SYNAPSE is a fleet of AI agents running the entire perioperative continuum of your ambulatory surgical center — referrals, anesthesia, documentation, revenue, recovery — while your team keeps every decision. A human approval gate stands on every action. Every action lands in an immutable audit trail.
Dr. Williams runs six cases across two rooms. Here is her Tuesday — before and after SYNAPSE.
Every agent is a specialist with defined authority and a defined escalation path. Every output is a proposal until a human approves it.
Describe any situation; it conducts the fleet — which agents run, in what order, with a human gate at every consequential step.
The whole day in thirty seconds: what's handled, what needs your eyes, in priority order.
Every agent action and human approval, logged append-only. Immutable by database rule, not by promise.
Triages inbound referrals, gathers documents, scores candidacy — and attacks the industry's <50% conversion leak.
Asks the money question before booking: will this be reimbursed, and what must the documentation show?
Drafts the request the way payer reviewers read: necessity narrative, severity, failed conservative care, attachments.
Assembles the case profile — risks, optimization opportunities, open questions — before the day of surgery.
The industry's #1 pain point gets its own agent: risk profile, screening questions, coverage checklist.
Plain-language pre-op instructions and education, drafted for staff approval before anything is sent.
"Brief me." The walk-to-the-OR review: landmarks in order, structures at risk, variations worth remembering.
Structured reasoning on the case questions you bring — advisory mode today; real-time is the regulated Tier 3 road.
WHO checklist discipline: what's confirmed, what isn't, what to verify next.
Operative notes drafted from the facts you supply. Unknowns say [SURGEON TO CONFIRM] — never guessed.
Fills gaps from the waitlist and proposes optimized sequences. The scheduler approves every change.
Parallel-tasked turnover plans with a critical path — built for the 30–50% reduction.
Coverage plans, thin-spot flags, on-call fills. Resilience against the labor shortage.
Preference cards reconciled against stock. No case delayed by a missing implant.
Audits every note the way an auditor will — then explains every flag and hands you the cure, before signing.
Red team. Attacks your note or claim as the payer auditor, the peer reviewer, and the plaintiff's attorney — then reinforces it.
The 90-day pathway: milestone check-ins, patient-reported outcomes, warning signs — the data value-based payment rewards.
What happened and what's next, at a 7th-grade reading level, approved by the care team before it reaches the family.
Codes proposed from the note, validated against documentation, denials predicted before submission — not after.
An autonomous system in a surgical environment must be more auditable than the humans it assists. These rules are wired into every agent, server-side.
Decision support for licensed clinicians. The clinician of record decides — always.
If a fact wasn't supplied, the record says [SURGEON TO CONFIRM]. Nothing is guessed into a chart.
Every record entry, every claim, every disposition passes a human gate. One tap — never bypassed.
Append-only audit trail, immutable by database rule. Any decision reconstructable end-to-end.
Competitors will retrofit compliance. SYNAPSE is architected for it — and the tiering itself becomes the moat.
Scheduling, staffing, inventory, turnover, billing, prior auth, compliance readiness, patient communication. Non-device software.
Case profiles, anesthesia risk screens, documentation drafting, note audits. Every recommendation shows its basis, so the clinician can independently review it.
Intraoperative reasoning and computer-vision safety counts, pursued deliberately through the FDA SaMD pathway — a multi-year barrier once cleared.
Every case across every SYNAPSE center makes the system smarter for all of them — de-identified, cross-center learning that a vertically integrated competitor structurally cannot match.
We are selecting a small cohort of single-specialty ambulatory surgical centers for the founding pilot. ROI is measured in your own dashboard within 90 days — documentation time reclaimed, denials prevented, referrals converted.