Getting started
Start a pilot
About 20 weeks on one or two units, ending in a case-mix-adjusted review and a decision on whether to expand. Pilot pricing on request.
The timeline
The planned timeline, adjusted to each hospital. Week 0 is the kickoff meeting. For a system with several hospitals, start with one or two units at one hospital, then expand by site.
Phase by phase
Week by week, with what happens in each phase
0–2
Kickoff, agreements and security review
We meet your sponsor and leads, choose the pilot units and agree on how success will be measured.
- Business associate agreement signed before any patient data is shared
- Security questionnaire and architecture review with your IT security team
- FHIR API access, an ADT feed and single sign-on requested; app registration submitted in week 0. If your Epic app review runs past week 6, silent mode starts later and the timeline shifts
- Baseline period and measure definitions agreed in writing
2–6
Connect the data and validate the model
Your interface team connects the feeds in a non-production environment, and we validate the discharge-date model on about 12 months of your hospital's own history.
- ADT feed and FHIR access tested end to end
- Model accuracy measured on your patients, overall and by patient group
- Worklist columns and the review activity built with your Epic analyst
- Your payer mix, referral platform and IRF network configured
6–8
Silent mode
Aurifex runs on live data, producing predictions, flags and drafts that nobody sees yet. We compare them with what actually happens.
- Predicted dates compared with actual discharges and with the clinician-set dates
- Flags compared with patients who went to IRF, including any the flag missed. Missed candidates are also measured on 12 months of your history
- A sample of drafts reviewed by your case managers and physicians
- Go-live gates checked by patient group, then signed off by you and us
- Third-party penetration test completed before go-live
Silent mode is planned for about two weeks. If a gate isn't met, it's extended while we fix the cause, or the pilot stops. Nothing is shown to clinicians until the gates pass, and you sign off go-live with us.
8–9
Training and go-live
Short, role-based sessions for case managers, physicians and unit leaders, then go-live on one or two units with us on hand.
- Training at huddles and shift changes, not long classroom sessions
- Tip sheets for each role
- A direct line to us for questions during the first weeks
9–20
Live pilot
Your teams use Aurifex every day. We meet weekly to review accuracy, adoption, barriers and feedback.
- Weekly review with your leads
- Clinician review of sampled drafts every week
- Fairness checks across patient groups
- Fixes released through reviewed, versioned releases
20
End-of-pilot review and decision
We present case-mix-adjusted results against your baseline, with the method attached, and you decide whether to expand.
- Length of stay, excess days, rehab acceptance and referral prep time
- Readmissions and emergency department returns for patients discharged by week 16, with 30 days of follow-up
- Use, quality checks, missed candidates and fairness results
- Savings shown as projected until your finance team confirms them
- A go or no-go on expanding to more units, with no obligation to expand
What your hospital provides
Estimated time for each role, confirmed at kickoff.
What a pilot costs you besides the fee
Your team's time, summed from the roles above and the IT effort table. Estimates, confirmed at kickoff.
| Who | Over the 20 weeks |
|---|---|
| IT, interface, identity and security | About 100 hours, about 70 of them in weeks 0–6 |
| Case management lead | About 40 hours |
| Physician and PM&R champion | About 20 hours |
| Nurse manager or unit director | About 10 hours, plus the huddle you already run |
| Executive sponsor and compliance contact | About 5 hours and about 6 hours |
| Case managers and physicians on the pilot units | About 30 minutes of training each and two supervised shifts, then their usual work |
| Each case manager in the live phase (weeks 9–20) | About 10 to 30 minutes a day: one to three drafted referrals at about 10 minutes each (simulated cases), in place of hand-building IRF packets, not on top of it |
The only task we ask case managers to stop during the pilot is hand-building inpatient rehab packets.
What Aurifex provides
- Running the plan and the weekly review
- Workflow design and role-based training
- Model validation on your data, with the results shared
- The draft review program, launch gates and fairness checks
- The outcomes dashboard, the end-of-pilot review and a one-page summary for your executive team and board
How the pilot is judged
Success measures, and the level each must reach to justify expanding, are agreed at kickoff and written into the pilot plan before anyone sees a result.
Example scorecard, with starting values. Final thresholds are set with you at kickoff.
- Excess days on the pilot unitsDown against your baseline, case-mix adjusted
- Discharges before noonNot worse
- 30-day readmissionsNo more than 1 point above baseline
- Hallucination rate (per statement)2% or less
- Discharge-date accuracyPauses if within-one-day accuracy drops 5 points over 2 weeks
Pricing
Pilot pricing on request
Tell us about your hospital and we'll send a written proposal within five business days.
How pricing is built
- One fixed fee for the pilot. It covers the 20 weeks on the units you agree, including implementation and the draft review program, and is scoped by the number of units.
- No charge during silent mode, no auto-renewal and no fee tied to savings. Expanding after the end-of-pilot review is a separate decision.
- After the pilot. An annual subscription priced per licensed bed.
See Aurifex on your own discharge workflow
We'll walk through your worklist, a drafted referral and how a pilot would be measured on your units.