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Module 05 of 06 · AI Insights & Nudges

IRIS Insights & Nudge Engine

AI-curated next-best-actions, personalized to each patient · 12 active nudges · 4 BG tasks today
Engine status · live
i
IRIS
Threshold-gated nudge delivery active. Background automation suspended for medication overrides. Last model refresh: 2h ago.
Active Nudges
12
3 high · 7 med · 2 low
BG Tasks Today
4
All within threshold
Acceptance · 30d
73%
▲ +6 vs prior
Avg Time-to-Act
8.4m
▼ −2.1m
Nudge Engine 12
Background Tasks 4
Decision History 87
Confidence Thresholds
CAIG Audit Log
High · Care Gap For Eleanor Markham · MRN 47281-A 2m ago

Close Stars C10 — A1c 7.8% on 04/20 satisfies numerator

Eleanor's most recent A1c (drawn 04/20, 18 days ago) is 7.8% — well below the C10 threshold of 9.0%. The gap can be closed with a one-click FHIR Task to Epic. This action contributes +0.06★ to the contract's projected 2026 Stars rating.

A1c 7.8%
Threshold < 9.0%
Stars Impact +0.06★
Confidence 0.94
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CAIG · Decision Explainability
Confidence 0.94 · model v3.2.1
A1c value match (7.8% vs 9.0% threshold)
+0.41
Lab provenance (Epic-confirmed, signed)
+0.28
Recency (18d, within 12mo window)
+0.18
CQID rule match (C10 v2026)
+0.07
Counterfactual: if A1c were drawn >365d ago, the gap could not be closed via this nudge — outreach for a fresh draw would be recommended instead.
Conf 0.94
Hide Why? ▴
Medium · Engagement For Eleanor Markham · MRN 47281-A 14m ago

Schedule outreach for Tue–Thu, 9–10am — best answer rate

Across 23 prior VIDA contacts, Eleanor's answer rate is 78% in this window (vs. 41% otherwise). Her post-discharge follow-up is currently 36h overdue; scheduling now surfaces the call in the right window.

Answer Rate 78%
Sample Size n=23
Outside Window 41%
Confidence 0.71
Conf 0.71
Why? →
Low · Suggestion For Robert Tanaka · MRN 49335-F 42m ago

Robert is at 99454 threshold risk — 5 days remaining

Robert has 14 of 16 reading-days needed for BIM 99454 reimbursement this month. Without 3 more device readings, the entire month's BIM revenue lapses. Confidence below auto-execute threshold (0.62 < 0.65) — clinician approval required.

Reading Days 14 / 16
Days Left 5
Revenue at Risk $74
Confidence 0.62
Conf 0.62
Why? →