We believe that clinical computer systems should make provider's lives easier, not harder. That's what we're building at Curbside, a clinical effectiveness platform that decreases repetitive busywork and assists in improving outcomes.
We know that creating and maintaining clinical content is an arduous and expensive task for any institution. Curbside removes this burden through our rigorous, peer-reviewed editorial process that has tapped leaders in the field to develop evidence-based pathways and distribute them for free. Nowhere else will you find world class content that you can with one click integrate into your clinical program and improve your organization's outcomes.
Even though clinical pathways have shown to improve outcomes and decrease cost, the burden of creating, managing and updating the broad scope of these clinical effectiveness tools can be daunting. Curbside's Pathway Management Tool allows any institution to jump-start their program through our simple online interface. It allows organizations to quickly implement Curbside's 90 default pathways, pathways developed by other organizations or to custom build their own. Through this community, you can start 98% of the way to completion and just easily modify the pathways to fit your institution. Curbside then sends updates to you when the scientific literature changes making the chore of pathway maintenance simple and cost effective.
The Curbside Augmented Order Entry platform is a smart EHR app designed to make the process of putting in evidence-based orders by physicians faster, intuitive and simple. By making physician's lives easier, it gives them more time to spend with patients and focus on what they do best: connecting with patients and making complex decisions.
Most providers are data-blind to the impact of their decisions, both clinical and economic. Curbside allows both providers (at their personal level) and medical directors (at the department level) to dive deep into their own data to find patterns that may improve their future decision making. Furthermore, providers can see where they stand in comparison to their peers while still respecting their privacy. How many lives have you saved? How much time have you saved? How much money have you saved? These are the answers Curbside's analytics can provide.
Curbside is committed to sharing effectiveness outcomes
Pathway-based CPOE vs. standard ED workflow (n:49)
Adherence to clinical guideline/pathway orders Expected order was placed
Overutilization of unnecessary orders Unnecessary order placed
Blinded pilot study that randomized 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. Interestingly 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.
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.
Time to albuterol – ↓ 41.8 min (38.0%)
Time to steroids – ↓ 32.2 min (35.6%)
Time to steroids – ↓22.4 min (37.7%)
% Receiving albuterol – ↓ 9.6%
% Receiving ondansetron – ↑ 47.7%
Length of ED stay – ↓ 75.6 min (17%)
% Receiving opioids – ↓ 6.7% (30.7%)
% Receiving triptans – ↑ 7.6% (58%)
Time to headache medication – ↓ 28 min (23.3%)
Time to antibiotics – ↓ 51.3 min(49.9%)
Time to antibiotics – ↓ 119.9 min (70.2%)
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