The open loop problem

Every hand-off is a promise someone has to keep.

A referral, a test result, a new prescription, a follow-up visit: each one needs someone to confirm it happened.

Today, nothing in the system checks back.With Carrie, every one is confirmed.

Closing the loop

Carrie closes it, one conversation at a time.

Carrie calls when the Program says it’s time, and patients can call Carrie whenever they need to. Either way, a question is tracked until it’s answered and every action is confirmed.

For your care team

  1. 1SignalA discharge, prescription, or referral.
  2. 5Flag and escalateSends concerns to your team.
  3. 6RememberEvery call informs the next.

With the patient, both ways

  1. 2Reach outCarrie calls first, by phone.
  2. 3ListenTwo-way, in the patient’s language.
  3. 4AskSymptoms, medications, and barriers.

Two calls, one patient, the same day.

Example · not a real patient

Carrie calls the patientScheduled check-in · Tue 2:00 pm
  1. CarrieHi Ms. Lopez, it’s Carrie from Dr. Patel’s office, checking in after your procedure. How is the site looking today?
  2. Ms. LopezPretty good. A little sore, but it’s healing.

Logged for the care team. Next check-in Thursday.

The patient calls CarrieAfter hours · Tue 8:12 pm
  1. Ms. LopezHi Carrie, the swelling seems worse tonight. Should I be worried?
  2. CarrieThanks for calling. I’ve flagged this for your care team so a nurse can follow up first thing tomorrow. If it gets much worse or you have trouble breathing, call 911.

Flagged for the nurse, first thing tomorrow.

30%of patients called Carrie back on their own, like this one.5

Programs

Clinicians approve every word Carrie says.

A Program is a playbook for one condition or procedure: the questions a clinician would ask, in the order they’d ask them, and what Carrie does with each answer.

Example Program

Post-procedure wound care

Dermatology · 3 steps over 7 days

Signed offDr. Patel · v3.2

Nothing goes live without sign-off.

Clinicians review every Program, and every change to one, before it’s released.

Carrie asks“How is the site looking today?”

Carrie stays inside the Program.

Every question and every next step is written in advance. No improvising, no diagnosing.

The patient might say

  • Healing as expectedCarrie: Log it, check in Day 3
  • Swelling, bleeding, or rednessCarrie: Flag the nurse
  • Trouble breathingCarrie: Advise 911, alert the team

Concerns reach your team, your way.

Anything worrying is flagged with a summary and routed the way your team already works.

“Any new pain, drainage, or warmth?”

“Suture removal is coming up. Shall I book it?”

A library to start from

Built by DTxPlus’s clinical team, with more in development. A patient can be on several at once; they share what they hear, so one conversation covers them all.

Chronic care

  • Heart failure
  • Diabetes
  • Hypertension
  • COPD
  • Kidney disease

Specialty care

  • Dermatology: Mohs surgery, Excisions
  • Orthopedics
  • Colonoscopy prep
  • Cataract surgery
  • Prenatal & postpartum

As hands-on as you want

Every Program starts from the same clinician-written base. How much you shape it is up to you.

  1. Hands-offRun the Program as written. Our clinical team keeps it current.
  2. In betweenAdjust the wording, timing, and thresholds to fit your practice.
  3. Hands-onShape it with your own clinicians, step by step.

Every change is reviewed before release, and every call can be traced to the exact version it ran.

Security and governance

Integration

Works inside the EHR you already run.

Carrie connects through the SMART on FHIR Connect Engine. New EHRs and data sources can be added at any time, and every Program can use them right away.

Your EHR stays the source of truth

Carrie reads from it, and writes everything back to it.

  • Epic
  • athenahealth
  • Cerner / Oracle Health
  • Meditech
  • Veradigm
  • ModMed
  1. 1 · Reads

    The patient’s whole story

    Context pulled in before every call.

    • Electronic health records
    • Remote monitoring
    • Labs & diagnostics
    • Social context
    • Clinical knowledge
  2. 2 · Acts

    Gets things done

    Through the systems your team already uses.

    • Your care team’s queue
    • Pharmacy
    • Scheduling
    • Transportation
    • Home health & equipment
    • Quality reporting
  3. 3 · Writes back

    The evidence, on the record

    Nothing lives only in Carrie.

    • Call summaries and transcripts
    • Flags and escalations, with the reason
    • Appointment and refill status
    • Patient-reported symptoms and readings

The EHR owns the record. Carrie supports the relationship.

Names, Programs, and calls on this page are illustrative examples.   5 Measured at Dermatology Associates of the Palm Beaches, commercial deployment cohort.