Ohtariv0.0.4
OS

Ortho1 Surgical Group

Orthopedic Surgery

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KD

Kristopher Downing

Owner-Partner
Unpublished changes
Chat
Manual
O

Ohtari

Workflow builder

K
Build a workflow that collects PROMs from post-op patients at day 30, 60, and 90. Default path: outbound voice call with validated instrument (HOOS Jr for hip, KOOS for knee, ODI for spine). Concerning scores route to the surgeon's nurse for clinical review. Everything writes to the chart for CJR / bundled-payment outcome capture.
+ Add in-clinic device path for visiting patients
+ Send PROM summary to PCP after each interval
⚙ Adjust escalation thresholds per surgeon
+ Generate quarterly PROM trend report by surgeon
Trigger

Post-op day 30 / 60 / 90 PROM window opens

Type:

Scheduled

Access:

System — per-patient cadence

Approval required
default

Approved by: Surgeon's nurse on case (concerning scores only)

Human sign-off required before any patient, chart, claim, or financial action runs.

Athena · Read

Load procedure context + scheduled visits + language

Reading from chart (9 fields)

patient.name
patient.phone
patient.language_pref
episode.procedure_cpt
episode.post_op_day
episode.surgeon
episode.cjr_eligible
patient.upcoming_visits
prom.last_score
Cache: 5 min
Latency: ~620ms
+ Picks PROM instrument by procedure (HOOS Jr / KOOS Jr / ODI / VR-12)
Survey · Voice

Outbound voice call administers validated PROM

Questions (7)

Channel: Voice (outbound)

1.

Activity level vs pre-surgery

single-select

2.

Pain at rest (0–10)

slider
≥ 7 → escalate

3.

Pain on movement (0–10)

slider
≥ 7 → escalate

4.

Stiffness / range of motion

single-select

5.

Function (instrument-specific)

multi-select

6.

Satisfaction (1–10)

slider
≤ 4 → escalate

7.

Any complications since last call?

single-select
yes → escalate
Conditional

Score concerning? (regression / complication risk)

Expression

score < instrument_floor OR pain ≥ 7 OR satisfaction ≤ 4 OR complication_reported = true
TRUE

→ Escalate to surgeon's nurse for clinical review

FALSE

→ Write outcomes, close PROM window, schedule next

Escalate

Queue concerning PROM for surgeon's nurse

Route to:

Surgeon's nurse on case

SLA:

24h ack · same shift for severe drops

Requires human approval before sending

Channels

Needs Review
Page (if severe)
SMS

Context attached

Full PROM answers
Score vs prior interval
Pain trajectory
Suggested patient call talking points
Athena · Write

Write structured PROM + CJR outcome to chart

Field mapping (8)

prom.instrument

episode.outcomes.prom.instrument

prom.composite_score

episode.outcomes.prom.score

prom.pain

episode.outcomes.prom.pain

prom.satisfaction

episode.outcomes.prom.satisfaction

prom.full_answers

episode.outcomes.prom.answers

prom.escalation_flag

episode.flags

prom.next_window

episode.outcomes.prom.next_due

cjr.outcome_record

bundled_payment.outcomes

Idempotent
Event: PROM completed (POD {post_op_day})

Applied Skills (2)

Post-op outcomes & escalation thresholds

Subspecialty-specific check-in questions and escalation thresholds for the post-op pathway.

AI disclosure & patient communication standards

Required disclosures at the start of every Ohtari voice call and patient-facing message. Drafted with practice counsel.