The Rothman Index detects sepsis earlier, lowers cost per case, prevents unplanned ICU transfers, reduces 30-day readmissions, and optimizes palliative care consults. 


The Rothman Index is the only proven algorithm that derives one simple score from the vast amount of data in the electronic medical record to create a picture of any patient’s condition over time – any age, any disease, any unit. It can detect patient deterioration hours or days earlier than existing scores and systems, and is the first patient deterioration surveillance solution to receive FDA 510(k) clearance. Our clients are hospitals and clinicians who need to identify patients at risk of rapid decline, make decisions about transfer and discharge, predict the risk of severe infection, and improve the overall efficiency and quality of care.

0 %
Sepsis mortality reduction

Customer Analysis

Yale-New Haven Health

$ 0 M
Decrease in unplanned ICU transfers

International Journal of Nursing Studies

0 %
Hospital readmission rate
Lowest rate in the region achieved

Shannon Skilled Nursing Facility

Turning loss into meaning

“In the beginning, we decided that we would judge our success based on if we could save one other person.”

– Michael Rothman, PHD., Co-Founder

Predictive, Real-Time
Clinical Decision Support

Continuous measure of patient condition across all patient populations and clinical settings. Solutions seamlessly integrate within clinical workflow through EMR integration and decentralized surveillance centers.

Rothman Index Solutions Include:

  • RI for Global Clinical Surveillance
  • RI for Sepsis
  • RI for ICU Optimization
  • RI for Palliative Care

There are thousands of data points in our electronic medical record, and as clinicians we can only keep track of a finite number of them. It’s always a challenge to kind of sift through all the data…It (the Rothman Index) really becomes a shorthand, a way of letting people know the status of the patients…if they’re doing well, if they may be a little more concerning and need to have another set of eyes or maybe stay on an acute care unit a little longer. It has become part of the culture here.

Jonathan Ringo, MD
President & Chief Operating Officer, Sinai Hospital of Baltimore

The Rothman Index is helping to save lives that at one point we would have considered unavoidable deaths.

Katherine Walsh, RN
VP of Operations & Chief Nursing Officer, Houston Methodist St John Hospital

The (Rothman Index) warning happens anywhere from 8-12 hours before the patient would crash by traditional medicine measurements. 8-12 hours is a lot of time for doctors and nurses to go back and examine the child and in some cases literally save the child’s life.

Srinivasan Suresh, MD, MBA, FAAP
Vice-President, Chief Information Officer, and Chief Medical Information Officer, UPMC Children’s Hospital of Pittsburgh

It’s now a reflex. Just like looking at vital signs and progress notes, we look at the Rothman Index score and see where we are, what we need to do, and how we’re going to get there.

Nihar Desai, MD
Assistant Prof. of Medicine, Yale School of Medicine, Yale-New Haven Health System

Our Clients Include

  • Integrated delivery networks
  • Community-based hospitals
  • Academic medical centers
  • Children's hospitals