The only medical communication and clinical decision support platform to successfully span across the care continuum for emergency and acute conditions. JOIN.

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Almost 14 million people suffer from stroke annually—of which—5.5 million will die. Every 4 minutes, someone in the U.S. dies of a stroke, having about 795,000 stroke cases annually, making stroke the second leading cause of death! Every minute delayed for a stroke patient, 1.9 million neurons die, 14 billion synapses destroy, making the stroke the first leading cause of disability! In the U.S., 659,000 people die from cardiac disease annually. Stroke and cardiac conditions require quick treatment to save lives; however, our healthcare is complex, fragmented, and siloed. Navigating through different clinical settings, organizations, and systems for timely treatment is the most critical need of such acute conditions—ALLM is a pioneer in identifying and solving these problems and meeting the demands. ALLM’s vision is shaping healthcare with digital transformation at point of care.

Who was involved
ALLM was founded by serial entrepreneurs and executives, having healthcare experience in the U.S. and Japan. They were first movers in identifying the fragmentation, barriers, and silos between pre-hospital procedures, emergency room care, and specialized care facilities. With the help of healthcare providers and specialists, they took action to de-fragment the healthcare system. Inspired by the patient stories in emergency and acute patient treatment, the founding team discovered the underlying problems – the most compelling communication and clinical decision support (CDS) needs at the point of care in healthcare. They took on a paradigm-shifting mission—innovating communication with embedded CDS for saving patient lives and their lifestyle.

What the innovation entailed
In response, they invented a fully integrated cloud software suite called the JOIN platform for seamless clinical workflow. The platform suite consists of three mobile apps - JoinTriage, Join, and MySOS - and is designed in a way the patient data handoff is transparent across different clinical settings. ALLM’s innovation has created a digital transformation in which EMS don’t have to use pagers, E.R. doctors respond to acute conditions proactively and Specialists are involved at every stage of the care continuum. These apps connect EMS with the E.R., the E.R. with specialists, and patients with doctors post-discharge.

JoinTriage app provides EMS guidance on stroke screening and patient assessment, predicts large vessel occlusion, finds appro-priate, nearby facilities with smart routing and pre-notifies the destination hospital with patient case information. JoinTriage has set a new standard of care that starts before the patient arrives at the emergency room, gives E.R. teams and acute care teams time to prepare resources all while managing patient capacity. When EMS uses JoinTriage, they’re equipped with several scales such as FAST-ED, RACE, and VAN to find the right hospital and deliver the right information to the E.R.
Join app syncs with JoinTriage app to receive pre-hospital patient data, store it in organized patient cases while sharing DICOM imaging studies with care teams. Working with Join means doing more with less, reducing burnout for doctors, quicker treatment, less mortality and fewer dollars spent per patient. Join’s medical-grade messaging allows hospital staff to seamlessly share patient data among care team members, referral hospitals, and other stakeholders with automatically found additional insights from AI-connect: Join’s integration with imaging studies A.I. technology to assist clinical decision-making.
MySOS app facilitates remote patient monitoring and management of patients post-discharge to reduce hospital readmission and improve patients’ experience. Combining these three apps expands mobile treatment of acute conditions such as stroke and heart attack across the care continuum.

The platform and apps fully meet HIPAA compliance, FDA approval, and AHA GTWG (American Heart Association’s Get With The Guidelines) protocols by relying on features such as cloud-based streaming rather than downloading to mobile devices. Hospital-wide information is pulled from the cloud to the admin dashboard, making hospital activity available for review, quality improvement, and clinical research. This overview allows hospital staff to bridge gaps between resources and demand by looking at event timestamps and patient outcomes. This software has eliminated the communicative barriers between care units and made CDS tools available at the point of care without login to multiple systems.

How it generated results
ALLM’s patient-centered values are embraced entirely in the mindset of employees, customers, and partners—those values being represented by “ALLM”, meaning “All Medical Approach”. Join’s innovation reflects the mission to deliver safe and quality care to all patients. ALLM’s solution has demonstrated productivity boosts of up to 60% while reducing hospital expenditures by up to 8%—simultaneously increasing care quality and reducing wasteful practices. Join’s innovation has de-fragmented healthcare, shortening door-to-treatment time by 60%, door-to-needle time by 35%, and declining mortality by 18% while reducing hospitalization days by 15%. Further, tracking patient transport helped first responders reduce reperfusion time for improved neurological outcomes and less disability post-discharge. These results inspired hundreds of hospitals and thousands of EMS agencies to use Join, helping society greatly and bridging access/equity gaps. ALLM’s technical involvement in clinical research made a lasting impact by bringing stakeholders together, making workflows cohesive and HIPAA compliant. ALLM’s presence in triaging, emergency care, and clinical settings has made a monumental impact in improving patient outcomes and reducing clinician burnout.