
Contextual Clinical Intelligence
Built for the Hard Parts.
RPM works—until it meets the real world. We found every place it breaks, and we engineered a fix for each one.
The Problem
Patients abandon apps and devices. The tech-fatigued and tech-adverse population drops out.
Our Fix
The 1-2-3 Check-In. Simple SMS. No extra device, no training, works on flip phones — or use our app.
The Problem
Patients lack the incentive to keep participating. Retention collapses.
Our Fix
Care Circle engagement. Wellness partners create social accountability. 100% patient-consented, revocable anytime.
The Problem
Vitals alone are a small picture of a grand canvas. Without context, the data is incomplete.
Our Fix
Data Triangulation across patient, wellness partner, and clinician. Agreement and disagreement both carry clinical meaning.
The Problem
None of this matters if clinicians won't look at the information. Alert fatigue is real.
Our Fix
Native EMR integration delivers critical alerts straight into the clinician's workflow. No new login, no new dashboard.
The Problem
Many who need RPM the most lack the infrastructure most companies take for granted.
Our Fix
The OUTsights Gateway. Intelligent routing across WiFi, cellular, and satellite. No infrastructure? No problem.
Learn moreFrom Raw Signals to Clinical Intelligence
Device data and SMS check-ins flow through an AI engine that detects risk before it becomes a crisis.
AI-Driven Early Warning
Moving beyond static thresholds. Our AI reads the pattern of a patient's recovery — flagging risk days before an emergency occurs.
Where traditional RPM triggers an alert when a number crosses a line, OutsideINsights detects the pattern of decline — catching the slow deteriorations that static rules miss entirely.
Device Data In
Blood pressure, weight, glucose, and SpO₂ flow continuously from Bluetooth RPM devices.
SMS Signals In
Patients and wellness partners report via the 1-2-3 "Better, Same, Worse" SMS check-in.
Alerts to EMR
Critical insights delivered into Epic, Oracle Health, and athenahealth — no new login, no new dashboard.
Data Triangulation
Knowing a patient's vitals is important. But without context, it's only a small picture of a grand canvas. Three perspectives complete the painting — and what the family knows arrives as structured clinical data, not a note from a phone call.
Patient Self-Report
How the patient describes their own condition — the subjective experience no device can capture.
Wellness Partner Observation
What the people closest to the patient actually see day to day — the behavioral changes that happen between appointments.
Clinician Assessment
The clinical lens that interprets both streams in the context of diagnosis, treatment plan, and history.
“It is just as important to see the stakeholders agreeing as it is to see them disagree about the patient's overall health. Both carry clinical significance.”
Built for Trust at Scale
Modern infrastructure, rigorous compliance, and algorithmic safety — purpose-built for enterprise healthcare.
Live, Not Lagging
Open the chart and the patient's data is already there — current, not stale — even on the connections your patients actually have.
Secure by Architecture
HIPAA-compliant data systems engineered from day one — not bolted on after the fact.
Modern, Not Monolithic
Purpose-built services that scale independently and fail gracefully — no legacy bottlenecks.
Algorithmic Vigilance
Our AI is monitored continuously, so its accuracy doesn't quietly degrade as your patient population and devices change.
Compliance
HIPAA compliant. FHIR-native integration with Epic, Oracle Health, and athenahealth.
Global Reach
The OUTsights Gateway extends RPM to homes with no WiFi, no cell, and no power.
Security built past today's requirements, ready for tomorrow's. Read our security overview
Engineered for compatibility with

The OutsideINsights App
For the people who want an app — and a text for everyone else.
Patients and their care circle can check in, track wellness, and see their own history in the app. Anyone who won’t install one still participates over SMS on any phone. Same record either way.
Clinicians never touch it. Their side arrives in the EMR they already use.
Currently in beta on TestFlight. You must be 18 or older to take part.
Check in either way
Better, Same, or Worse — in the app or by text.
The whole care circle
Family, therapists, and home health each contribute what they see.
Wellness in between
Everyday tracking compounds into the record clinicians receive.
Revenue assurance
Every billable minute counted. Automatically.
Built-in timers track device days and clinical time against billing code requirements as care happens — so nothing reimbursable slips through, and nothing gets submitted that can't survive an audit.
The system watches the clock so your staff doesn't.
Billing Readiness
- Device supply days On track
- Clinical minutes logged 14 of 20
- Interaction timestamps Verified
Time-stamped. Structured. Audit-ready. Stop reconstructing care after the fact.
Contextual RPM, Built for the Hard Parts
See It In Action
Talk to us about fitting it into your specialty workflow — no hardware, no IT lift, no long deployment.
Common Questions About OutsideINsights
- What is OutsideINsights?
- OutsideINsights is contextual clinical intelligence — Remote Patient Monitoring rebuilt around context. While building the platform, we identified and solved the five biggest pain points in traditional RPM: tech fatigue, low patient retention, incomplete clinical data, provider alert fatigue, and infrastructure gaps. The result is a comprehensive system that combines SMS-based 1-2-3 check-ins, Care Circle engagement for retention, data triangulation across patient-wellness partner-clinician, native FHIR EMR integration, and the OUTsights Gateway for satellite-capable connectivity — working anywhere for anyone.
- How does OutsideINsights solve RPM patient retention?
- OutsideINsights addresses retention by engaging the patient's Care Circle — wellness partners like family members and caregivers. This creates natural social accountability: the people who care most about the patient encourage continued participation in monitoring. All Care Circle involvement is 100% patient-consented under HIPAA and revocable at any time via text message, phone call, the website, or through the web app.
- What is Data Triangulation in OutsideINsights?
- Data Triangulation is OutsideINsights' approach to building the complete clinical picture. Instead of relying on device vitals alone — which are only a small picture of a grand canvas — the platform cross-references three perspectives: the patient's self-report, wellness partner observations, and clinician assessments. It is just as important to see these stakeholders agreeing as it is to see them disagree about the patient's overall health, because both carry clinical significance.
- Is OutsideINsights HIPAA compliant?
- Yes. OutsideINsights is designed with HIPAA compliance throughout. Care Circle participation is 100% patient-consented. Patients can revoke any wellness partner's access at any time through text message, a phone call, the website, or the mobile web app. The Care Circle Protocol is strictly uni-directional: observations flow from caregivers into the clinical system, but no Protected Health Information (PHI) flows back to caregivers.
- How does OutsideINsights work in areas with no WiFi or cell service?
- The OUTsights Gateway provides RPM services everywhere — no WiFi, no cell service, no power, no problem. It intelligently routes between WiFi, cellular, and satellite networks, banking readings and forwarding them the moment a link is available — the same approach used in space communications. It's slower, but it's reliable and works anywhere on the globe.
- What makes OutsideINsights different from other RPM systems?
- OutsideINsights was built by identifying every place traditional RPM breaks down and engineering a specific fix for each one. Tech-fatigued patients get the simple 1-2-3 SMS check-in with no extra device required and the app optional. Low retention is addressed through Care Circle engagement and social accountability. Incomplete data is solved through three-point triangulation. Clinical friction is eliminated by delivering alerts directly into the clinician's existing EMR. And infrastructure gaps are bridged by the OUTsights Gateway's satellite connectivity — all on a modern, secure, compliant architecture. Together, these fixes make OutsideINsights contextual RPM built for the hard parts of real-world care.