Clinical Decision Support Platform for Labor & Delivery

A SMART on FHIR-enabled, secure, and configurable web application designed to support providers during the U.S. maternal and neonatal health crisis by improving patient safety, clinical documentation, and operational efficiency in Labor & Delivery units.

HealthTech
AI and Machine Learning
SMART on FHIR
Deliverables
  • RiskLD Web Application
  • Integration with Epic via SMART on FHIR APIs
  • Configurable Rule Engine & Reporting Tools
    • Services
  • Clinical Workflow Analysis
  • FHIR Integration & API Development
  • Backend and Frontend Architecture (MVC + Vue.js)
  • Secure Azure Hosting and Compliance Review
  • UI/UX Improvements Based on Clinical Feedback
    • Technologies
  • .NET Framework 4.8 (MVC)
  • Vue.js
  • C#
  • SQL Server
  • JavaScript / jQuery / Razor Views
  • Azure App Services
  • Epic SMART on FHIR (R4 APIs)
    • Deliverables
    Technologies
    Services

    Project Overview

    A SMART on FHIR-enabled, secure, and configurable web application

    In response to the alarming rates of maternal and neonatal mortality—the highest among developed countries—RiskLD delivers real-time clinical risk alerts and decision support. Built on SMART on FHIR, the system empowers providers, nurses, and quality teams to flag, monitor, and respond to critical risk factors directly within their Epic workflows.

    The Challange

  • U.S. maternal mortality reached 22.3 deaths per 100,000 live births in 2022.
  • Nearly two-thirds of maternal deaths occur postpartum, influenced by behavioral health and social determinants.
  • Hospitals lacked configurable, standards-compliant tools to standardize safety protocols across diverse populations and postpartum timelines.

    • ‍

    Our Solution

    We integrated RiskLD with Epic using OAuth2 and SMART on FHIR APIs to access patient data such as vitals, labs, and social risk indicators. A configurable rules engine processes this data to deliver clinical alerts in real time. The platform includes hospital-specific customization, audit logging, and analytics to ensure compliance and performance across multiple clinical sites.

    Features:
  • SMART on FHIR login for seamless Epic integration
  • Real-time, configurable rule engine for labor, delivery, and postpartum surveillance
  • Multi-tiered workflows for nurses, physicians, and administrators
  • UI components built in Vue.js for interactive dashboards
  • Reporting on severe obstetric complications
  • Admin portal for hospital-level customization

    • ‍

    The Results

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    35%

    Faster case completion

    90%

    Staff adoption in 2 weeks

    70%

    Reduced task duplication

    150M

    Annual cost saving through improved efficency

    The Results

  • Epic integration across multiple production systems
  • Improved early detection and intervention across diverse patient populations
  • Supports national efforts to reduce maternal health disparities and eliminate maternity care deserts
  • Security & performance validated (TLS 1.2+, Epic validation, optimized FHIR usage)

    • ‍

    92%

    Reduction in severe safety incidents

    ‍

    93%

    Decrease in obstetric litigation costs

    ‍

    12+

    Clinical sites supported

    ‍

    Summary

    A SMART on FHIR-enabled, secure, and configurable web application

    Focus Area

    Project Overview

    In response to the alarming rates of maternal and neonatal mortality—the highest among developed countries—RiskLD delivers real-time clinical risk alerts and decision support. Built on SMART on FHIR, the system empowers providers, nurses, and quality teams to flag, monitor, and respond to critical risk factors directly within their Epic workflows.

    The Challange

  • U.S. maternal mortality reached 22.3 deaths per 100,000 live births in 2022.
  • Nearly two-thirds of maternal deaths occur postpartum, influenced by behavioral health and social determinants.
  • Hospitals lacked configurable, standards-compliant tools to standardize safety protocols across diverse populations and postpartum timelines.

    • ‍

    Our Solution

  • U.S. maternal mortality reached 22.3 deaths per 100,000 live births in 2022.
  • Nearly two-thirds of maternal deaths occur postpartum, influenced by behavioral health and social determinants.
  • Hospitals lacked configurable, standards-compliant tools to standardize safety protocols across diverse populations and postpartum timelines.

    • ‍

    The  Impact

  • Hospitals report improved early detection and intervention across diverse patient populations
  • Supports national initiatives to extend postpartum care coverage, reduce maternal health disparities, and eliminate maternity care deserts

    • ‍

    “RiskLD has become an essential part of our patient safety workflow—helping us catch postpartum risks we’d previously missed.”
    RiskLD

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    Our Clients Say It Best

    Behind every project is a relationship built on trust, communication, and shared success. Here’s what that sounds like.

    "The team is very personable; we feel like we're talking to friends."

    Bill Vasil
    Founder, CrewTrak

    "Collaborating with Moreland on this project was an absolute pleasure."

    Korey Silverman
    Director of Operations, General Pipe Cleaners

    "MorelandConnect has a great ability to keep the communication lines open with their clients."

    Amie Brock
    CEO, AIR Training Solutions

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