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A case study · Healthcare

Redefining cardiology intelligence via scalable RPM data architecture

Executive Summary

A leading cardiac healthcare technology provider engineered a lightweight, continuous wearable ECG patch designed to replace traditional, short-duration diagnostic tools. However, capturing continuous physiological data over extended periods introduced a severe secondary challenge: translating massive streams of unformatted rhythm data into actionable clinical insights. The client faced critical visibility gaps, restricted by episodic reporting workflows and an inability to sustain continuous rhythm surveillance across outpatient settings.

To bridge this diagnostic gap, Bridgeport partnered with the organization to architect a robust, cloud-connected software ecosystem. By establishing a single source of truth for patient cardiology data, Bridgeport reclaimed thousands of hours previously lost to manual review and consolidated disparate diagnostic streams. This integrated architecture eliminated the data fragmentation that plagued legacy workflows, enabling clinicians to seamlessly process multi-day rhythm information, optimize care delivery, and detect intermittent arrhythmias with unprecedented precision.

24–48h Episodic

Traditional Holter

Fragmented data capture, limited detection window, and heavy manual review burden.

VS

Continuous Multi-week

Wearable Patch + Cloud

Unified source of truth, automated insights, and sustained longitudinal care delivery.

The challenge

Data Fragmentation and Manual Heroics

Historically, cardiology departments have depended on episodic diagnostic tools—such as 12-lead ECGs and 24–48 hour Holter monitors—that capture exceptionally narrow windows of cardiac activity. Relying on these short-duration tests forced clinical teams into “manual heroics,” piecing together disjointed data fragments in an attempt to diagnose intermittent arrhythmias. This fragmented approach fundamentally restricted the ability to execute population-level remote patient monitoring (RPM) without dramatically increasing administrative overhead and clinical burden.

Furthermore, organizations lacked the necessary scalable infrastructure to sustain continuous rhythm surveillance across multi-day or multi-week periods within an outpatient setting. Unlike general-purpose home sleep testing platforms designed for short diagnostic windows, cardiology demands a sustained, specialized framework.

Key Friction Points

Diagnostic Visibility Gaps

Short-duration diagnostic windows routinely resulted in missed detection of intermittent conditions, such as paroxysmal atrial fibrillation, which may go completely undetected if an event fails to occur during the brief testing period.

Workflow Bottlenecks

Heavy dependence on in-clinic workflows restricted monitoring solely to patients who could physically attend appointments, creating unsustainable workloads for care teams attempting to scale their RPM panels.

Revenue Inconsistency

Fragmented billing structures remained strictly tied to individual, episodic test events, which hindered predictable revenue generation and practice growth for cardiology providers.

The solution

Engineered for a Single Source of Truth

To overcome these critical operational bottlenecks and close the diagnostic gap, Bridgeport engineered a vertically integrated data platform tailored specifically for complex cardiology workflows. Key pillars of the solution include:

Continuous Surveillance

Pivoted from isolated snapshots to a dynamic “Single Source of Truth” supporting uninterrupted, longitudinal cardiac surveillance.

Automated Ingestion

Technical architecture seamlessly ingests continuous, all-beat rhythm capture directly from wearable ECG patches without requiring manual patient activation.

ETL Pipelines & EDW

Integrated advanced, automated ETL routing physiological telemetry into a centralized, HIPAA-aligned Enterprise Data Warehouse (EDW).

Advanced BI & EHR Integration

Raw datasets are transformed and securely pushed to Power BI/Tableau, embedding structured rhythm insights directly into ordering cardiologists’ clinical portals.

Scalable RPM Data Architecture

Wearable Patch

Automated ETL

HIPAA EDW

Power BI / EHR

The Results

Metric

Before Integration

After Integration

Diagnostic Yield

Episodic diagnostics led to frequent missed detection windows for paroxysmal atrial fibrillation and intermittent events.

Uninterrupted ECG capture across multi-day monitoring significantly improved automated arrhythmia detection rates.

Care Team Workload

Heavy reliance on restrictive in-clinic visits and manual patient activation for event-recorder monitoring.

Asynchronous clinical review and remote onboarding optimized throughput without proportional administrative staff increases.

Revenue Model

Inconsistent income generated on a restrictive study-by-study, episodic per-test billing basis.

Scalable, recurring RPM revenue tied to ongoing patient enrollment, extended wear times, and monthly monitoring.

“By consolidating fragmented ECG streams into a centralized data warehouse, we engineered a single source of truth that empowers cardiology practices to reclaim clinical visibility, decisively shifting their operational posture from reactive episode management to proactive, scalable, and continuous longitudinal care.”

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