CloudCare/ STORM
VALOR HEALTH · ORG-A04
MR
Maria Reyes, RN
RADAR LIVE SWEEP 60s IRIS AT THE EYE
Dragon Copilot · Standby
No active encounter. Ready when you open a patient.

Doppler · heading off the storm proactively

147 PATIENTS/FORECAST 30D/SOURCES: PICS · MDRX · CFW · VIDA · CQID · BIM · CANARY/METHOD: DETERMINISTIC RULES · CAIG-EXPLAINABLE

Forecast Radar · days to event

IRIS at the eye
15 10 5 5 10 15 15 10 5 5 10 15 0 CLINICAL QUALITY BILLING ENGAGEMENT IRIS 1-5d 5-14d 14-30d 30+ 2 ~6h 1 now 4 ~3d 3 ~4d 9 ~10d 7 ~12d 5 ~8d 14 ~20d 11 ~22d 8 ~25d 98 stable
Bands · click to filter
Imminent
0–24h · ER-bound
3
Acute
1–5 days
7
Watch
5–14 days
21
Forecast
14–30 days
33
Stable
30+ days
83
QUADRANTS
N · Clinical decompensation
E · Quality & Stars gaps
S · Billing & Revenue
W · Engagement & SDOH
⛈
The Next 14 Days
6 ED visits avoidable, 14 CCM thresholds at risk, 23 quality gaps closing.
Cost Avoidable
$118K
Revenue at Risk
$142K
Net Opportunity
$260K

Caseload

Click radar band/cell to filter · click row to open patient
Patient
Days to Event
Forecast Driver
Action Impact
Confidence
Eleanor Vasquez ← IRIS · start here
F·78·MA-Humana · CHF, T2DM, CKD-3
~6h
to ED
BP 198/112 · weight Δ +3.4lb / 72h
MDRX · CHF decomp pattern
prevent ED visit
~$14K cost avoided
0.91
Harlan O'Brien
M·71·VA-CCN · COPD, MDD · RUCA 10
now
safety priority
PHQ-9 = 19 · C-SSRS positive
VIDA · 38 min ago
prevent BH crisis
safety + cost
0.95
Josephine Acker
F·82·ACO · Post-AMI Day 3 · LACE+ 17
~18h
readmit risk
ED admit @ St. Luke's (CFW ADT)
2h 12m ago
prevent readmit
~$13K cost avoided
0.84
Terrence Mwangi
M·64·MSSP · ESRD, Dialysis 3×/wk
~2d
volume overload
Weight Δ +5.2lb / 48h
MDRX · 41 min ago
prevent admit
~$11K cost avoided
0.79
Linda Patterson
F·67·MA-CVS · Post-CABG D-12
~3d
F/U-30 risk
BP rising · MRP missing
CFW · this morning
prevent decomp
~$9K cost avoided
0.74
Margaret Williams ↗ active in Dragon
F·72·VA-enrolled · HTN, T2DM
~10d
A1C window
BP rising · adherence gap · cog load ↑
MDRX + Canary
capture Stars D08
~$3.4K Stars
0.88
Robert Kowalski
M·73·MSSP · CAD, HFpEF
~9d
CCM threshold
99457 minutes 14/20 this period
BIM · period ends Mar 31
capture 99457
~$54 / month
0.92
Marcus Whitfield
M·58·RHTP · Chronic LBP, MDD
~18d
PROMIS due
PROMIS-PI quarterly · NRS rising
CQID · scheduled
ACCESS OAP integrity
~$2.1K outcome
0.86
William Hartley
M·66·MA-Aetna · HTN well-controlled
stable
monitor only
All vitals in range · adherent
MDRX · 30d trend
no action
RPM continuity
0.97
SOURCES / MDRX · CFW · VIDA · CQID · BIM · PICS · Canary / FORECAST · deterministic rules · CAIG-explainable

Eleanor Vasquez

F·78·MA-HUMANA/MRN 4471-2298/CHF · T2DM · CKD-3/ENROLLED RPM, CCM, ACCESS-eCKM
EV

Eleanor Vasquez

MRN 4471-2298 · DOB 04/12/1947
Doppler Forecast
~6h to ED
BP 198/112 home cuff EMERGENCY + 3.4lb weight gain over 72h. CHF decomp pattern.
Imminent band · entered 14m 23s ago
Programs
RPM · 99454 CCM · 99457 ACCESS-eCKM + APCM G0558 + AWV due + BHI 99484
PCP
Dr. Patel
Coord
M. Reyes
Language
EN / ES
RUCA
7
Last AWV
Sep '25
Plan ID
H1234
Z2 Vitals · MDRX 14m ago
BP Systolic
198mmHg
▲ +42 / 24h · EMERGENCY
BP Diastolic
112mmHg
▲ +18 / 24h
Weight
182lb
▲ +3.4 / 72h
SpO2
94%
stable
Z1 PICS · Risk live
How sick is this patient?
87
HIGH
Days to event?
~6h
Z3 CQID · Open Gaps realtime
CBP-DControlling BPMar 31
A1C-9HbA1c > 9%overdue 11d
SUPDStatin Useon track
Z4 CMM · Adherence 30d
ACELisinopril 20mg94%
DMMetformin 1000mg88%
βBCarvedilol 12.5mg62% gap
Z5 VIDA · Voice History last 24h
YESTERDAY 18:44 · OUTBOUND · 4M 12S · ANSWERED · ES
"Estoy bien, pero hoy mi cabeza dolió un poco. Tomé el medicamento esta mañana. La presión la tomé y estaba alta..."
BP self-report: high HEADACHE flag MED adherence: confirmed PHQ-9 declined Canary: cog load ↑ Canary: anxiety stable
Z6 Marketplace · Partners 2 panels
Canary
↑
cog load rising · MS Marketplace
Dexcom
68%
TIR · GMI 8.1
Z8 Quick Actions · context-tuned for Imminent always-visible

Dragon Copilot · ambient encounter

MICROSOFT DRAGON COPILOT/HOST SURFACE/IRIS RENDERS BETWEEN-VISIT SIGNAL/FEATURING CANARY CLINICAL VOICE
Dragon Copilot · Integrated with EHR
Margaret Williams · 72F · VA-enrolled LIVE ANNUAL FOLLOW-UP

Transcript

Dragon ambient
Dr. Chen10:30
Hi Margaret, how have you been feeling since we last spoke?
Patient10:30
I've been okay, doctor. A little tired in the mornings. My blood pressure has been higher lately.
Dr. Chen10:30
Have you been taking all your medications regularly?
Patient10:30
I try. I think I've missed the evening one a couple of times. The mornings are okay.
Dr. Chen10:30
Any chest pain, shortness of breath, dizziness?
Patient10:30
No chest pain. No dizziness. Maybe a little winded going up stairs, but that's nothing new.
Dr. Chen10:31
Let me look at your numbers from home. Your BP's been running higher

Note draft

Dragon + IRIS
Chief Complaint
Annual follow-up for hypertension and type 2 diabetes. Patient reports rising home BP and intermittent morning fatigue.
History of Present Illness
Dragon ambient
72yo F with longstanding HTN and T2DM, presenting for annual follow-up. Self-observed rise in home BP with intermittent morning fatigue. Denies chest pain, dyspnea, dizziness. Reports occasional missed evening medication doses.
IRIS · between-visit monitoring
Home BP trending upward, recent readings above goal. Weight modestly improved. Glycemic control suboptimal relative to target. Medication adherence patterns show gap on one antihypertensive (carvedilol). Recent voice check-in consistent with reported adherence pattern. Open quality-measure gaps available to address during this encounter.
Canary · longitudinal voice insights
Elevated cognitive load signal detected across recent voice interactions, coincident with reported adherence pattern. Other biomarker channels (stress, anxiety, mood) at baseline. Not clinically diagnostic; offered as additional context for patient conversation.
Post-encounter: Dragon's documentation updates the CloudCare patient record. Encounter data flows into the next between-visit cycle.
Assessment & Plan
(drafting in progress — Dr. Chen to complete)
CloudCare IRIS
Intelligent Routing & Insights · Encounter
High priority · rising. BP trend elevated, adherence pattern noted; elevated cognitive load signal (Canary); open quality measure. Primary encounter focus.
01
CareSignals Intelligence
Triage · Risk · Insights
High priority ↑ rising FOLLOW-UP
Driving factor: Adherence pattern detected, correlated with elevated BP trend.
02
Home Vitals
Device-sourced
Home BP trendElevated ↑
SpO₂Stable
Heart rateStable
03
Weight & Glycemic
Device · EHR · CGM
WeightImproved ↓
Glycemic (CGM)Suboptimal
Most recent HbA1cAbove goal
04
Medication Adherence
Longitudinal
Antihypertensive (ACE)Good
Antidiabetic (biguanide)Good
Antihypertensive (β-blocker)Gap ↓
05
Voice Check-In
Recent · structured
Patient-reported: evening dose missed intermittently. Denied concerning symptoms. Mood self-rating stable.
06
◉ Canary Clinical Voice
Vocal biomarker
Cognitive load ↑ rising
Stress stable
Anxiety stable
Depression stable
Elevated cognitive load signal coincident with reported adherence pattern. Not diagnostic; pattern worth discussing.
07
Open Quality Measures
Stars / HEDIS
CBP-D · Controlling BPOpen
D08 · HbA1c controlOpen
IRIS · product frame (Life365)
Canary Clinical Voice · featured partner
Dragon Copilot · host surface (Microsoft)