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A 90-day shadow study for critical access hospitals, rural cardiology programs, and cardiologist advisors. AI output runs alongside your normal read — never in place of it — so there is zero change to patient care. Expect roughly 2 hours per week of your time during the pilot.
Structured 30 / 60 / 90-day workflow
A concrete cadence for your research team — from IRB and BAA setup through shadow-read validation and outcome reporting. All phases run as non-clinical QI/research; no AI output is used for patient care.
Stand-up & onboarding
Governance, access, baseline metrics
- Execute BAA + Data Use Agreement
- Site PI submits Pilot Kit protocol to local IRB
- Provision org tenant, invite 2–5 users, enable 2FA
- Capture baseline: avg. read turnaround, weekly echo volume, after-hours backlog
- Train 1 sonographer + 1 cardiologist on de-identified upload flow
Shadow-read & calibration
Parallel reads, no clinical reliance
- Upload ≥ 50 de-identified studies/week
- Cardiologist issues normal read; logs AI preliminary impression separately
- Track concordance, false-positive, and false-negative rates by view
- Weekly 30-min review call with EchoReview clinical team
- Log all UX friction in shared issue tracker
Outcomes & decision
Evidence package, go / no-go
- Measure simulated turnaround impact vs. baseline
- Survey clinician trust + workflow fit (validated NASA-TLX subset)
- Draft co-authored QI abstract (ASE / ACC submission-ready)
- Site PI + EchoReview review safety log, audit trail, addendums
- Decision: extend, expand to second site, or close-out
Success criteria the research team agrees to up front
- ≥ 200 de-identified studies uploaded across the pilot
- AI preliminary impression returned in < 90 seconds (median)
- ≥ 80% concordance with cardiologist read on normal vs. abnormal triage
- Zero PHI incidents; 100% of uploads pass de-identification check
- Cardiologist sign-off completed on 100% of reviewed studies
- Net Promoter Score ≥ +20 from clinician users at day 90
Prefer a shorter engagement? The same framework compresses into a 30-day feasibility sprint (onboarding + 100 shadow reads) or a 60-day evaluation (drops the outcomes phase). Indicate your preferred length in the notes below.