Pilot-ready ER Admin OS

ER Admin Operating System for compliance, coverage, and revenue protection.

Give VP Ops a single command center with evidence-backed actions, closed-loop execution, and audit-ready exports across every facility.

Evidence-first AI surfaces the highest-risk gaps and routes owners to resolve them fast.

Facilities in scope
0
ZT pilot
Controls tracked
0+
compliance readiness
Action SLA
0 days
closed-loop cadence
ECAT gaps
0
CMS measure lens
Before → With Vitruviana
Before
  • Siloed compliance logs and manual checklists
  • Delayed visibility into boarding and LWBS risk
  • Revenue leakage found after denial
With Vitruviana
  • Evidence binders + CAPA tracking per facility
  • Constraint signals for boarding and staffing gaps
  • Closed-loop actions with ROI tracking
Evidence-firstClosed-loop actionsECAT readyAudit binder
vitruviana.ai/cockpit
Chart Preparation
AI Summary
Recent ER visit for chest pain - cardiac workup negative
BP consistently 150-160/90-95 despite 3 medications
HbA1c improved from 8.2% to 7.8% - good progress
Generated SOAP Note
2.3s
S: Chest pain x3 days, worse with exertion...
O: BP 140/85, HR 78, RR 16, SpO2 98%...
A: Unstable angina vs GERD, HTN uncontrolled...
P: ECG, troponins, stress test if neg...
ICD-10: I20.0CPT: 99214MDM: ModerateSafety: Review
Why it matters
Boarding Threshold
240 min
Admit-to-departure delays push facilities beyond CMS boarding limits.
Initial Denials
12%
First-pass denials erode cash flow and trigger rework cycles.
Agency Spend
15%
Premium staffing drives volatility when throughput or violence spikes.
Explore use cases →
Case story
Monitor
Monitor every facility
Unified view of compliance, coverage, and throughput with trusted metrics.
Truth layer KPIsFacility heatmapOps cadence
Explain
Explain the bottleneck
Evidence-backed root causes across boarding, LWBS, and staffing.
Constraint signalsECAT gapsEvidence links
Execute
Execute and verify
Action queue with owners, deadlines, and measured outcomes.
Action loopCAPA trackingROI summary
See it live →
AI outputs
Evidence binder
Compliance
Control-level evidence packages with missing artifact alerts.
Constraint signals
Throughput
Root-cause ranked bottlenecks across boarding, LWBS, and LOS.
Action queue
Execution
Owner, due date, confidence, and expected impact per action.
Denial prevention worklists
Revenue
Pre-submit checks with evidence links and payer logic.
Coverage risk alerts
Coverage
Open shifts, expiring credentials, and staffing gaps.
Violence + burnout signals
Safety
Incident tracking tied to staffing and boarding risk.
Draft outputs only. Leadership review required before action.
See the full artifact bundle →
Workflow spine
Measure
Truth-layer KPIs with lineage, freshness, and caveats per facility.
Explain
Evidence-first AI ranks risks and cites artifacts behind every insight.
Execute
Action queues, CAPA workflows, and ROI tracking close the loop.
See architecture →
Who it’s for
VP Ops
See every facility, every gap, and the highest-impact actions for the week.
  • Multi-facility heatmap
  • Board pack export
  • ROI tracking
Regional managers
Drill into a facility, close the loop, and verify impact with evidence.
  • Facility drill-down
  • CAPA workflow
  • Action verification
RCM + compliance
Evidence binders, denial prevention, and audit-ready artifacts.
  • Evidence binders
  • Denial worklists
  • Audit trail exports
Demos + use cases
FAQ
What is Vitruviana today?

Vitruviana is an ER Admin Operating System that turns compliance, throughput, and revenue signals into evidence-backed actions. The public demo shows workflows and UI patterns without PHI.

How do you handle safety, privacy, and compliance?

We design for HIPAA-aligned controls (encryption, access control, audit logging) and evidence-first AI. The demo environment is not intended for PHI—please avoid sharing identifying information.

What makes this different from other medical AI?

The focus is evidence-first execution: every insight is grounded in metrics and artifacts, every action has an owner and verification step, and every facility gets an audit-ready binder.

What do you integrate with?

We support CSV, SFTP, and API ingestion now. HL7/FHIR + writeback readiness is planned for production integrations.

Talk to the team →
Pilot-ready demos

Explore the Demos — or Get in Touch

If you’re an investor, pilot site, or partner, we’d love to share the technical details and roadmap. You can also explore the live demos below.

Demo environment • No account required • Clinician review required for clinical use

V
Vitruviana

A technical demonstration showcasing AI-powered clinical intelligence for healthcare.

Live Demo

About

Technology

  • GPT-5.2 & Gemini 3
  • Epic FHIR R4
  • WebRTC Voice
HIPAA-aligned design
SOC 2 readiness
Encryption (at rest/in transit)

Medical Disclaimer: Vitruviana is a clinical decision support tool designed to assist healthcare professionals. It is not intended for emergency use or as a substitute for professional medical judgment. All AI-generated content must be reviewed and validated by a licensed physician.

Privacy Note: This public demo is not intended for protected health information (PHI). Please avoid entering identifying patient details.

© 2025 Vitruviana. All rights reserved.

Demo environment • review required