Skip to main content
Skip to main navigation
Skip to footer

Heart Pathway

HEART Pathway

HEART Pathway is a clinically validated decision support tool that improves health outcomes, reduces unnecessary healthcare costs and standardizes care for patients presenting to the Emergency Room with chest pain.

HEART Pathway is designed for more accurate risk stratification of patients who present to the Emergency Room with chest pain, identifying patients unlikely to benefit from hospitalization or stress testing/cardiac imaging who can safely be discharged home from the ED. The underlying algorithm, validation testing and randomized control trials for HEART Pathway are the result of several years’ clinical research and informatics conducted by researchers at Wake Forest School of Medicine.

Studies have demonstrated the benefits of HEART Pathway compared to usual care. Improved hospital and patient outcomes with HEART Pathway are demonstrated in a published randomized control trial (Mahler et al, Circ CVQO J, 2015). For patients presenting to the Emergency Room, HEART Pathway has shown to reduce patient length of stay by 12 hours, reduce cost by 14% per patient, and provide accurate decision support with a miss rate of acute cardiac events over a 30 day window at <1%

The app is designed to help hospitals standardize care for patients who present to the Emergency Room with chest pain, improve patient outcomes, improve clinical adherence to protocols, and enable hospitals to track cardiovascular outcomes. HEART Pathway is built on Impathiq's IQ Engine, a scalable technology platform that enables clients to manage and monitor their entire suite of Impathiq apps.

Use Cases

  • ED providers can use HEART Pathway to rapidly and more accurately risk stratify patients presenting to the emergency room with acute chest pain.
  • ED providers can use HEART Pathway to improve clinical efficiency with *rapid documentation, charting and shared decision-making for patients with chest pain.
  • ED Directors can standardize care across their practice group for all patients presenting with chest pain, lowering cost and malpractice risk while increasing quality.
  • Healthcare Administrators can track adherence and patient population trends in real time for quality improvement and performance measures.

Supported Devices

  • Desktop
  • Tablet

Version Details

Marketing Version: 11.5

Requires: Cerner Millennium 2015.19 or higher

Key Features

HEART Pathway Input Screen

The provider enters risk factors, history and ECG findings for the patient. Certain findings can be pre-populated from the patient medical record using FHIR resources. Time to complete the HEART Pathway protocol typically takes less than one minute.

HEART Pathway Results Screen

Hospital administrators can utilize the Admin Dashboard for analytical data insights in real-time. Examples of data insights include provider adherence levels, patient risk scores and site-specific statistics on use of HEART Pathway over time.

HEART Pathway Documentation

The provider can save HEART Pathway results to the medical record with the click of a button. Another key feature is the HPI Generator, which automatically creates natural language HPI to expedite charting. The provider can also print an educational handout and a shared decision-making pictogram personalized for that specific patient.

HEART Pathway Admin Dashboard

Hospital administrators can utilize the Admin Dashboard for analytical data insights in real-time. Examples of data insights include provider adherence levels, patient risk scores and site-specific statistics on use of HEART Pathway over time.


Join the open movement

Stay up-to-date with code and the latest tools and resources available.