish Heart & Arterial Disease Risk Prevention (SHARP) released by the University entitled “Addressing Cardiovascular Disease Using a Novel Communication Tool Pulsara: Digital Communication Pathway of Excellence in Scotland,” the implementation of Pulsara has significantly improved patient care in several areas, including improved door-to-CT times and a reduced risk of communication errors.

As one of the UK’s leading public research universities, The University of Dundee, Scotland is recognized worldwide for its expertise across multiple disciplines including art, science, engineering, and medicine. The University has been awarded “Scottish University of The Year” and named top university for teaching excellence in Scotland by Sunday Times University Guide. The University of Dundee Medical School is also connected to the UK’s three most-cited scientists, and the majority of the medical institute’s research is of national or international distinction.

Read the Abstract 

How one Arkansas hospital is using healthcare communication technology to dramatically improve time-to-treatment for stroke patients

BOZEMAN, Mont., October 17, 2023 — Pulsara, the leading mobile telehealth, communication, and logistics platform that unites health care teams and technologies across organizations during dynamic events, published new details on Arkansas-based Baptist Health Medical Center-Little Rock’s record improvements in treatment time for stroke patients. The Baptist Health Medical Center-Little Rock Case Study showcases the work the facility has put towards improving communication among EMS and hospital stroke teams and highlights the resulting decrease in time-to-treatment for stroke patients.

On September 27th, 2023, the Arkansas Department of Health announced in a press release that the Pulsara platform will be available to all ambulance services, acute care, sub-acute care, long-term acute care, nursing homes, behavioral health hospitals, and other affiliated healthcare facilities in Arkansas through funding by the Arkansas Department of Health, starting October 1st. 

"Arkansas is the first state in the country to make the full functionality of this platform available to all EMS agencies, hospitals, affiliated healthcare facilities, public health, public safety, and emergency management," said Bala Simon, MD, DrPH, Deputy Chief Medical Officer at the Arkansas Department of Health. “This will help our healthcare providers improve communication to improve patient care and outcomes.”

In 5 months, Baptist Health Medical Center - Little Rock reduced their average door-to-puncture time for stroke patients by 58% 

Baptist Health Medical Center in Little Rock, Arkansas, is an 843-bed medical center and certified Comprehensive Stroke Center. As the largest private not-for-profit hospital in the state of Arkansas, Baptist Health - Little Rock provides comprehensive services using the latest in innovative technology. 

Previously, the stroke team was notified about incoming patients through phone calls and text messages. The operator would use the paging system to activate a code stroke, and then an additional IVR code stroke as needed. Members of the stroke team would receive the page, which contained only the patient’s location, via text or phone call.

Though the system worked on a basic level, Sharon Aureli, RN, BSN, MSN, SCRN, CNOR, RNFA, CNL, and Neuro Program Line Manager at Baptist Health, knew that a more sophisticated communication system could help their teams reduce treatment times. “I always think there’s room for improvement,” she said.

EDITOR'S NOTE: This article originally appeared on FireRescue1.com. Special thanks to our guest author, Courtney Levin, for FireRescue1 BrandFocus Staff.

Colorado Springs Fire Department has significantly improved patient outcomes with Pulsara

When you work in a busy fire department, it seems as if there’s never enough time to learn and implement a new piece of technology. Such was the case for Colorado Springs Fire Department (CSFD), an agency that currently encompasses 23 stations with over 500 firefighters. Serving the second largest city in Colorado, they run about 80,000 calls per year across a large service area of over 195 square miles. 

Despite having a full plate already, CSFD has long recognized the importance of continuously striving to improve patient outcomes. After hearing about Pulsara, a communication tool that works to bridge gaps between providers, they realized their department could benefit from such technology.

“I think the transition of care and communication between prehospital medical care and a hospital-based system is fraught with peril,” said Matthew Angelidis, M.D., co-chief medical director at CSFD. “As you’re trying to give a report and information about a patient and the care that’s been rendered to a health care provider in a hospital, lots of information can be lost in translation. I think we struggled to have effective, high-quality patient care information communicated between firefighters and paramedics and the hospital-based resources the patients were transitioning to.”

Joey Buttenwieser, a lieutenant at CSFD, agrees communication challenges were a huge area of opportunity for their agency. He notes that consistent communication has now become the norm since the department implemented Pulsara.

“This system helps first responders talk to a handful of our medical directors directly through Pulsara instead of calling the hospital and getting whichever emergency room doctor happens to be rotating through that day,” said Buttenwieser.

What if you could improve patient care—across your city, region, and even state—by streamlining communication and coordination between EMS and hospital teams? Texas hospital and EMS leaders are doing just that, utilizing new workflows built on a scalable telehealth communication and logistics platform. Since reworking their trauma system, they’ve improved efficiency, reduced phone calls to multiple people, streamlined transfers, optimized continuity of care, and created shared awareness and accountability.

In this leadership roundtable with Jennifer Carr, MSN, RN, CPEN, TCRN, Vice President of Trauma Services at CHRISTUS Spohn Health System in Corpus Christi, TX, Randy Endsley, BSN, CFRN, CEN, LP, CMTE, Chief Medical Officer and Flight Nurse with HALO-Flight in Corpus Christi, TX, and Corey Ricketson, Sales VP at Pulsara, discover why they created this new system of care, what day-to-day operations look like, and how they are growing it across their organization and region.

Watch the full webinar and check out part 2 of our blog coverage below! And in case you missed it, catch up on part 1 here.

Arkansas hospital achieves consistent <60 minute average door-to-balloon time for STEMI and 80% decrease in average door-to-CT time for stroke

National Park Medical Center (NPMC) is a 163-bed hospital that has been delivering healthcare to the community of Hot Springs, Arkansas, for nearly 70 years. Offering a full range of inpatient and outpatient services, NPMC, which is part of the Lifepoint Health family of hospitals, is also home to the Heart and Vascular Center of Central Arkansas. The facility was recently recognized for excellence through the receipt of Chest Pain Center Accreditation with PCI through the American College of Cardiology Accreditation Services. 

Previously, when the emergency department received an ambulance call that a patient was experiencing chest pain and possibly a STEMI, an ECG would be sent from the ambulance to the emergency department by fax. But the transmission wasn’t always successful, according to Emergency Room Director Priscilla Couch, RN, MSN. And even when the ECG did make its way to the ED, there were hiccups in communicating the information to vital members of the healthcare team. “Our ER doctor would call the cardiologist and try to explain the patient’s condition without a visual, which takes time,” recalls Couch. “Then, with limited information, the cardiologist would have to decide, well, is that a real STEMI or not?” That deliberation would leave Couch waiting before she put out calls asking cardiac cath lab staff, including an interventional cardiologist, radiology technologists, and a cardiac-care nurse, to assemble. “When a patient is experiencing a STEMI, those are precious minutes that are being wasted,” Couch says.

In an effort to improve patient care, National Park Medical Center chose to adopt Pulsara, a mobile healthcare communication program that unites care teams on a single dedicated channel for each patient.

Weslaco EMS and Knapp Medical Center in Weslaco, Texas have adopted Pulsara to facilitate better communication between paramedics in the field and hospital staff, helping doctors more effectively treat patients after they arrive in the emergency room. Clinicians are using the Pulsara platform to share detailed information about a patient's condition.

Editor’s Update: As reported by JEMS.com on 6/28/23, the federal government is ending the ET3 program. According to the Centers for Medicare & Medicaid Services, “This decision does not affect Model Participants’ participation in the Model through December 31, 2023.” Read the full article on JEMS for more details: ET3 Program Comes to an Abrupt End. Please be advised that Mobile Integrated Healthcare and Community Paramedicine are separate initiatives and are unaffected by the ET3 program termination.

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When the COVID-19 pandemic first surged across the U.S., it created many new problems for EMS organizations everywhere. Some patients infected with COVID-19 urgently needed care at the hospital, while others were best served by staying home. It was difficult to tell which was which. Patients with other ailments were stuck at home, unable to receive regular needed medical care. And on top of that, the pandemic was a major provider safety issue; medics and hospital staff put their lives on the line daily to care for patients, constantly risking exposure to the virus.

Austin-Travis County EMS (ATCEMS) based in Austin, Texas, knew they needed to deploy an innovative solution, and fast. They responded by forming what came to be known as the C4 unit: the Collaborative Care Communication Center.

The C4 is an elite team of twelve EMS-trained clinicians who manage calls and connect patients with a variety of resources. At the start of the pandemic, they began using Pulsara, a healthcare communication, telehealth, and logistics platform, to build better communication with their teams. Through Pulsara, they sent alerts to the hospital about crews bringing in COVID-19 patients, giving hospital staff more time to prepare. And since the providers on-scene wore heavy PPE, making it difficult to communicate verbally, the C4 was able to use Pulsara to facilitate communication for them and manage the case remotely.

But as the pandemic evolved, so did the challenges faced by healthcare providers. By the time ATCEMS was facing its third wave of the pandemic in August 2021, local hospitals were maxing out capacity and lacked both the beds and the bandwidth to care for every patient that came through their doors. ATCEMS knew they needed a way to reduce the burden on emergency departments.

After streamlining communication for their stroke teams with Pulsara, Overlake Medical Center in Bellevue, WA reduced door-to-needle times for tPA patients by 31%.

Overlake Medical Center in Bellevue, Washington, is a 349-bed hospital serving the Puget Sound region since 1953. The hospital treats more than 245,000 outpatients and 18,000 inpatients each year, and is a Joint Commission-certified Advanced Stroke Center. 

As a thrombectomy-capable facility with a large staff of specialists, nurses, and more, Overlake Medical Center sees ~900 acute stroke cases per year. With this volume, providing time-sensitive care is of the utmost importance to producing positive patient outcomes. Overlake knew they needed a streamlined means of communication to help make existing stroke workflows more efficient. 

“With so many people in the system, unnecessary team members were being alerted for a stroke case, which added extraneous noise as they cared for patients,” said Overlake Medical Center’s Stroke Team leaders .

LewisGale Hospital Montgomery in Blacksburg, Virginia, recently achieved a record door-to-balloon time of 14 minutes for one of their STEMI patients—one of their fastest ever. 

LewisGale has been working to create clearer lines of communication between its team members. They implemented Pulsara to successfully create a streamlined process for team communication around potential heart attack patients. 

Dr. John Patterson, a cardiologist at LewisGale, described how Pulsara allows him to receive notifications and information about a new patient instantly: "With this platform, I have the ability to see the EKG and activate the cath lab. All of this happens immediately so that it shortens the length of time it takes from the time the patient starts having their heart attack to the time they arrive at our hospital, to the time that we fix it. All of these times get shortened significantly with a platform like this." 

How one Arkansas hospital is using healthcare communication technology to dramatically speed up time-to-treatment for STEMI patients

BOZEMAN, Mont., April 4, 2022 — Pulsara, the leading mobile telehealth, communication, and logistics platform that unites healthcare teams and technologies across organizations during dynamic events, published new details on Arkansas-based Ouachita County Medical Center’s record improvements in patient care. The Ouachita County Medical Center Case Study reveals the challenges many hospitals face when trying to transfer patients quickly, and the solution they found that enabled faster transfers and streamlined communication across organizations, ensuring secure and efficient patient care.

As a small medical center in rural southern Arkansas, Ouachita County Medical Center (OCMC) faced a lengthy and inefficient process when transferring STEMI patients to percutaneous coronary intervention (PCI) facilities that could provide critical care. Jennifer Ray, RN, OCMC’s ER and ICU manager, explained that in 2017, the average door-in, door-out (DIDO) time was 72 minutes for the 19 STEMI patients who came into the OCMC ER—more than double what the American College of Cardiology Foundation and the American Heart Association recommends.

How one rural Arkansas county is using integrated telehealth, communication, and logistics technology to treat patients faster

Bozeman, Mont., Jan. 12, 2022 —  Pulsara, the leading mobile telehealth, communication, and logistics platform that unites healthcare teams and technologies across organizations during dynamic events, published new details on Arkansas-based Saline Memorial Hospital’s record improvements in patient care. The Saline Memorial Hospital Case Study reveals the unique challenges care teams were facing with a rapidly growing and dispersed population, and the solutions they found to markedly reduce treatment times, establish secure and reliable ECG transmissions, and improve real-time care team communication. 

EDITOR'S NOTE: Special thanks to Bet Martin for writing today's blog post. You can connect with her on LinkedIn.

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Understanding Why Your Customer Operates the Way They Do, and How Your Product Can Help

Customer success is an art form. There is so much that goes into it: knowing workflow nuances, being aware of political subtleties, personality differences, current best practices, geographical needs, network systems of care, tech partners and competition, health status, data, etc., etc.

How do we do all this? 

Customer success is definitely an art, but there are some sound practices you can use to help set your customers up for a positive experience. Here are 5 keys to customer success in healthcare technology.