Skip to main content

Stage 3 — Clinical Escalation

Provider-owned intervention flow once escalation criteria hit.

Stage 3 is a clinical escalation state requiring provider ownership.


Trigger

Stage 3 begins when Stage 2 / 2.a signals show:

  • continued worsening drift
  • confirmed risk patterns
  • or escalation criteria defined by the organization

Exact escalation thresholds are TBD (configurable) per organization and clinical policy. The system does not assume universal risk cutoffs.


What OutsideINsights Does at Stage 3

When Stage 3 triggers, OutsideINsights automatically:

  1. Alerts provider to review
  2. Surfaces full signal timeline
    • Stage 1 baseline
    • Stage 2 drift pattern
    • Stage 2.a specialty signals
  3. Directs provider to initiate review workflow
  4. Records timestamps for compliance
    • alert time
    • review time
    • contact time (soft/hard)
    • case resolution status

Provider Commitment at Stage 3

At Stage 3, providers commit to:

  1. Review signals and trendline
  2. Select contact level
  3. Document disposition
  4. Initiate any needed specialty workflow follow-ups

Stage 3 is the point where OutsideINsights shifts from automation to clinician-led intervention.


Stage 3 Contact Levels

Stage 3a — Review Required

  • Provider reviews the signal set
  • Determines next step based on clinical judgment

Stage 3b — Soft Contact

Soft contact is non-voice follow-through, including:

  • text or app outreach
  • portal message
  • scheduling an appointment without voice-to-voice review

Scheduling a follow-up without provider discussion is soft contact.

Stage 3c — Hard Contact

Hard contact is voice-to-voice, telehealth, or in-person engagement.

Used when:

  • clinical judgment indicates higher acuity
  • specialty data confirms escalation risk

Dashboard KPIs at Stage 3

Stage 3 supports provider and payer visibility through:

  • alert → review latency
  • alert → soft contact latency
  • alert → hard contact latency
  • resolution status
  • follow-through compliance (organization-defined)

Stage 3 Summary

Stage 3 formalizes the handoff from: automated risk detection → clinical decision-making and intervention.