"Intuitive…an outstanding tool." - Cara Steinkeler, MD, Former National Director for Risk Management and Patient Safety at Kaiser Permanente
Take control of resuscitation events
Improve resuscitation quality with the most comprehensive mobile cardiac arrest guidance, documentation, and debrief system
Designed to easily meet new Joint Commission requirements regarding cardiac arrests.
The only software approved by the American Heart Association to integrate in-hospital cardiac arrest data with their GWTG - Resuscitation Registry.
Funded by The US
Department Of Defense.
During Cardiac Arrest Events,
Every Second And Every
Decision Matters.
The Odds Of A Successful Resuscitation Vary By 42% Between Hospitals
During highly stressful situations like cardiac arrest events, your team will be prone to communication errors…
“When is the next dose of epinephrine due?”
“Have we followed through on all verbal orders?”
“Is it almost time to switch chest compressors?”
Medical communication errors are one of the leading causes of death in America—it’s time to stop relying on human memory, wall clocks, and paper forms during cardiac arrests.
The Joint Commission Has Issued
Requirements For Cardiac Arrest Data
Sticking with outdated paper methods just because it’s “always been done that way” results in staff chasing doctors down hallways for signatures and wasting hours editing, transcribing, and reporting data.
In addition to efficiency issues, the lost records and missing data from paper documentation can lead to costly HIPAA violations, litigation risk, and difficulties in proving compliance with Joint Commission and Centers for Medicare & Medicaid Services requirements.
“30% of our paper records never made it to the EHR and half of those that were in the EHR were missing signatures or other critical data.”
Code Committee Chair *
*Confidential data from informal internal hospital review.
De-identified and shared with permission.
Outdated tools are the reason behind:
- Incomplete and inaccurate documentation of patient care
- Lost and incomplete records
- Lack of data to use in future events hindering your team's performance
Introducing
The Most Effective System To Improve Your Management Of Cardiac Arrests
Improve Code Blue Team Performance By Up To 33%
With RevitalPro, your team is empowered to provide the best possible resuscitation care.
Utilizing a validated TEAM instrument, code blue leaders reported a 33% improvement in their perception of team performance when using RevitalPro.
Using video evidence and defibrillator CPR feedback data, RevitalPro has also been shown to significantly improve guideline adherence across key factors, such as a 17% increase in the number of compressions within the ideal range.
Increase Critical Data Capture By 24%
RevitalPro will help you capture and retain 100% of code blue documentation and automatically transfer comprehensive reports to the EHR, empowering receiving care teams to be better informed as they provide follow-up care.
In an Emergency Medicine Journal article, RevitalPro was shown to capture 15 times more overall data versus paper documentation. When narrowed to just “must-have” data, paper records were missing 1/4th of the critical data that RevitalPro captured.
Easily Align With The New And
Revised Joint Commission Guidelines
Ongoing Education and Training for Hospital Staff
Standard PI.03.01.01: EP 22: An interdisciplinary committee reviews cases and data to identify and suggest practice and system improvements in resuscitation performance.
Offers enhanced simulation training to code teams
Effectively manages the capturing, reporting, processing, and storing of clinical and and non-clinical data and information, enabling code teams to:
- Analyze undesirable patterns and trends in performance
- Make changes that improve performance and patient safety while reducing risk
- Monitor the performance of high-risk processes
Analyze Your Past Performances To Improve Your Future Decisions
With CodeBlue IQ – our quality analytics and reporting system – your team will have instant access to comprehensive data and simple visual reports, meaning you can instantly debrief, track, analyze, and improve performance.
Save Hours Of Staff Time For Each Event
According to one hospital’s internal review of time spent editing, transcribing, completing, and uploading charts, RevitalPro can reduce staff time by over 5 hours per event.
For hospitals that experience numerous events per month, adopting RevitalPro can result in significant time and cost savings. Getting insights from paper records that allow for review and improvement is a nearly impossible task that requires even more effort and time.
With RevitalPro and CodeBlue IQ, you can eliminate lost records, electronically collect missing signatures, and analyze and report on quality improvement metrics.
When Every Second Matters;
You’ll Have Everything Your Team Needs
HIPAA compliant retention of 100% of records
No lost records. Guaranteed. Data is securely captured, stored, and transmitted.
Intuitive
Easy to use and requires minimal training.
High Level of Accuracy
Time stamping of all recorded drugs, procedures, and medications. Enter data by touch, voice, and photo.
Dashboards
Get crucial clinical insights from past events to improve your future performance.
Helps Improve Real-time Care
Reminds teams of what to do and when to do it through built-in timers, dosage calculators, and safety prompts based on published resuscitation guidelines.
Seamless EHR integrations
CodeBlue IQ/RevitalPro is compatible with all major EHR systems, including but not limited to Epic, Cerner, MEDITECH, McKesson, Allscripts, eClinicalWorks, NextGen, Greenway, and GE Healthcare.
Post-event collaboration
Once the event is concluded, the documentation will be immediately available for patient hand-off to the receiving team.
Mobile Solution
Integrates with existing code blue workflow for easy transportation to any code location.
Automated Reporting to Registries
Discrete data is available for automatic reporting to registries such as the American Heart Association GWTG-R, in CodeBlue IQ.
Training Should Improve Real-World Performance. Real-World Performance Should Improve Training.
We’re proud to partner with HealthStream, the #1 advisor for developing and empowering people to deliver the highest quality of care, to offer RevitalPro and CodeBlue IQ as a tool for healthcare organizations across the nation improve the quality of resuscitation care and training. Our combined data enables organizations to have a continuous quality improvement loop – never before possible for response teams.
Don't Take Our Word For It
“RevitalPro streamlines and modernizes emergency documentation, taking a much-needed leap into the 21st century. I don’t know a nurse out there who isn’t looking forward to this technological advancement.”
Kim Jackson, BSN
Nurse Manager at University of Washington Medical Center
“Preliminary work suggests that [RevitalPro] can potentially improve patient outcomes during in-hospital cardiac arrests.”
Dr. Thomas LaRocca, MD, Phd,
Clinical Assistant Professor, Pediatrics – Critical Care at Stanford Children’s Hospital; from submitted AHA Resuscitation Abstract.
“Intuitive…an outstanding documentation tool.”
Cara N. Steinkeler, MD
Former National Director for Risk Management and Patient Safety at Kaiser Permanente
Take a look at our software in action.
Reserve Your Demo Session
Common questions about
RevitalPro & CodeBlue IQ
Clinical Questions
RevitalPro includes selected critical alerts with the purpose of keeping teams on guidelines. Areas such as: re-starting chest compressions after a 10 second pause, reminding the team to shock every 2 minutes if defibrillation is indicated, providing Epi reminders at 3 minutes (and at 5 minutes if it wasn’t given at 3), and prompts to switch the compression providers every 2 minutes.
Other alerts include: prompting to sync when cardioverting, confirming correct placement of the endotracheal tube, reviewing the 6H’s and 6T’s, tracking the round of CPR, defibrillation, and epi that the team is on, and finally alerts associated with order items which have not been completed. There is both a pediatric and adult version of RevitalPro. Resuscitation medications, equipment sizes, and joule setting recommendations are also provided to support the team.
- We work with you to design a training that fits the needs of your organization. Code blue operations and team members can vary greatly between hospitals, and we will tailor the training to align with your organization’s current code blue processes. There are several options that Format Health can provide, including in person training, live training through Zoom (has the ability to ask questions live), or online modules that can be completed at the trainee’s convenience. We strongly recommend in person training, where we will complete “classroom time” as well as a practice mock code.
- Data is provided to the organization and providers in four forms.
- Data is securely imported into the electronic patient record as discrete data elements in a fashion similar to all other data collected during a patient encounter
- A pdf of the Code Blue patient management record is instantly and securely imported as a single document into the electronic patient record to provide an overview of the care for patient handoff and team debrief
- A pdf of a Quality Improvement record, which focuses on overall team performance, is securely imported to a secure organization server and is available for review by authorized personnel.
- Code Blue IQ generates high quality analytics via interactive graphics which can focus on specific management issues such as time to first shock, time to first epi, switching of CPR providers as they relate not only to identified units and personnel and this data is restricted to authorized personnel only.
Evaluation and Implementation Questions
For a clinical evaluation of the system (generally 2 weeks up to 1 month), we set up agreed upon metrics with the executive sponsor of the project (or whatever committee/budget would provide funds to approve a purchase). During the evaluation period, we compare against the previous 5-10 code records to establish a baseline, and then Format Health will help with the analysis of baseline to the team’s use of RevitalPro. We recommend that RevitalPro is used during simulations with trained RevitalPro users and that the agreed upon metrics are studied, at the minimum of 3-5 mock code events. If RevitalPro is used during actual events, oftentimes security and IT may be required to review and can slow down the evaluation process.
Other alerts include: prompting to sync when cardioverting, confirming correct placement of the endotracheal tube, reviewing the 6H’s and 6T’s, tracking the round of CPR, defibrillation, and epi that the team is on, and finally alerts associated with order items which have not been completed. There is both a pediatric and adult version of RevitalPro. Resuscitation medications, equipment sizes, and joule setting recommendations are also provided to support the team.
RevitalPro can be broadcasted via Apple Airplay to a large monitor or TV to facilitate situational awareness for the other team members. After the event, during the debrief, the Navigator can broadcast the patient record or the quality record to review breaks in CPR and what occurred during that time, or items in the quality record like the difference between ordered and completed items.
Yes. Organizations can print records generated by RevitalPro as a first step and scan them into the EHR. With this approach, teams can immediately reap the benefits of the system’s guidance during a code, and a legible record is available for transitions of care. Emailing the record is also an option–which will require IT security approval–but saves on EHR integration costs. A phased approach can be helpful depending on the budget cycle, if the hospital/organization is changing EHRs soon, or the availability of the IT team.
Technical Questions
- RevitalPro can work on various tablet sizes. However, we strongly recommend a recent Apple iPad device with a screen size around 9”.
Other alerts include: prompting to sync when cardioverting, confirming correct placement of the endotracheal tube, reviewing the 6H’s and 6T’s, tracking the round of CPR, defibrillation, and epi that the team is on, and finally alerts associated with order items which have not been completed. There is both a pediatric and adult version of RevitalPro. Resuscitation medications, equipment sizes, and joule setting recommendations are also provided to support the team.
CodeBlue IQ/RevitalPro is compatible with all major EHR systems, including but not limited to: Epic, Cerner, MEDITECH, McKesson, Allscripts, eClinicalWorks, NextGen, Greenway, and GE Healthcare.
The RevitalPro system is built to provide full support, even if it’s in an area without connectivity. As soon as the device is back within range, it will send the locally stored data to the CodeBlue IQ database and, if integrated, to the EHR.
For EHR integration, we work with you and your IT team to scope your integration needs, establish a secure VPN connection, configure the interface, test the integration, and go-live.
Because of our cloud-based data architecture, the actual workload on the hospital’s IT team is minimal. We foresee a total of 3-4 hours for the IT team to review, test, and go-live with RevitalPro data integration:
- Security and technology review (1-2 hrs)
- Security audit: The hospital IT team will confirm that RevitalPro has appropriate logging, backup procedures, and other systems in place that complies with the hospital’s security and technology policies.
- Protocol review: They will review with us their structured process for implementing a new project, and discuss necessary steps for data integration (e.g., authentication, interface setup, testing, production migration).
- Interface setup and testing (1 hr)
- Virtual private network (VPN): The data is stored and transmitted through a secure, virtual private network that limits unauthorized access. The IT team needs to exchange information (IP address, port number, certificate keys, etc.) with us and we setup the VPN.
- Interface confirmation: IT team confirms that connection to our VPN is correctly configured.
- Testing: IT team perform tests, such as submitting a test record from RevitalPro and verifying that the record is correctly uploaded to the EHR. IT might also perform their standard information security tests, such as penetration tests.
- Production migration (1 hr)
- Go-live: Once the interface is setup and sufficiently tested, RevitalPro can begin uploading real records and data to the EHR.
While we strongly recommend our secure, HIPAA-compliant cloud platform, we understand you might have existing IT policies at your institution. In addition to the 3-4 hours of data integration workload listed above, we foresee about 4 hours of your IT team’s time to set up the RevitalPro platform on your on-prem server:
- Server setup (<4 hrs)
- Server allocation and database provisioning: With on-prem servers, your IT will need to provide us with a server instance where we can deploy the RevitalPro web app and database on their existing infrastructure. This process should be standard and trivial for most IT teams.
- RevitalPro web platform setup (< 1 hr)
- Via secure remote-access, we can install our platform and web application with no additional burden on your IT team.
- If your IT policy does not allow remote-access, we can provide your IT team with a build script and packaged container that the IT can use to install the components and software with minimal involvement.
For cloud deployments, Format Health is responsible for ongoing maintenance and compliance of the RevitalPro and CodeBlue IQ system, and does not require additional work from your organization’s IT team for normal operation
- Data collected on RevitalPro are stored in two places:
- The tablet device used for documentation
- CodeBlue IQ database
On the tablet devices, each code record dataset is locally stored until the code record is submitted to CodeBlue IQ, the companion web application (hosted on secure AWS environment). Once the record is submitted, the data remains on the device for an additional 48 hours. During this time, the records can be accessed on the RevitalPro device via “Administrator Settings” button on the opening screen. 48 hours after the record has been submitted to CodeBlue IQ, at which point the data is permanently deleted from the tablet device. Data on the CodeBlue IQ database is secured using AES encryption with 256-bit keys and automated backups.
CodeBlue IQ offers various filters and search functions to fit the clinical workflow of record management. On Codes menu of CodeBlue IQ, you will see various filter tabs, such as “Signature Missing”. You can also select “All” and use the search bar to search for records based on code leader name, code recorder name, patient name, or patient MRN. If the record has been archived, it may be under the “Archive” tab (records that have been archived do not affect the analytics dashboard).
References:
1. Merchant, R M et al. “Hospital Variation in Survival after In-Hospital Cardiac Arrest.” Journal of the American Heart Association 3.1 (2014): e000400.
2. “AHA Cardiac Arrest Statistics.” American Heart Association CPR & First Aid. 2016;
Benjamin EJ, Virani SS, Callaway CW, et al. . Heart disease and stroke statistics-2018 update: a report from the American Heart Association. Circulation 2018;137:e67–492; and
Heart Disease and Stroke Statistics-2022 Update: A Report From the American Heart Association. Circulation. Epub 2022 Jan 26.
3. Unpublished abstract by Dr. Thomas LaRocca based on initial 6-month study at Stanford Children’s Hospital; additional research and submission for publication planned.
4. Grigg E, Palmer A, Grigg J, et al Randomised trial comparing the recording ability of a novel, electronic emergency documentation system with the AHA paper cardiac arrest record Emergency Medicine Journal 2014;31:833-839. Note that this study was published under original prototype name “EventDoc” rather than RevitalPro.