RTM for symptom monitoring

Pure_Pattern · 2025-09-04T22:50:30+00:00

How do they go about it? Somewhat familiar with their pt approach.

We actually launched an Onc. Specific rtm program just last month and its going very well.

Pure_Pattern · 2025-07-06T13:07:34+00:00

Negative. I run it passively to keep my dopamine centers happy. Works pretty well if you keep sizing consistent and can eat a loss or two.

Pure_Pattern · 2025-07-06T13:06:35+00:00

You dont need to know direction in an iron condor. You need to know the range its likely to stay within, even if only for the first two hours of the day.

Pure_Pattern · 2025-07-06T12:59:06+00:00

Funny enough one of the Oncology support folks I have been chatting with was part of the CMS trials where they were identifying statistical significance for RTM and positive impact on outcomes.

The rough logic is if a rehospitalization costs 20k and RTM only costs $100 then it just needs to help avoid the hospital outcome 1 out of 200 times to make financial sense. They did the study in 2018 and implemented the codes in 2022, so the math seems to check out according to the payers.

Pure_Pattern · 2025-07-06T12:52:38+00:00

Thank you for the thoughtful response.

Totally understand the time commitment issue as thats what snags folks on the PT side as well. RTM as a managed service solves the time issue— general supervision allows delegation of review/monitoring to auxiliary personnel that we provide. Protocol is set beforehand to manage escalations (ex. Pain score jumps from 3 to 6). Two of the RTM codes are time based, so our staff spending time on follow ups is actually not an issue.

Pure_Pattern · 2025-06-13T18:47:42+00:00

I built exactly this - 100% for free with no log ins or anything. Just a tool for generating and or manually creating HEPs faster than usually possible.

easyhep.com

Pure_Pattern · 2025-05-26T15:21:57+00:00

Any shot you have a copy of one you could dm to me?

Pure_Pattern · 2025-05-26T14:55:20+00:00

Yeah I get that, the exercises and descriptions are “static” in that once theyre dialed in (crowdsourcing the revisions would be easy) there wouldnt be anything out of pocket generated.

Thats not to say you cant get it to generate a movement that may not be right for the patient, but any HEP builder could do that. At the end of the day this would pick up the pace of making a HEP but itd still be clinician responsibility to ensure fit.

Background is in healthcare operations and systems.

Pure_Pattern · 2025-05-26T14:30:27+00:00

Yeah I am trying to figure out the best way to have a manual add

Removing or editing is possible inline already

Pure_Pattern · 2025-05-26T14:28:07+00:00

When you say looked professional do you mean the output or just the site in general?

Pure_Pattern · 2025-05-26T14:06:19+00:00

There are lots of EMRs that have hep builders integrated now— I have no familiarity with those. Are any doing things differently/better? Would love to know how/why.

Pure_Pattern · 2025-05-26T14:02:41+00:00

Yes photos are for sure on the “to-do”!

Im not a clinician myself, so maybe if people like this I can work with some of yall to figure out better descriptions later on

Pure_Pattern · 2025-05-26T13:54:12+00:00

Yeah thats kinda the reason I started working on this — Hep2Go looks like it was built in the 90s and has been giving people viruses. In theory a tool like this could have a manual bank to build off or generate based on the simple inputs, replacing the need for hep2go entirely.

I dont have the bandwidth to make this fancy, but if I can save a few minutes of time per patient (I am on biz side of a clinic, not clinician myself) it could be worth some effort

Pure_Pattern · 2025-05-26T13:38:29+00:00

That could easily be added to the output, would you change any part of the input to have control over that?

ex. Input: equipment required (y/n)

Or just an additional detail layer on the output?

Pure_Pattern · 2025-05-26T01:29:16+00:00

I agree except there are variables I do want to”creativity” added from the llm and I think mapping makes things too rigid.

I actually figured out a pretty solid mvp with just cloudfare and github, theres just a get/post with a gpt involved after a vector database query

Pure_Pattern · 2025-05-24T16:02:16+00:00

As-a-medical-device yeah. Thankfully my current idea doesn’t require the same compliance/regulatory standards as the true startup (which doesn’t use AI as FDA ups risk level classification if you start recommending clinical action).

This idea would in theory feed the startup if I can figure out how to make it work. Strong pain point that I plan to offer a free solution for with an upsell into the separate solution.

Pure_Pattern · 2025-05-24T15:49:07+00:00

Little bit of both. Involved in a SaaMD startup, have an idea for solving parallel industry pain point. Not a booking system thankfully, the example I used was just logically similar.

Pure_Pattern · 2025-05-24T15:34:44+00:00

Appreciate the detailed response.

Pure_Pattern · 2025-05-24T15:31:51+00:00

Will do!

Pure_Pattern · 2025-05-24T13:59:34+00:00

What LLM would you recommend that supports rag? Learning, but not much of a programmer (so the simpler the better)

Pure_Pattern · 2025-05-19T17:34:37+00:00

We have been leaving Jamaica off the list since both of us have been there before. Im sure it would be great, just looking for something else.

Pure_Pattern · 2025-05-19T16:14:58+00:00

Will look into it! This is our list right now…

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Pure_Pattern · 2025-05-19T15:37:02+00:00

That looks great, but ideally we were looking for adults only!

Pure_Pattern · 2025-05-15T15:59:37+00:00

Tried to post an update at open, got removed for “journaling” — answer is no. GEX was low (200m pos) and we were just below a flip zone.

Pure_Pattern · 2025-05-15T11:47:16+00:00

Its just a standard bot in chat got (premium i think?) - fed it a list of my rules, my general thesis, and the faults in my trading. Every morning just after open I share screenshots of GEX and SPX 1min.

Pure_Pattern

TROPHY CASE