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For primary care providers
Know which patients need you today, before they call.
HSRMed turns the weeks between visits into one prioritized panel. See who is drifting from their own normal, why, and how far they live from your clinic, so your team can reach the right patient first.
- One prioritized list for the whole panel, ranked by change from each patient's own baseline
- Health Stability Index (HSI) next to the measures you already use: uACR, eGFR, heart rate, blood pressure, weight
- Distance and travel time to help choose a telehealth visit or an office visit
- Inside your workflow through HL7 FHIR integration with your EHR
The challenge
Most of a patient's health happens between visits
A typical primary care patient is seen a few times a year. The changes that lead to an emergency visit usually start weeks earlier, out of view.
Short visits, long gaps
Fifteen minutes in the exam room cannot show what happened over the last three months at home.
Too much unsorted data
Device readings, portal messages and lab results arrive in different places, with no order of importance.
Distance changes the plan
For a patient who lives an hour away, the right next step is often a call or a video visit, not an appointment.
Sample screen
Prioritized patient panel
What a care team sees each morning. Patients are ranked by how far they have moved from their own normal, not by an average.
| Priority | Patient | HSI · 30 d | 8-week trend | uACR mg/g | eGFR | Resting HR | BP | Weight 7 d | Last data | From clinic |
|---|---|---|---|---|---|---|---|---|---|---|
| High | Thomas N.70 M · Atrial fibrillation | 60 −8 | 22 · A1 | 58 | 104 +18 | 126/78 | +0.3 lb | 40 min ago | 27 mi35 min | |
| High | Mary J.71 F · Type 2 diabetes | 58 −11 | 142 · A2 | 52 | 84 +9 | 148/88 | +3.2 lb | 2 h ago | 38 mi48 min | |
| High | Robert W.66 M · Heart failure | 61 −9 | 34 · A2 | 61 | 92 +12 | 132/80 | +4.6 lb | 30 min ago | 6 mi12 min | |
| Medium | Linda P.58 F · Type 2 diabetes | 66 −6 | 410 · A3 | 44 | 78 +3 | 152/94 | +0.8 lb | 5 h ago | 52 mi1 h 05 | |
| Medium | William B.79 M · CKD stage 3b | 63 −4 | 290 · A2 | 38 | 76 +2 | 136/82 | +1.1 lb | 3 days ago | 61 mi1 h 15 | |
| Medium | James R.74 M · COPD | 69 −5 | 12 · A1 | 70 | 88 +7 | 128/76 | −1.2 lb | 1 day ago | 14 mi20 min | |
| Routine | Grace O.62 F · Hypertension | 72 −2 | 28 · A1 | 79 | 71 +1 | 138/86 | +0.4 lb | 3 h ago | 22 mi28 min | |
| Routine | Aisha M.67 F · Type 2 diabetes | 77 0 | 45 · A2 | 66 | 70 0 | 130/80 | 0.0 lb | 6 h ago | 9 mi15 min | |
| Routine | Daniel K.55 M · Type 2 diabetes | 81 +4 | 9 · A1 | 88 | 64 −2 | 124/78 | −2.0 lb | 1 h ago | 4 mi8 min | |
| Routine | Sofia H.48 F · Prediabetes | 86 +1 | 6 · A1 | 102 | 62 0 | 118/74 | −0.6 lb | 8 h ago | 31 mi40 min |
Click any patient to see their trend. Click a column title to sort. uACR and eGFR come from the latest lab results in the EHR; heart rate, blood pressure and weight come from the patient's connected devices. The clinician makes every care decision.
What HSRMed delivers
Built for the primary care team
Prioritized panel
Every morning, patients are ranked by meaningful change. Your team starts with the people who need attention.
- Personal baseline for each patient
- Thresholds you set per patient or per program
Health Stability Index
One easy-to-read score that sums up stability over time, shown with the underlying trends so you can see what changed.
- Trend, not a single reading
- Drill down to each measure
Early-change alerts
Notifications go to the right person on your team when a patient moves outside their normal range.
- Routing by role: nurse, MA, physician
- Quiet hours and escalation rules
Distance-aware outreach
See how far each patient lives from the clinic and choose a phone call, a telehealth visit or an office visit.
- Drive time shown with each patient
- Filter by distance
Fits your EHR
Insights arrive where you already work, based on HL7 FHIR. Lab results such as uACR and eGFR flow back into the patient view.
- Single sign-on
- Notes and tasks written back to the chart
Remote monitoring programs
Support for remote patient monitoring and chronic care management programs, from enrollment to time tracking and documentation.
- Enrollment and consent
- Monthly activity reports
How it works
From enrollment to action
Enroll patients
Your team invites patients from the EHR. Each patient receives a personal HSRMed ID and app in their language.
Connect devices
Patients connect the scale, blood pressure monitor, watch or ring they already own. No new equipment is required.
Learn each baseline
HSRMed learns each patient's normal over the first weeks, so alerts reflect real change, not noise.
Act early
Your panel is ranked every morning. Your team reaches out first, documents the contact, and the chart stays up to date.
What you can measure
Results your practice can track
HSRMed reports these for your own panel, so you can judge the value with your own numbers.
Questions
Questions from primary care teams
Does HSRMed make a diagnosis?
No. HSRMed is a non-diagnostic monitoring and decision-support platform. It shows change and context; your clinicians make every care decision.
What is the Health Stability Index?
The HSI is a single score that summarizes how stable a person is compared with their own normal over time. It is always shown with the trends behind it, so the team can see what changed.
Where do uACR and eGFR come from?
From the patient's lab results in your EHR. HSRMed displays the latest values and their trend next to home measurements, so kidney risk is visible in the same view.
Will this add work for my staff?
The panel is designed to replace scattered device portals and unsorted messages with one ranked list. Alert thresholds and routing are set by your team.
Which EHRs do you work with?
Integration is based on HL7 FHIR. Contact us to discuss your EHR and your current remote monitoring setup.
See your own panel in HSRMed
We will walk your team through the demo with sample patients.
Who we serve