Throughput Healthcare

Throughput Healthcare · First product

Psychiatric ED boarders wait 3× longer than other patients. Most of it isn't bed scarcity.

It's the slow cycle of labs aging out, paperwork expiring, insurance re-verifying, and re-matching candidate facilities every twelve hours. We build AI for emergency department throughput. The first product is a disposition agent that embeds in the chart via SMART on FHIR and tracks those clocks so the next required action is always one click away.

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3.2×
Longer in the ED for psychiatric patients — 18.2 hrs vs 5.7 hrs.
Nicks & Manthey, 2012 (Emerg Med Int)
21.5%
Of psychiatric ED patients board, vs ~11% of all ED patients.
Zeller et al., 2014
1 in 8
ED visits involves a behavioral-health condition.
CDC NCHS

The problem

The EHR was built for the typical ED visit. Psychiatric disposition isn't one.

Epic ASAP and its peers are optimized for the standard ED workflow: triage, workup, admit or discharge in a few hours. Psychiatric disposition doesn't look like that. It's a multi-day, multi-facility coordination job — and today it runs on call lists, group texts, shared spreadsheets, and the working memory of whichever charge nurse is on shift. Nobody has built software for it inside the chart.

The EHR isn't built for this

ED EHRs are designed around short visits with a clear endpoint. A psych boarder workflow that spans days and dozens of touchpoints gets bolted on, not built in.

Coordination lives outside the chart

Facility call lists, acceptance criteria, who's been contacted, what's still pending — all tracked in side documents, texts, and verbal shift handoffs the EHR can't see.

No purpose-built tools exist

Bed-finder networks like OpenBeds solve where to send the patient. Nobody has built the in-chart operating layer that runs the disposition itself.

How it works

One panel inside the chart. Three things it does.

  1. 1

    Reads the active case

    Presentation, home meds, hold status, insurance, age tier — pulled via SMART on FHIR. No new system to log into.

  2. 2

    Tracks every perishable artifact

    Per candidate facility, per acceptance criterion. Each artifact has a countdown and a refresh action.

  3. 3

    Surfaces the next single action

    Not a worklist. One next step, ordered by the clock most likely to lose a placement slot.

Who I want to talk to

Fifteen minutes from anyone who has worked an ED with psych boarders.

  • ED charge nurses
  • ED attendings
  • Psychiatric liaison nurses
  • Social workers / case managers
  • Hospitalists covering psych boarders
  • Behavioral health administrators
  • Disposition / placement teams
  • Quality & throughput leadership

Tell me what's wrong with this, what's missing, and whether any of it would actually help on a Tuesday night shift.

Email the founder

Status

Week 2 of build. Pre-product.

Scope
Two-week prototype. Single demo case (16-year-old, intentional APAP overdose, 72-hour hold).
Data
Synthetic only. No PHI. No live EHR connection in the demo — production targets SMART on FHIR for vendor-neutral chart embedding.
Team
Throughput Healthcare is a solo founder, pre-seed. The demo exists to earn the next discovery conversation.
Next
Adult and adolescent case variants after the first round of clinician feedback. SMART on FHIR pilot after buyer clarity.

Contact

Get in touch.

If you work in or around an ED with psych boarders — or you're an investor thinking about ED operations and behavioral health — I'd like fifteen minutes. Tell me what's wrong with this, what's missing, and whether any of it would actually help on shift.

Email
jaj.jacob.jensen@gmail.com
Schedule
calendly.com/jaj-jacob-jensen
Founder
Jacob Jensen
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