This page is intentionally clinical and procedural. It documents the Clinical Intelligence workflow that powers OutsideINsights. It is written for providers, health systems, and health plans who need a precise understanding of how signals are gathered, interpreted, and escalated.
OutsideINsights closes the “between visits” blind spot by continuously collecting and interpreting real-world signals from three sources:
- Patient signals — the 1-2-3 Check-Up System and targeted follow-up prompts
- Care Circle signals — verified non-clinical observers providing uni-directional insights
- Provider context — alerts, review outcomes, and follow-through notes
All signals feed into the Clinical Intelligence Engine, which detects stability, drift, and escalation needs through a structured 3-stage model.
The 3-Stage Clinical Intelligence Model
Stage 1 — Stability Monitoring
Stage 1 establishes a baseline of well-being between appointments using the 1-2-3 Check-Up System. When patterns are stable or improving, monitoring remains low-touch and largely automated.
Primary objective:
Make “normal care” visible without increasing burden.
Stage 2 — Drift Detection
Stage 2 begins when Stage 1 indicates a repeated pattern of “same” or “worse.”
OutsideINsights automatically increases signal gathering to understand what is changing.
Primary objective:
Detect meaningful drift early and gather context before a crisis.
Stage 2.a — Specialty-Aligned Signals
Stage 2.a is a sub-state of Stage 2. It engages specialty workflow forks to collect domain-specific signals when the core system identifies persistent or ambiguous drift.
Primary objective:
Distinguish “temporary noise” from specialty-relevant risk.
Stage 3 — Clinical Escalation
Stage 3 begins when Stage 2.a confirms worsening drift or risk patterns requiring provider action. Providers are alerted to review and choose a follow-through level.
Primary objective:
Shift from automated drift gathering to clinician-owned intervention.
System Philosophy
OutsideINsights is specialty-agnostic at its core:
everyone begins in Stage 1, and specialty forks activate only when needed.
This keeps everyday monitoring simple while ensuring the right information is collected at the right time when risk emerges.
What the System Automates vs. What Providers Own
OutsideINsights Automates:
- Baseline collection (Stage 1)
- Drift detection (Stage 2)
- Context gathering and specialty forks (Stage 2.a)
- Escalation logic and alerting (Stage 3 triggers)
- Signal organization and trendline presentation
- Event documentation timestamps for compliance
Providers Own:
- Clinical interpretation at Stage 3
- Soft vs. hard contact decisions
- Disposition and care plan updates
- Any provider-initiated specialty workflows in Stage 3