Google Cloud Startup Program Application — Ardia Health is transforming chronic respiratory care through longitudinal clinical reasoning. Predict exacerbations 7 days in advance, reduce ER visits by 40%, and generate $180/patient/month in RPM revenue.
Clinical Reasoning Engine — 5-Step Flow
Unlike transcription tools or alert systems, Ardia analyzes longitudinal patient data to predict deterioration 7 days before crisis. We reason across time, recommend next-best-actions, and help providers prevent ER visits.
FHIR, EHR, wearables, patient-reported symptoms via Google Cloud Healthcare API
Clean and map to clinical ontologies (SNOMED, LOINC) using Dataflow + BigQuery
Temporal pattern analysis and multi-factor correlations via Vertex AI
0-100 exacerbation risk score + recommended interventions
Real-time dashboards and mobile app guidance powered by Cloud Run + Firebase
Why Google Cloud is Essential
Data Layer: Cloud Healthcare API (FHIR R4), BigQuery, Cloud Storage, Pub/Sub
AI/ML Layer: Vertex AI custom models, AutoML Tables, Vertex AI Pipelines
Application Layer: Cloud Run, Cloud Functions, Firebase, Dataflow
Security & Compliance: Cloud IAM, Cloud KMS, VPC Service Controls, Cloud Logging
100% Google Cloud infrastructure — No multi-cloud dependencies
Preventing ER Visits Through AI Reasoning
Patient reports increased breathlessness. Rescue inhaler use: 3x/day (normal: 1x/week)
Ardia AI analyzes: FEV1 ↓ 5%, nighttime symptoms ↑. Exacerbation risk: 68%
Provider dashboard flags patient as HIGH PRIORITY. Schedules urgent visit
Patient stabilizes. ER visit avoided ($8,000 saved). Clinic earns $60 RPM revenue
Target: 3 primary care clinics, 500 asthma/COPD patients
Goal: 40% ER visit reduction, $180/patient/month RPM revenue
Outcomes: 94% prediction accuracy, <200ms inference latency, 99.9% uptime
Competitive Differentiation
We explain clinical logic and recommend actions, not just flag problems
We solve care gaps (predict deterioration), not documentation gaps
We predict crisis 7 days early, not after ER admission
100% Google Cloud with Healthcare API, Vertex AI, BigQuery
$100K in Credits + Technical Partnership
$30K — Vertex AI model training (custom respiratory exacerbation models)
$25K — BigQuery analytics (longitudinal patient timelines)
$15K — Healthcare API FHIR store (EHR data ingestion)
$10K — Cloud Run/Functions (provider dashboard + patient app)
$10K — Monitoring/Security (Cloud Logging, IAM, KMS)
$10K — Dataflow ETL (Epic/Cerner integrations)
✓ 40% reduction in ER visits | ✓ $180/patient/month RPM revenue
✓ 94% prediction accuracy | ✓ <200ms inference latency
✓ 10 clinics, 2,000 patients | ✓ 99.9% uptime