FHIR-native risk detection · skilled nursing
StarChart reads the resident record on every scan, plots what it finds, and surfaces the flags — ranked by what it costs the facility to miss them.
Pre-revenue · booking discovery calls with skilled nursing operators
The signal isn't missing. It's unread.
A director of nursing at a 120-bed facility has minutes per resident and a record that runs to hundreds of FHIR resources. Nobody is failing at their job. There is simply more chart than there is day.
StarChart runs on the charting your staff already does. There is no second system to enter data into and no workflow to retrain.
Step 01 — Read
The record arrives through your EHR's existing FHIR endpoint. StarChart requests the narrowest bundle each flag actually needs, and nothing beyond it.
Step 02 — Measure
Each bundle is measured against the flag set — observations, medications, encounters, coverage, care plan — and placed against the arc of the stay so far.
Step 03 — Rank
What surfaces is ordered by unreimbursed-cost exposure. The top of the list is the most expensive thing to miss today, not the loudest.
Ordered by exposure, not by severity. A high-acuity event you'll be reimbursed for ranks below a quiet one you won't.
30-day unplanned readmission risk
Encounter + Condition + Observation
PDPM classification drift
Claim + Condition
Facility-acquired pressure injury
Observation + CarePlan
Part A benefit day exhaustion
Coverage + Encounter
Antipsychotic without supporting diagnosis
MedicationRequest + Condition
Therapy minutes below threshold
Procedure + CarePlan
Exposure figures are per-event modelled estimates, not billed averages. Facility-specific numbers come out of discovery.
A ports-and-adapters core, so the flag logic never knows which vendor it's talking to.
Adding a new EHR is an adapter, not a rewrite. The rules that decide what counts as a flag stay in one place and stay testable.
StarChart doesn't write to the chart. It requests the resources a flag needs, evaluates them, and hands the result back to a human.
Open any flag and you see the exact resources it fired on. A clinician can read the reasoning — and disagree with it on the record.
Contact
We're looking for a small number of skilled nursing operators willing to walk us through where cost actually leaks in their building. You talk, we listen, you get the notes.