TeleTracking

Operations IQ is workflow software that predates its AI and would still work without it. Bed management, transfer center coordination, transport, referral routing and enterprise analytics carry most of the platform, and the company frames itself as combining more than 30 years of operational expertise with AI.

The learned component sits in one module. Decision IQ, launched in November 2025, builds a computational twin of each hospital from its own throughput data, forecasts demand and bed availability, simulates discharge strategies, and ranks discharge work through an opportunity score delivered into the tools frontline teams already use. The models are trained on each customer's own data, retrained regularly and watched for drift by machine learning engineers, so this is a fitted model rather than a rule set. It takes its inputs from the company's capacity products and returns its output inside them.

Decision IQ recommends and people act. Patient flow leaders review the opportunity score, an AI recommended, human approved ranking, and set priorities, which are then sent automatically to interdisciplinary care staff inside their existing workflows. TeleTracking states that predictions and priority scores always require human intervention before any action is taken. Operators can also simulate a discharge strategy's effect on the whole hospital before switching it on, and after a large, unpredictable shift the tool shows which features are affected and which can stay in use.

No threshold is published at which a forecast is withheld as unreliable, and what happens after a ranking proves wrong is not described.

Decision IQ builds a facility level computational twin from the hospital's own process data, then runs forecasting models for demand and bed availability and optimization methods that turn them into patient level discharge priorities. Its inputs are visit and placement timestamps, discharge milestones, care progression indicators such as pending orders, consult completion, lab results and diagnosis status, and unit census, drawn from Capacity IQ or Capacity Management Solutions. It uses no public large language models. Models are trained per hospital, retrained on a schedule and on demand after workflow changes, and monitored against actual outcomes for drift.

No model class, algorithm or version is named, customers are not told when a retrained model goes live, and no forecast accuracy figure is published.

The model layer is in house. Decision IQ uses no public large language models, runs every AI output inside TeleTracking's own technology stack, keeps hospital data off public facing APIs, and trains each customer's models on that customer's data rather than pooling it.

Around that layer, TeleTracking keeps a public subprocessor list, version 2026.3 from August 2026. It names Amazon Web Services as the hosting environment, Auth0 for sign in, Redox and Workato for integration, Snowflake and Fivetran for data warehousing and pipelines, Palantir as a platform provider for internal product development, and support and professional services firms in the United States, the UK and India, with the India firm barred from protected health information. What each party may do with data once it arrives, and whether any of them touches Decision IQ's training data, is not stated.

Adoption is broad and outcomes are unmeasured. TeleTracking says eight of the largest United States health systems and more than 150 health systems use Operations IQ, that the platform covers 30 percent of United States hospital beds and processes 34 percent of United States discharges, and that it is built on more than 455 million events. Those figures describe reach rather than benefit.

University of Louisville Health is the named early adopter of Decision IQ, described as seeing transformed patient flow and significant efficiency gains with no figure attached, and Carilion Clinic is named for referral management and fewer avoidable delays, also without figures. The Decision IQ white paper lists expected benefits, shorter waits, less boarding and more capacity, and no study, baseline or measured result is published.

Decision IQ's models are trained on each customer's own hospital data rather than pooled across organizations, use no protected health information or protected characteristics, and run entirely inside TeleTracking's technology stack, with no public large language models and no hospital data exposed to public facing APIs. The wider security program adds encryption through the data lifecycle and least privilege access.

No retention period is published for operational data, location data or model inputs. The signal map also lists lab results and diagnosis status among the inputs, and how those signals are kept free of protected health information before they reach a model is not explained, nor is how a harmful recommendation would be handled as a safety event.

The platform handles protected health information and, in many deployments, real time location data about patients and staff. TeleTracking's trust center lists HIPAA among its compliance frameworks alongside HITRUST certification, its security page says its data protection aligns with HIPAA guidance, NIST guidance and UK GDPR, and a data processing impact assessment for Decision IQ is released on request.

Business associate status is not stated anywhere public, no agreement template or tier is published, and the published privacy policy covers the website rather than the service.

TeleTracking's trust center lists ISO 27001:2022 certification with its statement of applicability, HITRUST certification with the assessment report, UK Cyber Essentials and the NHS Data Security and Protection Toolkit, along with a September 2024 penetration test attestation for Capacity IQ, an architecture and data flow diagram, and more than 200 controls grouped by area. The documents are released on request rather than open to a visitor. The security program behind them covers encryption, least privilege access, regular penetration testing, vulnerability management, intrusion detection, a tested incident response plan and business continuity.

Which products and hosting regions the ISO and HITRUST scopes cover, and whether Decision IQ sits inside them, is not shown on the open page.

Decision IQ is scoped as operational decision support, and TeleTracking makes no device claim for it or the wider platform. Bed management, transfer coordination and discharge prioritization are operations work.

The closest point to clinical territory is discharge readiness. The computational twin reads care progression signals, including lab results, pending orders, consult completion and diagnosis status, and ranks patients for discharge work. TeleTracking presents the result as a priority for teams to act on, approved by a person before any action, and the discharge decision stays with clinicians.

Decision IQ is monitored continuously. Automated pipelines compare predicted with actual outcomes and watch for drift, machine learning engineers and data scientists review changes, and models are retrained on a schedule or on demand; after a large shift such as the COVID-19 pandemic, the tool flags which features are affected. An AI impact assessment for Decision IQ is held in the trust center and released on request.

On bias, TeleTracking says the models use no protected characteristics, rank patients on non protected data such as timestamps from the stay, and are designed to produce uniform, deterministic outcomes across patient cohorts. No recommendation distributions by patient group, payer, discharge destination or unit are published to show it. The question is specific here, because a ranking that favors patients with fewer open care items may move simpler patients first.

Decision IQ's safeguards are procedural. The opportunity score is AI recommended and human approved, predictions and priority scores need a person before any action, and a closed loop tracks each decision from forecast to recommendation alongside automated monitoring of predictions against outcomes.

No accuracy or error rate is published, and no warranty, indemnity, service credit tied to forecast quality or correction route stands behind the forecasts or rankings. The exposure from a wrong capacity forecast is operational, a unit staffed for demand that did not arrive or a discharge sequence that left the emergency department boarding, and it lands on the hospital.

Operations IQ depends on the hospital record. Decision IQ's care progression indicators typically come through ADT and EMR interfaces built into the company's capacity products, with radiology and lab order interfaces being scoped, and priorities are embedded in the systems frontline teams already use. TeleTracking's subprocessor list names Redox as its integration engine and Workato for integration services, and the platform connects to affiliated and non affiliated health systems for transfers.

No record system is named, no interface standard or marketplace listing is given, and whether the platform writes back to the record is not stated.

Operations IQ moved from installed software to a hosted service in 2024, which removes customer hardware and hosting investment and lets features update immediately. Amazon Web Services hosts it, in the United States for US customers and in the EU for EU and UK customers, according to TeleTracking's August 2026 subprocessor list, which also names Microsoft and Liquid Web as hosting environments. All AI outputs run inside TeleTracking's own stack.

How one customer's data is isolated from another's is not described, and UK customers' data sits in the EU rather than in the UK.

Decision IQ is sold as an addition to the Operations IQ platform, since it runs on data from Capacity IQ or Capacity Management Solutions, and the platform has been delivered as a hosted service since 2024 rather than as installed software. Adoption and implementation services are sold under the Adopt IQ name.

No price, unit of charge or pricing basis is published, so whether cost scales by bed, facility, module or enterprise, and what Decision IQ adds to an existing contract, cannot be worked out before a sales conversation.

Operations IQ covers the acute care patient journey: access and transfer center work, bed and capacity management, inpatient throughput, transport, ambulatory operations and analytics, with real time location tracking in many deployments and Decision IQ adding discharge prioritization. Customers are hospitals and health systems in the United States and the United Kingdom, where TeleTracking runs a UK affiliate, uses a UK implementation partner and lists an NHS Data Security and Protection Toolkit attestation. Named deployments include University of Louisville Health (Decision IQ and transfer operations) and Carilion Clinic (referral management), and the company says eight of the largest United States health systems use the platform.

Academic medical centers, community and rural hospitals are all served, and no results separate how Decision IQ performs in each.