AI Triage Portal Cuts ER Wait Time 38%
SpeedMVPs built a HIPAA-compliant patient-facing AI triage and scheduling portal backed by a clinician dashboard with records summarization, delivered in 3 weeks. The stack uses Next.js 14 on Vercel, a HIPAA-eligible PostgreSQL instance on AWS RDS with field-level AES-256 encryption, a RAG pipeline (pgvector + GPT-4o) that ingests HL7/FHIR records from Epic via the Epic FHIR R4 API, and a symptom-triage flow powered by a fine-tuned clinical prompt chain. All PHI flows through signed, expiring URLs and never touches client-side storage.
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3 Weeks
Timeline
Project Overview
1
What We Built
- SpeedMVPs built a HIPAA-compliant patient-facing AI triage and scheduling portal backed by a clinician dashboard with records summarization, delivered in 3 weeks. The stack uses Next.js 14 on Vercel, a HIPAA-eligible PostgreSQL instance on AWS RDS with field-level AES-256 encryption, a RAG pipeline (pgvector + GPT-4o) that ingests HL7/FHIR records from Epic via the Epic FHIR R4 API, and a symptom-triage flow powered by a fine-tuned clinical prompt chain. All PHI flows through signed, expiring URLs and never touches client-side storage.
2
The Challenge
- Meridian Health Partners operated 11 urgent-care clinics across three states and was losing patients to competitors due to 90-minute average wait times and a phone-heavy intake process that consumed two FTEs per site. Their EHR (Epic) held years of patient records but clinicians had no fast way to surface relevant history before a visit, forcing repeated manual chart reviews. A prior vendor quoted 6 months and $280k for a custom portal: outside budget and timeline.
3
Our Solution
- Symptom-triage chatbot with clinical decision-support prompts, urgency scoring (ESI 1–5), and automatic routing to urgent-care vs. telehealth vs. ER
- Real-time slot availability and self-booking integrated with Epic Scheduling API (no double-booking, site-aware load balancing)
- Clinician dashboard with one-click AI-generated patient history summaries pulled from Epic FHIR records via RAG over pgvector
- HIPAA-compliant audit log with immutable event trail (patient views, clinician accesses, AI query logs) stored in append-only RDS table
- SMS + email appointment reminders with two-way confirmation, reducing no-show rate with Twilio Verify for OTP-based patient identity