For clinicians & care teams
Catch sepsis risk
before your patient
ends up back in the ED.
Continuous temperature, heart rate, and respiratory rate monitoring, plus AI-powered symptom coaching - so your team intervenes in hours, not after a deterioration.
HIPAA compliant · EHR integration · Thermometer & wearable included · Setup in weeks
Integrates with
EpicCernerathenahealtheClinicalWorksMEDITECHNextGenPointClickCareAdvancedMDAllscriptsWellSky+ more
Why vitals are the earliest warning sign
Temperature, heart rate, and breathing shift
hours before clinical sepsis is obvious.
Based on published clinical evidence on sepsis recognition and vitals-based early warning. Revenue estimates are illustrative and vary by payer mix.
Simple enrolment
From discharge to daily
monitoring in under a week.
The highest-risk window for sepsis is the days and weeks after surgery, a hospital stay, or a new infection diagnosis. Ziva closes that gap - your team refers the patient, and connected devices are at their door before the first post-discharge visit.
1
Refer at discharge or next visit
Enrol directly from the Ziva portal or your EHR. Select the sepsis-risk protocol and set the patient's baseline vitals. Takes under two minutes.
2
Connected devices ship to their door
A thermometer and wearable arrive pre-paired to the Ziva app. Isabella walks the patient through setup in under 5 minutes - no clinic visit needed.
3
Vitals flow to your dashboard continuously
Temperature, heart rate, and respiratory rate populate the patient's trend chart around the clock. Threshold breaches alert your team immediately.
4
Isabella coaches daily symptom check-ins
Wound checks, alertness, and how the patient is feeling - delivered each day, within the parameters your team sets.
5
Billing documentation generated
RPM-qualifying vitals data tracked automatically. Month-end billing summary ready for your billing team to submit.
Recent enrolments
+ Enrol patient
Patient
Enrolled
Status
Diane R., 70*
Devices in transit
Today
In transit
Frank L., 65*
First readings logged
Yesterday
Active
Carol M., 82*
18 readings this month
4 days ago
Active
Optimal enrolment window
Day 0–3
Enrolment at or before discharge captures the highest-risk post-acute window. Devices delivered before most patients leave the hospital.
*Stories are inspired by real patient experiences and health patterns observed in care. Names, images, quotes, and certain details have been changed or combined to protect privacy. Individual experiences and outcomes may vary.
Margaret O., 68* — 14-day vitals
Alert active
Temperature (°F) — last 14 days
101.8°F
Day 1Day 7Today
Threshold breached: fever + HR 108 + RR 23/min sustained 72 hours
Baseline temp
98.4°F
Today
101.8°F
HR / RR
108 / 23
Isabella · Clinical summary
"Margaret's temperature, heart rate, and respiratory rate have all risen together over 72 hours, post-op day 6. Incision reported red and warm this morning; she also reports new drowsiness. Pattern is consistent with early sepsis risk. Recommend urgent clinical review."
Vitals monitoring & alerts
See deterioration
hours before it's an emergency.
By the time a patient presents with clear sepsis symptoms, the window for the simplest interventions may already be closing. Continuous temperature, heart rate, and respiratory rate capture the earliest signal - and Ziva compares every reading to the patient's own baseline, alerting your team the moment a threshold is crossed.
✓Per-patient alert thresholds — set to your protocol (fever + tachycardia + tachypnea)
✓Baseline vitals locked per discharge or clinical review — drift detected automatically
✓Symptom correlation — mental status, wound appearance, and how the patient feels logged alongside vitals
✓Antibiotic and medication adherence tracked — missed doses flagged and correlated with vitals spikes
✓Alert escalation documented in EHR — critical thresholds generate clinical notes posted to the patient record
✓Missing check-in flagged before the day ends — automated patient reminder sent, then team notified if still absent
Default alert rules — adjustable per patient
Temperature≥ 100.9°F or ≤ 96.8°F → Watch alert
Heart rate / breathingHR > 90 + RR ≥ 22 → Urgent alert
Mental status changeAny report → Immediate team flag
*Stories are inspired by real patient experiences and health patterns observed in care. Names, images, quotes, and certain details have been changed or combined to protect privacy. Individual experiences and outcomes may vary.
Ready to close the gap between discharge and deterioration?
30-minute demo - we'll walk through enrolment, alert configuration, EHR integration, and the revenue model for your high-risk panel.
AI patient coaching
Your sepsis-risk protocol,
delivered to every patient. Every day.
Daily vitals checks, wound care, and antibiotic adherence are what keep an infection from progressing. Isabella delivers that coaching consistently, in plain language, grounded in each patient's own data. When vitals or symptoms escalate beyond coaching scope, Isabella alerts your clinical team.
✓Daily check-in prompt with trend context — "Your temperature is up 1.2°F from yesterday; your care team's threshold is a fever"
✓Wound-care coaching — cleaning technique reminders and what changes to watch for
✓Antibiotic course reminders through completion, calibrated to the prescribed schedule
✓Hydration and rest guidance, with adherence logged to your dashboard
✓Symptom check-ins — chills, confusion, wound changes — with automatic escalation when signals converge
Morning coaching — Walter B.*
Isabella → Patient
"Good morning, Walter. Today's temperature: 99.9°F — a bit above your baseline. Your care team recommends watching closely over the next 24 hours. Let me know right away if you notice chills or feel worse."
Wound-care coaching — Susan K.*
Isabella → Patient
"Your incision looked good in yesterday's check-in — no redness or drainage reported. Keep it clean and dry, and let me know if anything changes. Your antibiotic course is 3 days from complete — keep taking it as prescribed even as you feel better."
Escalation → Dr. Nguyen's team
Isabella → Provider alert
"Margaret O.* has a temperature of 101.8°F, heart rate 108, and respiratory rate 23/min sustained over 72 hours. She reports a red, warm incision and new drowsiness. Vitals and symptom pattern indicate likely early sepsis risk. Flagging for urgent clinical review."
Patient engagement
Will high-risk patients check in every day?
Here's what drives it.
The clinical case for continuous post-discharge monitoring is strong - but adherence collapses without support. Isabella's daily prompts, immediate feedback, and passive wearable data turn monitoring into a habit that requires almost no effort. Most Ziva sepsis-risk patients hit the readings needed for RPM billing within the first two weeks.
16+
Readings per month
The RPM billing threshold. Continuous wearable data plus daily check-ins easily exceed this requirement month after month.
5 min
Device setup time
Isabella walks each patient through pairing their thermometer and wearable in the app - no complex setup, no clinic visit.
Every day
Isabella coaching
Personalised coaching grounded in that day's vitals, wound status, and medication schedule - not generic health tips.
Want to show your patients what Ziva looks like from their side?
The patient-facing sepsis page explains daily monitoring in plain language - shareable directly with patients before enrolment.
What flows into your EHR automatically
🌡️
Vitals readings → vital signs
Every temperature, heart rate, and breathing reading posts as an observation in the patient chart
🔔
Vitals alerts → EHR documentation
Threshold breaches generate clinical notes posted directly to the patient's record
📋
30-day summary → pre-visit notes
Vitals trend, wound status, medication and symptom log auto-generated before every appointment
💊
Medication adherence → patient record
Antibiotic course completion logged to the chart and correlated with vitals trends
📊
RPM time log → billing documentation
Monthly billing summary compiled and ready for your billing team to submit
Running automatically — no staff time needed
●Daily check-in reminders to patients
●Missed check-in detection and re-engagement nudges
●Antibiotic course tracked to completion - dose-level logging to chart
●Wound-care reminders and photo logging where enabled
●Weekly vitals summary sent to patient and logged to chart
●End-of-month billing documentation compiled automatically
EHR sync & automation
Fits into how you already work.
Not the other way around.
Ziva integrates with Epic, Cerner, athenahealth, eClinicalWorks, MEDITECH, NextGen, and more via HL7 FHIR R4. Continuous vitals, early-warning alerts, and billing documentation flow into your existing system - your team doesn't log into another platform or manage a separate inbox.
✓HL7 FHIR R4 — vitals readings post directly to the chart as observations
✓Configurable alert routing — inbox, task list, or pager by severity
✓Pre-visit summary auto-attached — 30-day vitals trend, wound status, and medication log
✓No new login — all data surfaced inside your existing tools
RPM & CCM billing
High-risk patients qualify for
both RPM and CCM billing.
Medicare and most commercial insurers reimburse Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) separately - and post-surgical or high-risk patients with comorbidities frequently qualify for both. Ziva tracks all qualifying data and generates documentation automatically.
RPM — Remote Patient Monitoring
99453Device setup (one-time)~$19
99454Device supply, 16+ days/month~$65/mo
99457Management, first 20 min/month~$51/mo
99458Each additional 20 min~$41/mo
CCM — Chronic Care Management
For patients with 2+ chronic conditions (post-surgical + diabetes, CKD, COPD, etc.)
99490Standard CCM, first 20 min/month~$62/mo
99439Standard CCM, each additional 20 min~$47/mo
99487Complex CCM, first 60 min/month~$130/mo
99489Complex CCM, each additional 30 min~$67/mo
RPM and CCM can be billed together in the same month. Approximate Medicare rates. Commercial rates vary. Consult your billing team and compliance officer.
RPM + CCM revenue estimate
Patients on RPM
40
10200
Also eligible for CCM (2+ conditions)
20
0= RPM count
RPM
Device supply + management (99454/99457)$4,640/mo
Additional time (99458)$1,066/mo
CCM type
First 20 min (99490)$1,240/mo
Additional 20 min (99439)$705/mo
Combined monthly revenue (RPM + CCM)
$7,651
$91,812 annually
Illustrative only. RPM and CCM can be billed together in the same month. Actual revenue depends on payer mix, patient eligibility, and billing compliance.
Security & compliance
Built for healthcare.
Trusted by clinical teams.
Ziva was designed from the ground up for clinical environments - not adapted from a consumer app. Every data flow, access control, and integration meets the standards your compliance team requires.
🔒
HIPAA compliant
BAA available. All PHI encrypted in transit and at rest.
✅
End-to-end encrypted
All PHI encrypted in transit and at rest. HL7 FHIR R4 compliant data exchange.
🏥
US data residency
All patient data stored and processed within the United States.
📋
Audit-ready logs
Consent records, access logs, and billing documentation stored and exportable.
Book a demo
See Ziva in action with
your high-risk panel.
30 minutes. We walk through the platform, configure vitals alert thresholds for your protocols, review the EHR integration, and design a pilot for your practice.
✓Live walkthrough of the dashboard and patient vitals views
✓Alert threshold configuration for your sepsis-risk protocol
✓Revenue estimate based on your actual high-risk patient panel
✓First pilot cohort enrolled within 2–3 weeks of go-live
Request a 30-minute demo
We'll walk through enrolment, alert configuration, and the revenue model for your practice.
Book my demo →No commitment. We'll follow up within 1–2 business days.
Questions
Provider FAQ
Practice onboarding typically takes 2–3 weeks from contract signing to first patients enrolled. This covers EHR integration, sepsis-risk protocol configuration, a 1-hour staff training, and your first device orders. Practices with an active post-discharge programme often enrol their first cohort in week one of go-live.
A connected thermometer and a wearable that tracks heart rate and estimates respiratory rate continuously. Depending on the device, it ships either with a cellular gateway already synced with Ziva - readings transmit automatically, no pairing or smartphone needed - or as a Bluetooth device the patient connects to the Ziva app once during setup. Device cost and fulfilment are included in the platform fee. Isabella guides each patient through setup in the app - no clinic visit or staff time needed. Devices ship within 48h of enrolment.
Yes - thresholds are configurable per patient. The platform defaults to standard clinical warning signs (fever, tachycardia, tachypnea, altered mental status) but these can be adjusted based on the patient's baseline, functional status, and care plan. Alert routing is also configurable: by severity level, clinician role, or time of day.
Ziva integrates with Epic, Cerner, athenahealth, eClinicalWorks, MEDITECH, NextGen, PointClickCare, AdvancedMD, Allscripts, WellSky, and more via HL7 FHIR R4. For systems not listed, Ziva provides a standalone portal and CSV export. Contact our team to discuss your environment before the demo.
Ziva automatically tracks device supply days (CPT 99454), clinical time spent (CPT 99457/99458), and consent records. A billing-ready summary is generated per patient per code at month-end for your billing team to submit. Ziva does not submit claims directly. The continuous vitals data also satisfies RPM's requirement for physiological data transmission on 16+ days per month. Review with your compliance officer before go-live.
Yes. Fully HIPAA compliant, BAA available. All data encrypted in transit and at rest. Patient data is never sold or used for advertising. US data residency. Security documentation and DPA available for your compliance team.