How Lumeris' 'Tom' AI Agent Enhances Post-Hospitalization Care

Going home after a hospital stay can be tough. There's a lot to keep track of, like follow-up appointments and new medications. It's easy for things to get missed, and that can lead to problems. But what if there was something that could help? Lumeris has this new AI agent called 'Tom' that's changing how post-hospitalization care works. It's designed to make sure people get the care they need when they leave the hospital, helping them stay healthy and out of readmission.

Key Takeaways

• Lumeris' 'Tom' AI Agent Enhances Post-Hospitalization Care by using AI to help patients after they leave the hospital.

• Tom collects lots of patient information from different places to create a full picture of their health.

• This AI agent helps care teams by handling routine tasks, so they can focus on more important patient needs.

• Tom makes sure patients get personalized follow-ups, like checking in on their mental health or arranging rides to appointments.

• The technology behind Tom includes a multi-agent AI system and strict testing to make sure it works well and is safe for patients.

Understanding Lumeris' 'Tom' AI Agent

The Genesis of Tom: Addressing Primary Care Gaps

Primary care faces significant challenges: administrative burdens, economic pressures, and access gaps. Lumeris recognized these issues and developed Tom to help. Tom is designed to alleviate these pain points, freeing up primary care physicians to focus on patient care.

Tom's Core Functionality: Data Aggregation and Best Next Action

Tom is a multi-agent AI platform that aggregates data from various sources: health systems, labs, pharmacies, and even wearable devices. This data aggregation allows Tom to create a more complete patient record. Tom then uses data-driven algorithms to determine the Best Next Action for each patient, ensuring personalized and proactive care.

Beyond Alerts: Tom's Proactive Approach to Patient Care

Unlike traditional AI tools that simply generate alerts, Tom takes action. It works behind the scenes to handle routine tasks, such as scheduling screenings and following up on medication adherence. This proactive approach reduces the burden on care teams and ensures that no patient slips through the cracks. Tom is not intended to replace doctors; it's designed to give them back time to focus on what they do best.

Tom's ability to contextualize patient data in real-time conversations is a game-changer. For example, Tom can call a patient for a follow-up and, recognizing a history of depression, administer a PHQ-9 assessment. This type of intervention creates better patient experiences and allows PCPs to do more with less.

How 'Tom' Enhances Post-Hospitalization Care

Contextualizing Patient Data for Personalized Follow-Ups

'Tom' really shines when it comes to understanding patient information and using it to have real conversations. It's all about making sure patients feel heard and understood, especially after they leave the hospital. For example, 'Tom' might call a patient for a check-up and, noticing a history of depression, administer a quick screening. Or, if the data shows a patient might need help getting to their next appointment, 'Tom' can ask if they need a ride. This kind of attention to detail makes a big difference.

Automating Routine Tasks to Empower Care Teams

'Tom' takes care of the everyday stuff, like scheduling screenings or checking if patients are taking their medicine. This frees up care teams to focus on more important things. It's like having an extra set of hands that never gets tired. This automation helps healthcare innovation by reducing the burden on staff and allowing them to spend more time with patients who need it most.

Ensuring No Patient Slips Through the Cracks

'Tom' works around the clock to make sure nothing gets missed. It's like a safety net for patients, especially after they've been discharged from the hospital.

• It monitors patients' progress.

• It schedules follow-up appointments.

• It makes sure they have the information they need.

'Tom' is designed to transform primary care by expanding capacity, reducing administrative burdens, and improving patient access. It uses carefully selected large language models to tackle key challenges in delivering personalized care and drive next-best actions at both the patient and population levels.

This constant vigilance helps improve patient outcomes and gives clinicians peace of mind. 'Tom' is integrated directly into the EHR, scheduling interface, and more, acting as the interconnected tissue enabling everything in the background.

The Technology Behind 'Tom' AI Agent

Multi-Agent AI Architecture for Comprehensive Care

Tom isn't just another AI tool; it's built using a multi-agent AI architecture. This means it's like having a team of specialized AI agents working together to provide comprehensive care. Each agent focuses on a specific task, like data aggregation, risk assessment, or patient communication. This approach allows Tom to handle complex situations and provide personalized support, ensuring no aspect of patient care is overlooked. It's designed to work with the care team, not replace them.

Robust Data Integration Across Diverse Sources

Tom's power comes from its ability to pull data from many different places. We're talking health systems, labs, pharmacies, and even wearable devices. It connects billions of data points to create a complete patient record. This allows Tom to see the whole picture and make better decisions. It's like giving your care team super-powered vision. The goal is to ensure that primary care as a service is as effective as possible.

Rigorous Testing and Safety Protocols

Safety is our top priority. Tom has undergone extensive testing to ensure it's reliable and safe for patient care. We've run over 260,000 test cases to identify and fix any potential issues. We also have a dedicated team working to find any 'unhappy paths' or unexpected outcomes. It's all about building trust and making sure Tom is a tool that clinicians can rely on. We want to make sure that the best next action is always the safest next action.

We understand that introducing AI into healthcare can be daunting. That's why we've invested heavily in testing and safety protocols. Our goal is to provide a tool that is not only effective but also trustworthy and safe for both patients and clinicians.

Strategic Partnerships Driving 'Tom's' Success

Collaborating with Leading Healthcare and AI Institutions

'Tom' isn't a solo act; it thrives because of strong partnerships. We're working closely with top healthcare and AI organizations to make sure 'Tom' is the best it can be. These collaborations bring in different kinds of knowledge and resources, helping us improve primary care in ways we couldn't do alone. It's about combining our strengths to create something truly impactful for patients.

Leveraging Wearable Technology for Deeper Insights

Imagine getting health data directly from patients in real-time. That's what we're doing by using wearable tech. These devices give us a more complete picture of a patient's health, beyond just what we see in the clinic. This data helps 'Tom' personalize care even more effectively. For example, monitoring activity levels and sleep patterns can help tailor interventions for patients managing chronic conditions. This AI revolutionizes healthcare by providing continuous, actionable data.

Operational Expertise for Scalable Solutions

It's one thing to have a great AI agent; it's another to get it working smoothly in real-world healthcare settings. That's where our operational partners come in. They help us deploy 'Tom' effectively, making sure it fits into existing workflows and doesn't disrupt care teams. This expertise is essential for scaling 'Tom' to reach more patients and have a wider impact.

These partnerships are not just about technology; they're about people. By working together, we can make sure 'Tom' is used in a way that truly benefits patients and supports their care teams.

The Visionary Legacy Behind 'Tom'

Honoring Dr. Tom Doerr's Patient-Centered Philosophy

'Tom' isn't just a name; it's a tribute. It comes from Dr. Tom Doerr, a Lumeris co-founder and a dedicated internist. He was deeply passionate about primary care and always put the patient first. This AI agent embodies his commitment to patient-centered care. It's about keeping that spirit alive in every interaction.

Expanding Access Through AI-Powered Innovation

'Tom' aims to make quality primary care accessible to everyone. AI can help bridge gaps in access, especially for the 100 million Americans who currently lack adequate primary care. It's about using technology to level the playing field and ensure everyone has the care they deserve. The goal is to upgrade the quality of primary care for all patients, and lower costs. AI-enabled primary care is the future.

Transforming Primary Care for Improved Outcomes

'Tom' is designed to change how primary care is delivered. It's not just about automating tasks; it's about creating a more proactive, personalized, and efficient system. The focus is on improving patient outcomes and experiences, while also making things easier for physicians and care teams. It's about a future where everyone benefits from better primary care. The impact of Tom's technology is profound. We can extend primary care to 100 million Americans who don't have access. We can upgrade the quality of primary care for all patients, and lower costs by 50% or more.

Tom's 'Primary Care as a Service' addresses the most pressing needs of our $5 trillion healthcare industry. Tom's insights and ability to communicate with patients and providers at any level are transformative. Patients and providers will welcome the innovation and outcomes.

Impact and Future of 'Tom' in Healthcare

Improving Quality Metrics and Patient Experiences

'Tom' is already showing real promise in making healthcare better. We're seeing improvements in how well patients are managed, especially those with chronic conditions. For example, early data shows a noticeable increase in adherence to medication schedules and a decrease in hospital readmission rates. This translates to healthier patients and a more efficient healthcare system.

• Better management of chronic diseases.

• Reduced hospital readmission rates.

• Increased adherence to medication schedules.

Enhancing Physician Satisfaction and Efficiency

One of the biggest challenges in healthcare is burnout among doctors and nurses. 'Tom' helps ease this burden by taking over routine tasks, freeing up healthcare professionals to focus on what they do best: caring for patients. This not only improves their job satisfaction but also allows them to see more patients and provide more personalized care. patient access is improved.

Expanding Deployment to Health System Customers

We're actively working to bring 'Tom' to more hospitals and clinics. Our goal is to make this technology available to as many healthcare providers as possible, so they can experience the benefits firsthand. We believe that 'Tom' has the potential to transform primary care, making it more accessible, affordable, and effective for everyone.

'Tom' is designed to be a tool that supports and enhances the work of healthcare professionals, not replaces them. It's about creating a better healthcare experience for both patients and providers.

Here's a quick look at our deployment plan:

1. Pilot programs with select health systems.

2. Gathering feedback and making improvements.

3. Wider rollout to interested customers.

The way we handle healthcare is changing fast, and "Tom" is a big part of that. This new approach is making things better for patients and doctors alike, helping everyone get the care they need more easily. Want to see how this works? Check out our website to learn more about how we're making healthcare simpler and more effective.

Conclusion

So, that's the story of Tom. It's a big step forward for healthcare, especially for people getting back on their feet after a hospital stay. Tom helps make sure patients get the right follow-up, without adding more work for doctors and nurses. It's all about using smart technology to make care better and easier to get. This kind of AI isn't just a cool idea; it's making a real difference in how we look after people, making sure no one gets left behind.

Frequently Asked Questions

What exactly is Lumeris' 'Tom' AI Agent?

Tom is an advanced AI system created by Lumeris. It's designed to help improve primary care by gathering tons of patient information from many sources. Think of it as a smart assistant that helps doctors and nurses give better care, especially after someone leaves the hospital.

How does 'Tom' make post-hospitalization care better?

Tom helps in several ways. It looks at a patient's health information to suggest the best next steps for their care. It also handles routine tasks, like scheduling appointments or reminding patients about medicine, so healthcare workers can focus on more important things. This means fewer patients get overlooked.

What kind of technology powers 'Tom'?

Tom uses a special AI setup that allows different parts of the system to work together. It pulls data from many places, like hospital records, lab results, pharmacies, wearable devices, and even public information, to create a full picture of each patient's health.

Who are Lumeris' partners in developing 'Tom'?

Lumeris works with top groups like BJC Health System's Center for Health AI, MIT's Computer Science and AI Lab, and even companies that make wearable health tech like ŌURA. These partnerships help make Tom smarter and more effective.

Why is the AI agent named 'Tom'?

Tom is named after Dr. Tom Doerr, one of Lumeris' founders. He believed in patient-focused care and making healthcare available to everyone. Tom carries on his vision by using AI to make healthcare more efficient and caring.

What's next for 'Tom' in healthcare?

Tom is already being used by some of Lumeris' hospital and clinic customers. The goal is to expand its use, which should lead to better patient outcomes, happier doctors and nurses, and a more efficient healthcare system overall.