PULSE Enterprise

Patient Unified Lookup System for Emergencies™

A clinical care portal for disaster response

PULSE Enterprise is a cloud-based software solution built for public health and emergency management authorities and other entities that solve critical gaps in patient care during public health emergencies and disasters.

PULSE Enterprise enables authorized users to access medication and clinical histories to improve direct patient care for individuals who have been displaced outside their normal healthcare environment, conduct epidemiological assessments, and initiate other public health activities.

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PULSE Enterprise Features

Deliberately Designed for Emergency Response

Uses widely-adopted industry standards and insight from experts in disaster medicine and public health preparedness to seamlessly deliver patient data when and where it is needed, no matter the scenario.

Robust Medication and Clinical History Data

Designed to ensure secure access to patient health information for providers in field environments. Includes a curated medication history list and the ability to simultaneously pull records for hundreds of patients at once.

Ongoing Technical Assistance & Support

Subscriptions come with complete programmatic support led by an assigned engagement manager, in addition to annual and just-in-time training, 24/7 access to the PULSE Enterprise Service Desk, and ongoing technical assistance.

Supports Family Reunification Efforts

Interoperable with Ai’s Emergency Census™ tool, which leverages Encounter Notification Service® (ENS®) technology to locate missing persons being cared for in health care facilities and alternate care sites.

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PULSE Enterprise Features

Supporting COVID-19 Response

PULSE allows clinicians to access information in real-time at the point-of-care and assists public health officials in conducting case investigations and contact tracing. It can be deployed immediately to verified public health authorities and providers, and the rapidly deployable PULSE COVID has been successfully contracted in five states and one federal agency to support COVID-19 response.

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History & Milestones

A look through the years

Following Hurricane Katrina, well-meaning health care providers flocked to shelters to help, but there was an inability to confirm medical credentials of these volunteers or access health records of evacuees.

In late 2014, the Office of the National Coordinator (ONC) for Health IT and the Office of the Assistant Secretary for Preparedness and Response (ASPR) received a joint HHS Ventures award, through HHS’ innovative IDEA Lab, to lay the foundation for PULSE. The award provided for a PULSE program in California through the development of a detailed use case, technical architecture, and an evaluation of policy considerations.

Over the next several years, Ai worked with ONC and other partners to expand upon the California experience and develop an infrastructure that could be deployed nationwide. Today, PULSE can be made available in any geographic area to support healthcare professionals and first responders caring for displaced individuals, or volunteer healthcare workers who are deployed to a disaster area outside of their normal health IT environment.

2014

ONC Engages Audacious Inquiry to evaluate use of HIE infrastructure for disaster preparedness and response. From this engagement, the “HIE Services in Support of Disaster Preparedness and Emergency Medical Response” report was published.

2015

Audacious Inquiry first developed PULSE in 2015 with funding from ONC for use in California.

Related news:

Audacious Inquiry Blog, 10.3.20: Reflections on the History of the Patient Unified Lookup System for Emergencies™ (PULSE)

2017-2019

PULSE was first deployed in California during the 2017, 2018, and 2019 wildfire seasons.

At the end of 2019, ONC awarded Audacious Inquiry a new contract to expand the PULSE platform to improve usability, scalability, and flexibility to support a tighter integration with the national data exchange frameworks, positioning PULSE for broad national adoption.

Related news:

WIRED, 9-1-17: Harvey Evacuees Leave Their Belongings—and Health Records—Behind
Politico, 11-21-18: California’s red-hot test of health information exchange
EMS World, 2-12-19: A Health Information Exchange for Disasters
Audacious Inquiry Press Release, 12-10-19: ONC Awards Audacious Inquiry Contract for Expansion of “PULSE” National Emergency Preparedness and Response Platform

2020

As the COVID-19 pandemic spread, alternate care facilities were being stood up and epidemiologists were rushing to access clinical data for case augmentation. Audacious Inquiry developed a lightweight, rapidly deployable solution, PULSE COVID, specifically designed for COVID-19 response.