Octavia by Mastodon Solutions

Revolutionary collaborative software improves patie...


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Follow up phone contact after a hospitalization is a vital part of readmission reduction. Octavia streamlines this process, matching patients with the appropriate level of follow up care, making the biggest impact with minimum expense. 

Octavia has proven to increase patient satisfaction by 14%, bolster revenues, minimize the millions spent on Medicare fines, and reduce avoidable readmissions by at least 42% (potentially greater reductions with increased utilization).

Near elimination of unnecessary clerical work, reduction of errors, improved care and greater impact on patient lives has resulted in higher staff satisfaction and end-user adoption.

Preventable re-hospitalizations cost the healthcare system billions of dollars and lead to decreased patient satisfaction, increased mortality and avoidable suffering.

An Industry Payment Shift
As a way to reduce skyrocketing healthcare costs, the Centers for Medicare and Medicaid Services (CMS) created the Hospital Readmissions Reductions Program (HRRP) and the Value Based Purchasing Program (VBP), causing a shift from fee-for-service to pay-for-performance.

New Performance Measures
80% of Medicare reimbursement will be tied to performance and quality measures by 2018, and hospitals face stiff penalties for high levels of readmissions and poor patient satisfaction.

New Medicare standards penalize hospitals for excessive readmissions and poor patient satisfaction rates. As readmissions are one of the largest unnecessary costs in a hospital system, private insurers contract with hospitals to lower patient readmissions as a way to reduce their expenses.

Inefficient Systems
High quality in-hospital and post-acute patient care requires efficient collaboration and communication to track, monitor and coordinate the delivery of care to patients.

While all hospitals use Electronic Health Record (EHR) systems, these cumbersome databases are not optimized for care coordination.  They require staff to manually access and organize patient data spread across multiple screens, hidden deep within multiple click levels. Patient data in the large EHR systems (e.g. Cerner, Epic) is not configured in a way that allows for optimal collaboration and patient-centered focus.

Manual processes involving paper, phone, and fax communication are not only prone to medical errors but are costly and time-consuming. This causes reduced care, quality control and satisfaction for the patient. On the care provider side, cumbersome systems lead to diminished productivity for hospital staff; over-utilized employees from duplicated workloads, and added costs and penalties for hospitals.

Octavia is a medical software solution that improves healthcare outcomes, increases operating efficiency, lowers administrative costs, improves oversight and accountability, and generates revenue from patient care services.

Octavia takes data scattered across the hospital’s EHR and automatically organizes, analyzes and displays the data in one collaborative workflow management tool, making coordination between hospital and outpatient departments more streamlined.

Hospital Customizations (Macro level)
Octavia is EHR agnostic - compatible with all existing EHR systems. Intended to promote collaboration across all care delivery departments, Octavia can be customized to include specialty systems that may be unique to a particular hospital or affiliated program.

User Customizations (Micro level)
Octavia enables medical staff to meet changing demands by allowing them to customize their own search criterion, making it faster and easier to find the exact patients that they can help. These customized searches can be shared across the system and form the basis for daily work lists, oversight lists, and downloadable data output for analysis.  Octavia also creates multiple parallel workflows in order to prevent bottlenecks and dead ends in care, allowing teams to efficiently re-route patients to the correct caregiver or program.

Simplified Patient Care
Octavia was designed alongside doctors, nurses and therapists to address healthcare challenges. It takes a wide range of information throughout the hospital’s EHR and makes it available in one patient-centric, easy-to-use dashboard, enabling clinical staff to provide collaborative, whole-person care. Octavia enables patients to be monitored in a cost-effective and time-efficient manner while cutting down the administrative burden on staff. Octavia has been tested with hospital systems through a working prototype and is empirically proven with statistically significant results.

Data Analysis Suites
Using powerful reporting tools, Octavia provides hospital staff with clear information surrounding readmissions including who is at risk, where readmitted patients are located, and when readmissions are happening.

  • Who: arrange patients by ward, date, readmission risk, insurance or multiple combinations of attributes and history.  Analyze team performance at the ward, wing, doctor, nurse, case manager, social worker and ancillary services level.
  • Where:  readmitted patients can be tracked to determine where they may have previously been discharged from and the context behind their prior situation.
  • When: identify the amount of time between discharge and readmission, and assess which days, times, shifts are most vulnerable to high readmission rates.

Octavia improves staff satisfaction by making jobs easier and providing top-notch management reports. User feedback from the Octavia prototype includes:

Octavia launced in 3 Central California Coast hospitals on April 25, 2018.  The first generation of Octavia was installed in three hospitals in 2015 and had been integrated in daily workflows throughout multiple provider departments. Meeting shoulder to shoulder with end users has enabled continual improvement in functionality that we know our stakeholders want.  

Product Development

April 10, 2015: Patent filed with USPTO for domestic and international patent protection.

We are partnered with Dignity Health who estimates their investment in servers, security, design and vetting of over $100K, and commits to continue support and licensing.

Potential future partners include consulting firms that provide overarching consulting services and IT solutions for hospitals. We believe that partnering with such companies can provide a path to accelerated nationwide adoption of the Octavia platform.

Additional reference partners/customers include:


Behavioral Health Integration Project
(B-HIP is a Blue Shield Foundation grant funded project)

We are open to partnerships with hospitals systems for enterprise-wide adoption and full integration into the hospital workflow.  This would provide Octavia an opportunity to have meaningful use across the caregiver departments, an environment where Octavia’s benefits can shine.

We have launched a paid pilot with three Dignity Health Central Coast Northern Service Area (CCSA) hospitals.  Our next step is successful implementation, which will lead to two additional CCSA hospitals, with subsequent expansion to the entire Dignity Health system.

After these five initial hospitals, we plan to implement Octavia at seven hospitals in the Southern California Service Area where the Chief Informatics Officer is firmly behind the Octavia project.  Dignity Health Nevada facilities are looking at the product now as well.

Want to learn more about Mastodon Solutions, LLC and what they have planned for the future? Make sure to request access to the Business Plan tab of the profile to find out how you can get involved!

Dan is an entrepreneur, venture investor, executive, advisor, consultant and educator with a 30-year record of success building businesses and creating financial value. Most recently, Dan served as the Managing Director of SJ Investment Company, an investment fund providing capital and oversight to early stage companies. He also served as Chairman/CEO of Medicus Biosciences, a biotech company that developed a patented PEG-based polymer used as a medical sealant and drug delivery device.

Dan has been a lecturer and faculty advisor at the UCLA Anderson School of Management since 2008. His earlier career includes positions as the EVP in charge of M&A at a publicly traded electronics firm, the Founder/CEO of a nationwide, turnkey, point-of-sale computer company, the Founder/Managing Director of a formalized angel group, and the CEO of a high growth, early stage enterprise software company. His previous consulting and academic positions include Clinical Assistant Professor at NYU’s Stern School of Business, the Chairman of two groups of CEOs for Vistage and the Founder/Managing Director of a consulting firm specializing in helping small to mid-size companies. Dan holds a Ph.D. from the Wharton School and an MBA from NYU’s Graduate School of Business.

David is a graduate of the USC School of Medicine. He completed a prestigious residency at LA County and USC General Hospital, and is Board Certified in Emergency Medicine. He practiced Emergency Medicine at MRMC for 13 years before transitioning to the positions of Physician Advisor to Utilization Management and Chair of Readmissions. Dr. Duke has created numerous tools to help at-risk patients, improve patient education, assess patient literacy and learning preferences, and determine preventable causes for readmission. He is known for his passionate enthusiasm in championing creative, easy-to-use solutions for better patient care and patient experience.

Dwight is a management professional with a passion for learning and using his analytical skills and technological background to solve problems. This passion for problem solving has taken Dwight from being a software consultant writing code for ERP integrations to being a product manager identifying market opportunities and improving product launches. His experience includes creating internal software solutions that improve customer retention, working with companies to monitor and streamline production processes and building a product management department to successfully take products to market.

Ken is an ecologist working on applied research and conservation projects for a wide variety of species. He earned his Ph.D. in Ecology, Evolution and Conservation Biology from the University of Nevada, Reno, and currently serves as Adjunct Assistant Professor in both Biology and Geography at UNR. He worked with the US Geological Survey as a Research Wildlife Biologist for 11 years, completing numerous projects, publishing more than 45 peer reviewed publications, book chapters and reports. He is widely known for his analytical and programming skills, and has extensive experience in Neural Network and Graph Theory Modeling, Species Distribution Modeling, Epidemiological Modeling, Complex analyses of the effects of climate change and anthropogenic impacts on species distributions, and Biophysical and Biostatistical Modeling. Among his other work, he is completing a super-computing project for the Max Planck Institute. Ken’s background in bio-statistical modeling helps define and prove the algorithms in use on thousands of patients with millions of data points within Octavia.

Janet holds a Doctorate of Physical Therapy from the University of Southern California. She has practiced physical therapy since 1998 in acute care, outpatient and home health settings. Janet intimately understands the provision of direct care on a daily basis to the recently discharged, underserved, underinsured and elderly patients on the Central Coast of California while also overseeing the operations and management of the Octavia team.

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