Implementation of Electronic Medical Records (EMRs) have overloaded Emergency Department (ED) doctors with data on the patient. There is not always time to review multiple screens of data and/or to sort through multiple past patient encounters to find pertinent information. Mentally collating sequential trends in labs or studies to define chronic conditions is even more difficult.

Pertinent information is often missed. Underreporting of preexisting conditions occurs, which can result in higher than expected mortality rates, longer lengths of stay, greater costs per patient and inaccurate reporting of hospital quality ratings. There is a critical need to implement a technology to automate proper identification and documentation of major complications and/or comorbidities that were present on admission to ensure the proper diagnoses are communicated throughout the continuum of the patient’s care.









Enter Stony Brook University Hospital in Long Island. Stony Brook University Hospital needed a solution to quickly combine and search the EMR’s from all of the areas in the hospital (diagnostic imaging, hospital laboratories, etc.), including the information taken in the ED, and present it quickly and efficiently in one, easy to use format. Stony Brook group designed a software platform to do just this and Retrieve Dx™ was established. Retrieve Dx™ produced a 61% increase in the number of diagnosed comorbid conditions. 44% of the comorbid conditions were pre-existing.

What did this mean for Stony Brook?

  • Improved quality of patient care

  • Higher provider satisfaction

  • Higher quality measure scores

  • Increased reimbursements



Why Current Documentation Methods Cost Providers and Hospitals Revenue

While CMS revises the reimbursement payment structure from a fee-for-service to a pay-for-performance model, the risk-standardized mortality rate is heavily assessed to measure the quality of patient care. This measure, along with other quality measures, are the center focus for all healthcare organizations. Without appropriate and accurate diagnoses documented, the information within the EMR will not reflect the patient’s true severity of illness and predicted risk of mortality, leading to a cascading set of effects that will ultimately affect patient outcomes, decrease revenues and quality ratings for both physicians and the hospital.

Retrieve Medical’s proprietary real-time software called Retrieve Dx™, is a decision support application. It brings past and potential diagnoses to the forefront, allowing physicians to provide the highest quality of care. Evidence-based results are available to the provider in one location allowing for seamless and uninterrupted documentation of all relevant diagnoses. Data points, both historical and recent, are available for review at the time of initial documentation, decreasing the time that the care provider spends on the computer, while increasing time available for the patient:

  • Lab results
  • Radiology reports
  • EKG reports
  • Other clinical data

Retrieve Dx™ automatically searches through a patient’s medical records in less than 30 seconds, and determines possible co-morbid conditions from data fields such as vital signs, laboratory values, medication lists, and radiology reports prior to the patient’s admission to the hospital.

The system then sends present diagnoses, complications, and comorbidities to the doctor for a decision about inclusion or exclusion into the patient’s chart.  The process is easy and remains totally under the control of the admitting physician. This software saves the ED staff considerable time, results in more diagnoses made at the time of admission, increases hospital revenue, reduces hospital liability, results in better outcomes for the patient, and improves hospital and physician reportable ratings.

Retrieve Dx™ reduces manual processes where:

  • Physicians identify issues and manually enter information into the EMR system. This process is very time consuming and may generate errors of omission 
  • Utilization of standard notes, cut and paste techniques, or previously saved notes increases the risk of errors
  • Patients may not report every illness or symptom in the hospital and/or they may not know the extent of their chronic problems
  • Medical records may not “connect the dots,” leaving pre-existing symptoms undocumented in current documentation which in turn could lead to allegations of hospital negligence

Learn More about Retrieve Dx™


Benefit Realization

  • Improved recognition of comorbidities and severity of illnesses
  • Increase in CMI and CDI
  • Increases in quality of care
  • Promotion of effective communication and care coordination
  • Reduced liability
  • Promotion of effective prevention and treatment of chronic diseases
  • Improved patient outcomes
  • Increases in revenue
  • Increased hospital ratings
  • Increased physician quality scores

Retrieve Dx™: Real-Time Dx: Accurate and Efficient

  • Accurate diagnoses on admission are essential to operations:
  • Multiple internal processes depend on accurate diagnoses:
  • Patient placement on a unit
  • Staffing
  • Expected complications
  • Billing Metrics are directly affected:
  • Case Mix Index (CMI)
  • O/E calculations
  • Real-Time Dx easily provides the accuracy and efficiency all physicians desire in a decision support application.
  • Physicians:
    • Want to do the right thing without the extra time
    • Will not “buy-in” to a process or system that increases their workload or time spent on documentation
    • Desire greater accuracy to increase their ratings and revenue

Diagnoses Supported by Evidence-Based Findings and Results


Retrieve Dx™ is not a stand-alone system. It is easily integrated with any major EHR system already in use by a hospital:

  • Cerner/Siemens
  • Epic
  • Meditech
  • Allscripts
  • McKesson
  • Next Gen
  • Athena

Hospitals may customize the weight given to specific clinical data points as well as which data the software accesses. This flexibility makes it easier for each hospital to adjust the tool to their unique needs and presentation.

There are currently no other applications in the IT space that are like Retrieve Dx™, a real time decision support application. Retrieve Dx™ allows for accurate and efficient documentation of diagnoses upon the initial assessment or admission. Other applications and methods rely on the analysis of physician documentation only. They require additional research and documentation by the physician.



Suggests Possible Comorbid Conditions

  1. Automatically identifies key indicators for comorbid conditions that contribute to a patient’s risk of mortality.
  2. Automatically fetches historical patient data to aid in complete medical coding.

Physician Selects Suggested Comorbidities

  1. All suggested comorbidities can be justified based on a custom set of rules and keyword searches through patient records.
  2. Comorbidities are added to patient record only with Physician approval

Omission of Comorbid Conditions

  1. Automatically search a patient’s electronic medical record (EMR) and generates possible comorbid conditions based on vital signs, laboratory values, medication lists and radiology reports. 
  2. Algorithms are used to assist in identifying some of the top comorbid conditions that have the greatest impact on mortality risk

Conditions Erroneously Categorized as “Hospital Acquired”

  1. Generates suggested comorbidities based on patient data from previous and current encounters which are documented prior to admission to hospital.

Too Much Time Searching Through Data

  1. Automatically gathers patients’ medical data in seconds
  2. Suggests possible comorbidities and complications


Retrieve GED Assessment

Emergency departments are the gateway for healthcare for most seniors – 1 of every 3 elderly patients are admitted each day. Is your ED staff prepared for them? Retrieve GED is!

As the older adult population increases in the U.S., we are challenged with how to better serve their unique healthcare needs. Increasingly, Geriatric emergency departments (GEDs) are being added to the regular emergency department to address this need

Annually, there is nearly one ED visit for every two older Americans. Older adults also are at increased risk for serious complications in the ED compared to younger people. Additionally, ED environments, which are often characterized by bright lights, fast pace of activity, and loud noises, can be disorienting to older adults and potentially interfere with the effectiveness of care.

Retrieve Medical has introduced a Retrieve GED assessment which can improves geriatric ED productivity by using the latest technology to make an ED physician’s work more productive for senior-care. Retrieve GED ensures the most accurate clinical protocols for documentation while helping teams more effectively monitor risk assessments in seniors.

When ER clinicians screen older patients to determine their frailty, risks of falls or delirium, or check prescriptions against criteria for potentially inappropriate medication use in older adults, it’s a chance to safeguard their health in the moment and later at home. Retrieve GED is an innovative program enabling CAPD (computer-assisted physician documentation) so doctors can document patient interactions easily, quickly and more thoroughly and be alerted to possible comorbidities and medical issues.







Dr. Henry was on ACEP’s EMergence podcast discussing Retrieve Medical.  

Click the button to listen to the episode:



Retrieve Medical Team 

Our cohesive team works together to build a quality product and support our clients. We are leading experts in the IT and hospital industries. We speak the language of our clients. Sound and experienced business strategists plan and execute each step from start-up to easy interface with major industry end users.

IconDr. Mark Rosenberg, DO, MBA, FACEP, FAAHPM

Chairman of the Board

Chair of Emergency Medicine at St Joseph’s Health in Paterson and Wayne, New Jersey overseeing the care of more than 200,000 adult and child visits annually.  He is board certified in Emergency Medicine as well as Hospice and Palliative Medicine.  Dr. Rosenberg also serves as Chief Innovations Officer (CINO) at the same institution.  

Dr. Rosenberg is past Chairman of the Geriatric Emergency Medicine Section of the American College of Emergency Medicine (ACEP); Past Chairman and Founder of the Palliative Medicine Section of ACEP; responsible for the development of the Pain and addiction Section for the College; and serves as Secretary-treasurer for ACEP and secretary-treasurer for the Emergency Medicine Foundation.  

Dr. Rosenberg is principle author of the Geriatric Emergency Department Guidelines.  He has written many articles and chapters on Geriatrics, Palliative Care, Pain Management and Emergency Department Innovations and has lectured internationally.  He has developed many innovative programs including the acclaimed Palliative Medicine program called LSMA Life Sustaining Management and Alternatives and the ALTO (Alternatives to Opioids) program which is a Multidisciplinary Acute pain management program that not only helps patients with painful conditions without using opioids but also helps those patient with drug dependency and addiction. 

IconJerry E. Swon

Chief Executive Officer

Mr. Swon’s executive management career covers more than 40 years. He has worked with experts from academic environments including Princeton, Cornell, Rutgers, University of Louisville commercializing technologies. He has orchestrated exit strategies for five companies with a total market cap in excess of $250 million. Mr. Swon has served as investment banker and advisor to the executive staff of five companies with a total market cap in excess of $120 million. He has also served as CEO of four companies with a total market cap of over $150 million. Mr. Swon joined the Company in 2018 as a consultant and became its Chief Executive Officer in 2019.

IconKaren Chase MS, BSN, RNC, CCDS

Senior Advisor

Karen has over 35 years of varied clinical healthcare and leadership experience and extensive knowledge in healthcare quality management, performance improvement and comparative data analysis. She holds a master’s degree in Healthcare Administration as well as advanced certification in Healthcare Policy and Management. 

Karen has been recognized as one of the Association of Clinical Documentation Improvement Specialists top 30 leaders in the nation and was invited to the newly established Leadership Convention for 2016.

Karen was the Director of CDI and the Associate Director of Revenue Integrity at Stony Brook Medical Center. There she worked closely with the HIM, Coding, and Quality Departments to develop a robust CDI program that ensured accurate, compliant documentation as well as accurate reportable outcomes data.  She also serves as a nurse legal consultant to an Emergency Medicine consulting firm where she evaluates and defends medical legal cases.  

IconDr. Donald Thomas III

Chief Medical Officer

Dr. Thomas has created or reshaped clinical care delivery systems in 30+ healthcare organizations in the northern hemisphere, including healthcare systems, hospitals, clinics, group practices and an insurance provider medical bureau, while delivering increased quality, patient satisfaction and metrics, in addition to significant new dollars to the organizational bottom lines. He is a relentless problem solver and is especially suited to working in situations that are not functioning at their peak.  Dr. Thomas graduated from Howard University College of Medicine with an M.D. in Medicine and earned his A.B. in Physical Science and Genetics at Harvard University.

CMO for L.A. County Health Dept. (.8B budget, 22,000 employees, 3,500 MDs, 6 hospitals, 6 urgent care centers and 126 clinics)

U.S. Dept. of Heath COGME councilor from 1998-2003

Led clinical design teams for 2 hospitals and 2 emergency centers

Restructured Medicaid medical division for a major health insurer

IconKathy Valli

Senior Vice President

Kathy is a seasoned healthcare professional with deep expertise in emergency medicine practice administration and hospital/physician relations. A former executive with both Envision Physician Services and Emergency Medical Associates of New Jersey, Kathy has managed a team of 100 healthcare professionals and successfully negotiated many multimillion-dollar hospital contracts. She also oversaw finance, business development, revenue cycle management, client relations/satisfaction, and physician recruitment.

Kathy is a member of the Practice Management Committee of the Emergency Department Practice Management Association(EDPMA), and President of KMV Consulting, providing operational and strategic solutions to hospital-based physician groups and their partners.


Joerg Klaube

Financial Officer


Harriet L. Donnelly

Marketing Officer


James J. Noonan

Operations & Training


Thomas Swon

Business Development


Please contact us with any questions or for a demonstration of this powerful tool. We welcome your inquiries regarding the Retrieve Dx™ software technology and business opportunities. Let Retrieve Medical improve your hospital metrics, your doctor ratings and your quality of patient care.