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AUGMENTED CPOE
Superpowers for physicians, outcomes for organizations.
 
 
 
 
Make it easier to do what's best
The Curbside Augmented CPOE platform is designed to to make the process of putting in evidence-based orders intuitive and simple.
Align outcomes with reimbursement
With medicare cuts, bundle payments and value-based care, Curbside helps organizations navigate an uncertain future of risk-based reimbursement.
CDS in minuites not months
Like Google Drive, Curbside lets clinicians and medical directors collaborate online to create and edit CDS in real-time.
 
 
Features
 
 
Finally, decision support that makes life easier for the physician
Physicians take an oath to do what's best for their patients, however, in the modern age with endless guidelines and journal articles it's hard to sift through all the data to make the right choices. Curbside exists to make it simple for the physician to get their work done, while knowing that they are doing right by their patient.
Works inside your existing EHR. No new software
Curbside is an EHR app that allows your organization to add all of it's functionality without changes to it's core infrastructure. That means you can be up and working with Curbside in just a few days, not years.
Offload repetitive tasks
Physicians are trained (and enjoy) making complex decisions with incomplete information in the context of a human relationship. Unfortunately, much of their work consists of mundane repetitive tasks and documentation for common disease processes. Curbside takes these burdens off the physician so they can go back to what they do best.
Standardize nursing and NP/PA ordering practices
With the decision oversite that Curbside provides your institution can safely move more clinical decision making to allied providers. If it's asthma management in the ED or standard ICU practices, Curbside allows actionable CDS to increase the capacity of your health system.
 
 
An entire suite of clinical pathways for free
That's right, by implementing Curbside you get free access to use over 76 published, open source pathways built by experts around the world. Instead of spend millions of dollars and years of time, you can jump start your clinical effectiveness team with one click.
Customize to your local enviroment
Every health care system is different, CDS should adjust and be customizable to the context it is being used. Curbside allows you to avoid the 98% of the hard work of building a pathway and quickly edit specific details for your institution.
You own the content
Curbside believes that clinical content is the property of those who create it. Therefore, any content that you create on Curbside is yours to keep and disseminate as you wish. Want to keep it just for your institution, great. What to share it with the world, even better, we can help. It's up to you!
 
 
Outcomes
 
 
Pathway-based CPOE vs. standard ED workflow (n:49)

Pathway-based Control
Adherence to clinical guideline/pathway orders
Expected order was placed
72% (562/780) 45% (311/690)
Overutilization of unnecessary orders
Unnecessary order placed
7% (92/1,326) 10% (117/1,173)
Blinded pilot study that radomized EM physicians and NPs to a simulated Curbside pathway-based CPOE vs. a control CPOE of their current Epic workflow. This model used 5 different disease processes and looked for behavior change in the ordering practices of the provider. Interesting the study was repeated with 20 EM nurses (RNs) who showed even more robust results than the physicians/NPs suggesting that the use of pathway-based CPOE may allow for less trained medical providers to make evidence-based clinical decisions in this setting.
Provider (MD/NP) survey regarding the value of augmented CPOE (n:81)
In uncomplicated, common medical problems, clinical pathways lead to improved CLINICAL outcomes:
85% Agree (40% strongly agree + 45% agree)
In uncomplicated, common medical problems, clinical pathways lead to improved OPERATIONAL outcomes (length of stay, patient satisfaction, costs, etc.):
89% Agree (44% strongly agree + 45% agree)
Have you ever had a clinical pathway/order set catch a clinical order that you might have otherwise missed?
83.6% Yes
Where in your workflow do you think the logic from clinical pathways would help you the most in making optimal clinical decisions?
84% Directly integrated into the EHR
Presented findings
Improving Time to Antibiotics in Fever in Pediatric Oncology Patients
Heather Hickman, RN
Emergency Nurses Association National Conference. Poster: Oct 2017.
Standard model for treating febrile pediatric patients with oncologic processes lead to changes in provider engagement, labs ordered, medications delivered and provider-provider handoff.
Novel Web-Based Algorithm for the Diagnosis and Management of Pediatric Acute Pancreatitis.
Ke-You Zhang, MD, Dan Imler, MD, Zachary M. Sellers, MD, PhD
Stanford University School of Medicine, Pediatric Research Retreat. Poster: Apr 2017.
First treatment algorithm for pediatric acute pancreatitis published in an open access location. Utilized by ~1,000 unique providers from 7 countries in the first 8 months.
Evidence-Based Clinical Pathways Improve Emergency Care For Children.
Dan Imler, MD
Spectrum Innovation Research Symposium Poster: Jan 2016.
Asthma
  • Time to albuterol – ↓ 41.8 min (38.0%)
  • Time to steroids – ↓ 32.2 min (35.6%)
Croup
  • Time to steroids – ↓22.4 min (37.7%)
  • % Receiving albuterol – ↓ 9.6%
Ketamine Sedation
  • % Receiving ondansetron – ↑ 47.7%
  • Length of ED stay – ↓ 75.6 min (17%)
Migraine
  • % Receiving opioids – ↓ 6.7% (30.7%)
  • % Receiving triptans – ↑ 7.6% (58%)
  • Time to headache medication – ↓ 28 min (23.3%)
Febrile Neutropenia
  • Time to antibiotics – ↓ 51.3 min(49.9%)
Neonatal Sepsis
  • Time to antibiotics – ↓ 119.9 min (70.2%)
 
 
Frequently Asked Questions
 
 
What does it take to implement Curbside?
Curbside requires no new software and can be implemented in as little as a month (depending on your system's technical specifications). To start you have access to the already 76 pathways on Curbside or modify them to your own local environment. It's quick, easy and we'll work with you throughout the process.
Who owns the content?
We believe that clinical content on Curbside has the potential to help people across the globe, therefore we make not claim on the content created on the service. You have the right to create, share and remove any content you wish any time you want. See our terms for further information.
Can I try it out first?
Sure. All integrations include a 60 day evaluation period in non-production environments. Throughout this time we will work with you to optimize the value the Curbside can bring to your institution and trouble shoot the integration process.
 
 
Want to get started?
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