Between Visits

What a funded pilot could do

The product works today. A pilot turns it into evidence: real families, real clinics, measured outcomes — for roughly the cost of half an engineer for a year.

Where pilot funding goes

Four line items, one outcome: real families, safely

Compliance engineering (~0.5 FTE)

Move to HIPAA-eligible, BAA-covered hosting and messaging; hospital single sign-on; step-up verification for visit history; security review and third-party penetration test before the first family enrolls.

Clinic workflow time

Buy out coordinator time to author recaps and work flags — and measure the true minutes-per-recap and minutes-per-flag, the numbers every future clinic will ask about.

Evaluation support

IRB/QI determination, biostatistics consultation, and a clean readout: response rates, flag utility, plan-clarity movement, early-intervention referral timeliness.

Infrastructure & messaging

The smallest line item by far — SMS for a family's full multi-month check-in journey costs well under a dollar.

What the pilot measures

The five questions a pilot answers

  1. 1

    Do families engage?

    Link-open and check-in response rates across languages and income levels — the equity claim, tested.

  2. 2

    Are the flags worth it?

    Minutes of coordinator time per flag, and how many flags led to an action the team was glad it took.

  3. 3

    Is authoring sustainable?

    Minutes to produce a recap per visit — the biggest operational risk, measured from day one.

  4. 4

    Does anything move?

    Plan clarity over the check-in sequence, barriers surfaced and resolved, early-intervention referrals completed on time.

  5. 5

    Do teams walk in better prepared?

    Whether the pre-visit summary changes how the visit starts — the outcome attendings care about most.

Shape: one clinic, 50–150 families, 6–12 months, run as a QI project or minimal-risk study with a readout suitable for a conference abstract.

Next steps

What we're pursuing now

Clinical champions & PI partners

Built alongside a UW Medicine principal investigator through structured feedback rounds. We're looking for additional PI partners in developmental follow-up — and in the specialties where interest has already surfaced: neurodevelopmental care and surgical follow-up, where the same recap + check-in + flag journey fits pre-op preparation and post-op recovery.

Grant applications

Institutional AI and innovation grant programs (clinician-championed, deployable projects); NIH SBIR/STTR with an academic partner (NICHD fits the population); and HRSA maternal-and-child-health-adjacent opportunities. A working product with a named clinical champion is the strongest possible application.

Integration groundwork

Epic After-Visit-Summary ingestion and flag write-back via FHIR, hospital security review, and carrier registration for the SMS program — each already has a defined seam in the codebase.

Interested in piloting, partnering, or funding?

We'd love to talk — clinicians, program leaders, and funders alike.

Between Visits is an early-stage pilot. No real patient information is used at this stage; example families are illustrative.