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Care Recommendation Agent

Every case comes back ready to act on.

Send a member’s lab reports, intake forms, case notes, discharge summaries and antenatal records in one submission. Six sections come back, ending in real local programs looked up live at her location.

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One case, start to finish, as a short example of the six sections. The record is synthetic. The output and the community resources are real, captured from a live run.

What it does

One submission, every format

Lab reports, intake forms, case notes, discharge summaries, antenatal records and structured exports go in together. Nothing has to be cleaned up or retyped first.

Six sections, every case

The same structure comes back every time, so a coordinator reads case fifty the way they read case one.

Community programs, looked up live

Validated food, housing, transportation and social support programs, found at the member’s own location the moment you run it. It searches 211 first and goes out to the live web wherever 211 has no record.

Urgency, then routing

Every case is classified urgent, moderate, routine or educational, and each need is routed to the provider type that handles it.

One member, or a whole panel

Individual care planning, and aggregated population trends that show where the care gaps in your program are concentrated.

What comes back

  1. Need categoriesPhysical, emotional, social and nutritional, including what sits in a typed note rather than in a field.
  2. Recommended outreach action typeUrgent, moderate, routine or educational, with the reasoning attached rather than a bare label.
  3. Suggested care pathway sequenceOrdered steps mapped to the needs it found, drawn from curated evidence-based maternal health sources.
  4. Referral and escalation routingEach need sent to the provider type that owns it: obstetric, specialist, mental health, emergency, or community support.
  5. Evidence and community resourcesValidated food, housing, transportation and social support programs near her, found in real time, with clinical guidance alongside.
  6. Coordinator summaryFindings, priorities and next steps in a paragraph, for whoever picks up the case next.

How it runs

  • No integration project. Export from your EHR or claims system in a supported format and submit. There is nothing to build first.
  • It runs inside your own environment. Live in watsonx Orchestrate under your access controls, encrypted in transit and at rest, with a BAA available.
  • It recommends. A person decides. The output calls itself a recommendation. It is not a diagnostic and not a medical device.
  • Supported like an enterprise product. Named support tiers, a live status page, and a twelve-month wind-down commitment.

Available in the IBM watsonx Orchestrate Agent Catalog, with Microsoft, Google and AWS to follow, or bought direct. Product documentation.

Put it in front of a record of yours.

A demo takes 30 minutes and starts from your workflow, not ours.

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