Zone 1 · Doppler Triage + PICS Risk
Triage
EMERGENT
LACE+ ≥15 — Discharged from St. Mary's 36 hours ago, no contact yet.
Why this bucket? →
PICS Risk Composite
78
/100
High
▲ +12 vs last week · expand 6 components ▾
Bucket history · 7 days
Mon
Wed
Thu
Today
Zone 8 · Quick Actions
BIM 99457:
17 / 25 min
Vitals & Device Data
Zone 2 · Source-blended
✓ Fresh · 4m ago
Blood Pressure
168/94
mmHg
📡 Omron
14:02
Heart Rate
82
bpm
📡 Device
14:02
SpO₂
96
%
📡 Pulse Ox
14:02
Weight
158.2
lb
📡 Scale
07:30
CGM Avg
142
mg/dL
🔗 Dexcom
14:00
HbA1c
7.8
%
Last drawn 18d ago
📋 Epic
04/20
eGFR
42
mL/min
CKD stage 3b
📋 Epic
04/20
Pain
5
/10
Patient-reported
📞 VIDA
Yest.
BP Timeline · 14 days · Source-blended
Device
VIDA
EHR
VIDA Voice & Biomarkers
Zone 5 · Last call yesterday 3:42pm · 8m 14s
View transcript →
Anxiety Level
16%
Depression Level
37%
Stress
63%
⌬
Behavioral Response
36
Moderate
- Low optimism in voice
- Slowed, fatigued speech
- Provides short answers
1 missed call · routine RPM check, Mon 10:14am · 2nd consecutive miss · retry tomorrow 10am
CQID Quality & Care Gaps
Zone 3 · 5 of 8 shown
View all →
2026 Stars Period
142 of 318 closed · 44.7%
67d
Period ends
3
Wt
Hypertension Control C11
Close →
3
Wt
Diabetes A1c <9% C10
Close →
2
Wt
Annual Wellness Visit D09
Schedule
2
Wt
Statin Adherence D08
Refill
1
Wt
Influenza Vaccine C04
Arrange
IRIS Insights
Zone 7 · 3 active nudges · 2 BG tasks today
Care Gap · High
A1c 7.8% closes Stars C10 — document now
Eleanor's most recent A1c (drawn 04/20) satisfies the C10 numerator. One-click closure writes a FHIR Task to Epic.
Why? →
Background task · 2 min ago
Auto-populated post-discharge care plan from St. Mary's discharge summary — 3 medications, 1 follow-up, weight monitoring.
Review & undo →
Engagement · Medium
Best outreach window: Tue–Thu, 9–10am
VIDA answer rate 78% in this window vs. 41% otherwise. Schedule discharge follow-up call.
Why?
Member & Care Team
Zone 4
Plan
Aetna MA HMO
Eligibility
Dual · LIS
Conditions
HTN · DM2 · CKD3b · CHF
Language
Spanish · LEP
Programs
RPM · CCM · MA Stars
Enrolled
Feb 14, 2025
Care team
MR
Maria Reyes, RN
Care Coordinator · 32d
Primary
DH
Dr. David Huang
PCP · Internal Medicine
SP
Dr. Sara Patel
Cardiology · Consulting
Marketplace
Zone 6 · Partner solutions
D
Dexcom CGM
Continuous Glucose · Cat 1
142
GMI mg/dL
68%
Time in Range
96%
Sensor wear