Author: Gerard Pregenzer, MD
Problems…Wait…What Problems? (Revised)
After Chairman, the Department of Obstetrics & Gynecology should have:
Both doctors’ electronic medical records had nothing about those babies having a known birth defect that needed attention right after birth. Thank goodness the pediatricians were able to determine a problem existed and determine what the problems were and quickly attend to it. But, why take a chance?
Verify-IMI – What, Why, How, When, and Where
What it is:
IMI = Interactive Medical Intelligence, a decision support system.
Why it is needed:
It has been used to address top obstetrical problems in thousands of patients with remarkable success.It alerts the clinician to:
- Clinical errors
- Abnormal trends, for antepartum and for labor and delivery
How it works:
There are numerous proprietary analyzing algorithms, which are triggered by:
- Patient medical history
- Laboratory test results
- Ultrasound results
- Biometrics entered throughout the pregnancy
We use an up-to-date relational database structure that is flexible and robust. It is quickly updated with new algorithms as medicine changes.
Using your community’s standard of care, Verify-IMI stratifies the level of care based on identified risks and offers clinical suggestions.
Using your community’s standard of care, Verify-IMI stratifies the level of care based on identified risks and offers clinical suggestions.
When it is used:
Verify-IMI starts working from the first antepartum visit until delivery.
Where it is used:
Can be used with any device connected to the Cloud.
See Our Milan 2022 Presentation
Click here to Register Now
For Mothers to Be – What, How, Why, When and Where
What it is:
It is an app to keep mother and baby safe.
Useful sections in Verify-IMI:
- Baby’s Development
- Mother’s Changing Body
- Nutrition
- Baby Name Book
Why it is needed:
Its purpose is to identify risks to the mother or baby so your OB can address them early. No one is perfect and no OB care is perfect, so why not go the extra mile and give baby the best chance to a great start with precision OB care?
How it works:
The system tracks YOUR information to guide YOUR pregnancy. This is accomplished by:
- Completing the simple questionnaire to start and then, again, after each of your doctor’s visits
- Labs are listed when they are typically done
- You enter the results in the simple lab questionnaire
- A risk list may be created based on the office visit and lab results by Verify-IMI
We encourage you to discuss these risks with your OB
When it is used:
It can be used from your first pregnancy visit until the delivery of your precious baby.
Where it is used:
On any device connected to the Cloud
Pregnancy
Risks…Wait..What Risks?
Pregnancy is a naturally occurring event, right? So, what kind of risks can there be?
Pregnancy
Problems…Wait…What Problems?
An actual letter from an OB Department Chairman
Patients – What It Is
It is an Interactive Medical Intelligence system for decision support for:
- OB
- Antepartum/ L & D
Useful sections in Verify-IMI:
- Baby’s Development
- Mother’s Changing Body
- Nutrition
- Baby Name Book
Welcome
Congratulations on your pregnancy! This beautiful new life is truly a miracle and your contribution to humanity.
We are thrilled that you have decided to sign up so we can travel through your pregnancy together.
Verify-IMI is a wonderful medical checking system designed to help guide mothers like you safely through the pregnancy.
We have designed the system to be intuitive, easy to use and full of information.
Just answer the questions the first time you sign up. This may take 10-15 minutes and is very comprehensive. As you answer each question, Verify-IMI is analyzing all the information entered via countless algorithms to catch potential problems. It will alert you of any potential risk and create a list to discuss with your OB.
Once all the questions are completed, you may look at the risk list, and enter any additional questions you have for your OB at your next visit. At that visit, simply enter standard information in your visits section so that Verify-IMI can analyze your physical progress (weight gain, blood pressure changes, etc.).
Standard testing is already listed in the Testing tab with the typical date range these are performed. Any additional testing ordered by your OB can be selected from a comprehensive list of OB testing. When these test results are known, simply enter the results, which will be analyzed by countless algorithms specific for your pregnancy.
Enter your next OB appointment or testing date and Verify-IMI will send you reminders so you do not forget.
There are several sections that are full of information: (1) baby’s development (what the baby is doing that day), (2) your changing body (what is happening to you now), (3) maternal nutrition (dos and don’ts) (4) a baby name book (5) a convenient mom’s journal where you can either write or talk into your phone to record your thoughts of the moment (6) access to your baby registry (7) getting ready for baby tab, with suggestions what you should do or have prior to baby’s arrival (8) your pregnancy photo album.
You will be able to share information with the father of baby, family and friends.
Remember, most OBs in this country are great in what they do. But they are human, and humans make mistakes and forget things. They are not perfect and outcomes are not always perfect. But, this is your pregnancy and your baby and it has to be as close to perfection as possible. Verify-IMI was developed with all this in mind to achieve such a goal. We will work with you and your OB, so
Let’s have a great pregnancy and incredible baby!
Parents who use Verify-IMI Feel Reassured and Safe
The patients have told us that it is like using GPS. Generations who used maps to navigate a trip always had some element of stress while traveling. The modern GPS has virtually eliminated that stress. Miss an exit? The GPS will just reroute you. Traffic? The GPS will, again, reroute you.
Verify-IMI can “reroute” the care of the patient, as well. With this, she can feel safe. The patients also feel there is an extra layer of safety with Verify-IMI checking everything, just in case something is missed by the OB. It doesn’t hurt to “have an extra set of eyes looking” after you and your baby.
Excited to Read Every Morning
App is Great, Look Forward to Seeing Messages in the Morning
Follow Your Pregnancy
Verify-IMI, an Interactive Medical Intelligence system, is dedicated to providing the highest quality obstetrical risk mitigating system to the obstetrical patient. Verify-IMI tracks and analyzes the information entered, from your medical and family history, your routine OB visits and laboratory test data which are put through complex medical algorithms and alerts you of any identified risks. This takes obstetrical care to a new dimension, which gives the data a critical interactive role. You and your OB can discuss the risks in a timely fashion and make decisions of care to mitigate them.
In the USA, there are about 4 million births every year. Most are incredibly happy moments, but not all are. Unfortunately, thousands of pregnancies do not end well. Occasionally, harm occurs to the baby, mother, or both. To Verify-IMI, one is too many.
OB’s are human and humans are prone to make mistakes. There really is no room for mistakes when it comes to pregnancy. 99% is not good enough when it comes to the well-being of your baby. We believe Verify-IMI creates a system that dramatically reduces medical risk for the pregnancy, which optimizes the delivery of safe and efficient medical care to you, the obstetrical patient.
The absolute majority of OB providers are fabulous in what they do, but they are human, and we humans make mistakes. When you fly on a plane, for the majority of the time, the flight is managed by sophisticated computers to make the flight safe. We believe a sophisticated computer system should help manage your pregnancy, as in the airline industry. That system is Verify-IMI.
You should trust your OB but Verify with us.
Problems…Wait…What Problems?
An actual letter from an OB Chairman:
Dear Colleagues:
Our neonatologists are concerned that fetal abnormalities found on prenatal ultrasounds are not being transmitted to them.
In many cases they are not even mentioned in the patients chart.
Two recent “near misses” have highlighted the problem- one involving a suspected cardiac anomaly, the other hydronephrosis. In NEITHER case did the relevant information appear in the patients chart, nor were the neonatologists informed by the delivering OB or L&D staff. In both cases one of the parents informed them of the abnormal prenatal findings (albeit quite inaccurately), shortly before discharge from the Nursery. Baby #1 required emergency surgery for critical coarctation of the aorta; baby #2 underwent emergency surgery for an obstructing ureterocoele. These are the ones they know about.
Please be sure that abnormal finding that may affect the immediate post-partum care of the infant are adequately documented in the chart or, at least, communicated verbally to the neonatal group.
Thank you,
Chairman, Department of Obstetrics & Gynecology
Both doctors’ electronic medical records had nothing about those babies having a known birth defect that needed attention right after birth. Thank goodness, for each instance, the pediatricians were able to determine a problem existed and, then, to identify the exact problem and quickly attend to it. But, why take a chance?
Risks…Wait…What Risks?
One example of a risk:
D.C. was a 24 year old Jehovah Witness pregnant mother, due March 21,2015. She was a devout Witness and declined any blood transfusion even if it meant her life.
Verify-IMI’s incredibly powerful risk algorithms cited several risks for her to develop postpartum hemorrhage (excessive bleeding after birth) and advised us to be ready at delivery. We made sure we were ready.
A major risk for morbidity and mortality at birth is not being prepared for an excessive bleeding episode. That was not going to happen with our patient! The mother underwent an indicated cesarean section. All went well with the
surgery and delivery.
However, about half an hour later in the recovery room, she developed an impressive bleeding episode. We were prepared; corrective actions were taken immediately. We had all the medications needed at the bedside.
We were prepared. Because of early recognition, appropriate resources were available. The bleeding was stopped and she did not become anemic.
Postpartum hemorrhage is an obstetric emergency and is one of the top five causes of maternal death in the US. Verify-IMI alerted us to her risks; we were ready to avert a disaster. A true case.