North-star journeys

Nine journeys. Each with a hard outcome metric.

careos is scoped against nine north-star journeys. Each one is owned end-to-end by the platform and measured against a specific operational metric. If a journey does not move its metric, we have not shipped it.

Journey 01

Referral to first contact

Metric

Reduced time-to-first-contact. Fewer unworked referrals sitting in inboxes.

System responsibility

System responsibility: intake, eligibility, triage, scheduling, reminders, handoff, escalation.

What ships

  • AI-assisted intake extraction from forms, portals, faxes, emails, and call-centre notes
  • Eligibility and coverage checks at capture time with structured reason codes
  • Auto-scheduling within policy, including waitlist overflow and rank-based promotion
  • Reply triage from patient confirmations, cancellations, and reschedule requests
  • Escalation ladders for referrals that age past service-line SLAs
Journey 02

Care-plan execution

Metric

Higher pathway adherence. Lower overdue task counts. Faster episode closure.

System responsibility

Versioned plans, task emission, reminders, observations, reviews, closure summaries.

What ships

  • Pathway templates versioned and immutable once signed
  • Tasks emitted per plan version with ownership and SLA at creation time
  • Reviews scheduled automatically against plan cadence
  • Closure summaries generated at end of episode from structured evidence
  • Drift detection when real-world execution diverges from the plan
Journey 03

Medication coordination

Metric

Fewer medication-related misses. Higher adherence rates.

System responsibility

Reconciliation, refill reminders, omission capture, pharmacy follow-up, adherence interventions.

What ships

  • dm+d (UK) and RxNorm (US) catalogue with structured strengths and forms
  • Reconciliation at referral, start-of-care, review, transfer, and discharge
  • Structured omission reasons captured at the point of administration
  • Refill gap detection with automatic outreach ladder
  • Pharmacy integration for dispense events and prescription status
Journey 04

Abnormal observation escalation

Metric

Faster time-to-acknowledge. Faster time-to-action.

System responsibility

Threshold checks, alert routing, acknowledgement, action tasks, closure evidence.

What ships

  • Configurable thresholds per pathway, risk tier, and patient profile
  • Deterioration rules that combine multiple observations over a window
  • Composite risk logic linking medication, observations, and open tasks
  • Acknowledgement audit with actor, timestamp, and linked evidence
  • Action task linkage so every alert closes with a documented intervention
Journey 05

Visit execution

Metric

Lower admin time. Cleaner visit closure. Fewer missed follow-ups.

System responsibility

Scheduling, mobile offline checklist, capture, sync, follow-up tasks, documents.

What ships

  • Offline-first mobile capture for field teams
  • Structured visit checklists driven by the active pathway
  • Photo and signature capture with tamper-evident storage
  • Deferred sync with conflict resolution against server state
  • Automatic follow-up task emission on visit closure
Journey 06

Patient engagement loop

Metric

Higher digital delivery. Higher response rates. Fewer no-shows.

System responsibility

Templates, channel routing, reminder sequences, reply triage, proxy handling.

What ships

  • Preference-aware channel selection across app, SMS, email, voice, letter
  • Template versioning with approval lifecycle and A/B states
  • Reply routing to operational queues with context attached
  • Proxy scope management with consented access and audit
  • Quiet hours, language, and accessibility preferences honoured end-to-end
Journey 07

Prior auth and revenue prep

Metric

Lower manual handling. Faster submission turnaround. Lower denial rates.

System responsibility

Evidence assembly, checklist completion, tasking, payer communication, outcome tracking.

What ships

  • Document assembly from episode evidence and care plan state
  • Checklist mapping per payer and service line
  • Drafted rationale prepared by AI for human review
  • Status tracking across submission, follow-up, and outcome
  • Denial prevention agents that flag gaps before submission
Journey 08

Incident escalation

Metric

Faster time-to-acknowledge. Faster time-to-resolution. Defensible post-incident packs.

System responsibility

Signal detection, severity classification, routing, runbook execution, communication, and post-incident evidence capture.

What ships

  • Signal ingestion from observations, messages, alerts and integrations
  • Severity classification with on-call, quiet-hours, and escalation-ladder policies
  • Runbook-linked action tasks with owners and SLA at creation
  • Structured communication to patients, staff and regulators where required
  • Post-incident evidence pack generated automatically from the ledger
Journey 09

Compliance response

Metric

Hours, not days. Every compliance workflow productised.

System responsibility

DSAR, access review, incident pack, legal hold, export approval.

What ships

  • Tenant-safe DSAR search across the Care Graph
  • Legal hold overrides retention and tracks approvers to release
  • Access review queues with dormant-user and SoD enforcement
  • Incident pack templates for CAPA and investigation
  • Export approval workflows for every evidence extract

Design partner programme

Pick a journey. We will run it with you.

Design partners work with us on a single journey end-to-end, including configuration, integration, and measurement. Early access includes programme support.