FlorencebyNightingaleMD
The AI That Does Everything Except the Nursing
"Your team — everywhere, at once."
Florence automates 47 care management workflows — scheduling, outreach, follow-up, referral tracking — giving nurses and care managers the clinical calm to focus on what only they can do.
Built from human factors research. Designed with nurses, for nurses.
How Florence Works
Detect the right member, engage in a human way, then act safely with clinical guardrails.
We Didn't Start With the Technology.
We Started With the Nurses.
Before writing a line of code, we conducted a human factors study of care management — cognitive task analysis, time-motion studies, nurse shadowing, and subject matter expert workshops. We mapped the full landscape of care coordination work.
across 18 domains
clinical judgment
automates today
clinical time
We found exactly what nurses needed — and built it. Florence is the product that fulfills the spec our research produced. Every feature maps to a real workflow, a real time sink, a real failure mode we observed.
Read the Full Research Blueprint →
Trusted by Value-Based Care Leaders
ACO Network Partners
Medicare Advantage Plans
FQHC Systems
"Florence has transformed how our care navigators manage their panels — we've seen a 3x improvement in engagement rates." — VP of Population Health
Explore Florence for Your Role
Trusted by Value-Based Care Leaders
"Florence has transformed how our care navigators manage their panels — we've seen a 3x improvement in engagement rates." — VP of Population Health
Florence serves every stakeholder—providers, nurses, plans, and patients. Choose your perspective.
For Providers
EHR Copilot, automated care management, and clinical decision support — all inside your workflow.
Explore →For Patients
Your personal AI health navigator — 24/7 care coordination, lab explanations, and proactive outreach.
Explore →For Health Plans
Scale care management with AI — Chronicity Matrix™, EmpathyCore™, and predictive gap intelligence.
Explore →You became a nurse to care for people.
Florence makes sure you can.
Florence handles the repetitive outreach, documentation, and scheduling — so you can spend your time where it actually matters: with patients who need your clinical judgment, your empathy, and your expertise.
Prioritized Worklists, Not Endless Calls
Start each day with a sorted list of patients who need you — not a queue of voicemails. Florence completes initial outreach and surfaces only the patients requiring clinical attention.
Documentation That Writes Itself
Every call Florence makes generates structured notes in your EHR — SOAP format, ICD codes suggested, care plan updates queued for your review. Less charting, more caring.
Warm Handoffs, Never Cold Drops
When a patient needs you, Florence doesn't just transfer — it briefs you first. Full context, red flags highlighted, patient mood assessed. You walk in prepared, not cold.
"We didn't build Florence to take your job. We built it because your job is too important to bury in paperwork."
See how Florence gives nurses back their time.
Schedule a 30-Minute Workflow Review →Dana, RN Care Manager — ACO Network
7:45 AM — Before her first cup of coffee is finished
Dana opens her EHR and sees a streamlined worklist: just 8 high-need patients from 47 recent discharges who require her direct attention.
Florence has already handled the other 39:
- Placed and transcribed automated check-in calls for all 39 patients using structured voice assessments
- Cross-referenced medication lists with discharge orders, flagging 3 discrepancies for pharmacy review
- Confirmed PCP follow-up appointments, identifying 5 patients needing transportation assistance
- Triaged symptoms — escalated 1 chest-tightness case with transcript and call audio for Dana's immediate review
- Documented every interaction directly in the EHR, pre-populating Dana's notes
By 10 AM, Dana has resolved the urgent case and spoken to every high-acuity patient. Half her documentation is already complete — auto-filled by Florence. She's practicing at the top of her license — not chasing voicemails.
Three Failure Modes Draining Your Care Team
We studied how care management actually works — shadowing nurses, running time-motion analysis, mapping 322 workflows. These are the three patterns that break every team.
These aren't technology problems. They're human factors problems — and they require a human factors solution.
Ready to see how Florence handles these workflows?
Schedule a 30-Minute Workflow Review →The Automation Surface
Of 322 care management workflows we mapped, 47 don't require clinical judgment. Florence automates these — so your team's time goes to patient care, not logistics.
Patient Outreach
12 workflows65% automatable
Scheduling
8 workflows75% automatable
Referral Mgmt
7 workflows55% automatable
Documentation
6 workflows45% automatable
Med Adherence
5 workflows50% automatable
Care Transitions
4 workflows35% automatable
Quality Measures
3 workflows40% automatable
Chronic Care
2 workflows30% automatable
The principle: Florence automates only what doesn't require clinical judgment. Nurses keep the decisions. Florence handles the logistics.
Measures We Move
When nurses spend 90% of their time on clinical work instead of 60%, quality metrics move with them.
HCC Recapture Rate
AWV Completion Rate
HEDIS Quality Measures
ED Diversion Rate
TCM Follow-Up (48hr)
Patient Engagement Rate
Sarah's Tuesday With Florence
Sarah is a care manager with 200 patients. Before Florence, most of her day was logistics. Here's what changed.
Sarah opens her dashboard. Florence has already completed overnight outreach to 34 patients — medication reminders, appointment confirmations, and post-discharge check-ins. Twelve responded. Three need follow-up.
Florence handled: 34 outreach calls, response triage, priority sorting
Mr. Rivera's GFR is trending down. Florence flagged it last night — pulled his latest labs, checked his medication list against his diagnoses, and surfaced a potential drug interaction. Sarah spends 15 minutes on clinical judgment, not 45 minutes gathering data.
Florence handled: Lab monitoring, chart aggregation, interaction check, alert prioritization
A referral from three weeks ago never closed. Florence tracked the specialist appointment, confirmed attendance, retrieved the consult note, and routed it to the PCP — before Sarah even knew there was a problem.
Florence handled: Referral tracking, chart retrieval, loop closure, PCP notification
Sarah reviews her end-of-day summary. She personally engaged with 18 patients today — all clinical conversations. Florence handled the other 182. No one fell through the cracks. Her Top-of-License time: 91%.
The result: 200 patients managed. 18 by Sarah. 182 by Florence. Zero missed.
The 5-Phase Care Worklist
From signal detection to continuous surveillance — Florence, your AI nurse extender, orchestrates every step. Click any phase below to expand its capabilities.
Florence AI Capabilities
PopHealth Signals Detected
Florence AI Capabilities
Human Actions
Florence Copilot Domains
Care Team Actions
Florence AI Capabilities
Human Actions
Florence AI Capabilities
Human Actions
Three-Way Call Capability
Florence bridges patients, caregivers, and care navigators in real-time — 400,000+ contacts per year vs. 4 traditional visits
Patient
Receives the call, shares symptoms, concerns, and daily status
Caregiver
Joins when needed for context, medication verification, or support
Care Navigator
Escalation point for clinical decisions and care coordination
Florence AI
Orchestrating the Conversation
Condition-Specific Clinical Protocols
Deep clinical intelligence across the most common chronic conditions in value-based care
Click any category to explore how Florence manages each condition
Metabolic
4 conditions- Diabetes Type 1 & 2
Florence automates blood glucose tracking, medication adherence monitoring (insulin, metformin, GLP-1s), and A1C lab coordination. Screens for hypo/hyperglycemia symptoms, tracks diabetic foot care, retinal exam completion, and nephropathy monitoring—closing gaps in HEDIS CDC-H9 measures.
- Pre-Diabetes
Florence delivers evidence-based lifestyle coaching on nutrition, physical activity, and weight loss (targeting 5-7% body weight reduction). Tracks A1C and fasting glucose trends, ensuring timely progression to DPP referrals when appropriate.
- Obesity Management
Florence supports patients in GLP-1 or bariatric surgery programs with weekly weight tracking, dietary adherence, physical activity goals, and side effect monitoring. Coordinates nutritionist visits and escalates when weight loss plateaus or adverse effects occur.
- Thyroid Disorders
Florence monitors thyroid medication adherence (levothyroxine), tracks symptom resolution (fatigue, weight changes, mood), and coordinates TSH lab draws per protocol. Escalates when patients report persistent symptoms or lab values fall outside therapeutic ranges.
Renal
3 conditions- Chronic Kidney Disease
Florence tracks GFR trends, monitors blood pressure control, ensures medication adherence (ACE/ARBs, phosphate binders), and coordinates nephrology follow-up. Screens for fluid overload, anemia symptoms, and metabolic bone disease complications.
- End-Stage Renal Disease
Florence supports dialysis patients with interdialytic weight gain monitoring, fluid restriction adherence, and vascular access site surveillance. Coordinates dialysis center communication and escalates when patients report missed treatments or access complications.
- Dialysis Support
Florence conducts pre- and post-dialysis check-ins, monitors for hypotension, cramping, and infection symptoms while tracking dietary phosphorus and potassium intake. Ensures transportation barriers are addressed and medication reconciliation post-dialysis is complete.
Neurological
4 conditions- Stroke Recovery
Florence guides post-stroke rehabilitation with daily functional assessments, medication adherence (anticoagulants, antiplatelets), and fall risk monitoring. Screens for new neurological symptoms, depression, and ensures completion of PT/OT/speech therapy appointments.
- Parkinson's Disease
Florence monitors motor symptom progression (tremor, rigidity, gait), medication timing adherence (levodopa schedules), and fall risk. Tracks non-motor symptoms (sleep, constipation, mood) and escalates when dyskinesias or "off" periods worsen.
- Multiple Sclerosis
Florence monitors symptom flares (vision changes, weakness, numbness), disease-modifying therapy adherence, and functional status. Coordinates MRI scheduling, tracks fatigue management, and escalates when relapse symptoms emerge.
- Dementia Care
Florence conducts cognitive screenings, monitors behavioral symptoms (agitation, wandering), and supports caregiver burden assessment with validated scales. Ensures medication adherence, coordinates memory clinic visits, and escalates safety concerns to care teams immediately.
Behavioral Health
3 conditions- Depression
Florence administers PHQ-9 screenings at protocol-defined intervals, monitors antidepressant adherence, and tracks therapy engagement. Escalates immediately when suicidal ideation is detected (PHQ-9 Q9 positive) or symptoms worsen despite treatment.
- Anxiety Disorders
Florence conducts GAD-7 assessments, monitors anxiolytic medication adherence, and supports CBT homework completion. Tracks panic attack frequency, avoidance behaviors, and escalates when symptoms interfere with daily functioning.
- Substance Use Disorder
Florence supports patients in MAT programs (buprenorphine, naltrexone, methadone) with daily check-ins, craving assessments, and relapse prevention coaching. Coordinates counseling appointments and escalates immediately when relapse occurs or suicidal ideation emerges.
Musculoskeletal
3 conditions- Osteoarthritis
Florence monitors pain levels, functional status, and medication adherence (NSAIDs, intra-articular injections, DMARDs). Supports physical therapy engagement, weight management, and escalates when pain control is inadequate or surgical referral criteria are met.
- Rheumatoid Arthritis
Florence tracks DMARD adherence (methotrexate, biologics), monitors for disease flares (morning stiffness, joint swelling), and coordinates rheumatology lab work (CRP, ESR). Escalates when patients report new joint involvement or medication side effects.
- Osteoporosis
Florence ensures bisphosphonate or RANK ligand inhibitor adherence, tracks calcium and vitamin D supplementation, and coordinates DEXA scan scheduling. Monitors for fracture risk factors (falls, height loss) and escalates when patients report bone pain or fracture.
Post-Acute
3 conditions- Post-Surgical Care
Florence conducts daily post-operative assessments monitoring surgical site infection signs, pain control, mobility progression, and medication adherence. Ensures wound care instructions are followed and escalates when fever, drainage, or dehiscence occurs.
- Wound Management
Florence tracks wound healing progression, monitors for infection signs (erythema, purulent drainage, odor), and ensures dressing change compliance. Coordinates wound care nurse visits and escalates when healing stalls or worsens.
- Transitional Care (TCM)
Florence executes TCM protocols within 48 hours of discharge, conducting medication reconciliation, reviewing red flag symptoms, and ensuring follow-up appointments are scheduled — giving your nurses time to focus on the highest-acuity patients. Early programs show meaningful reductions in 30-day readmissions.
A Phased Approach to Autonomy
Start with oversight. Graduate to scale.
We meet you where you are. Begin with full care-team partnership and progressively expand your nurses’ reach as your team builds trust and confidence.
What Your Patients Experience
Florence becomes your patients' active health advocate — closing gaps, coordinating care, and following through.
Co-Pilot
Human in the Loop
- CM listens to every call
- Reviews all documentation
- 100% Supervision
Supervised
Human on the Loop
- Florence acts autonomously
- CM monitors dashboard
- 1 CM : 10-20 Calls
Full-Scale Partnership
Your Care Team, Amplified
- Florence handles routine outreach end-to-end
- Escalates to your nurse or physician on risk
- 24/7 Scale
Hear Florence on a Real Call
A short clip from a post-discharge follow-up, with Florence confirming meds, symptoms, and next steps before looping in a nurse when needed.
Transcript Excerpt (Anonymized)
Florence: Hi, I'm calling to check in after your recent discharge. Are you in a safe place to talk for two minutes?
Member: Yes.
Florence: Great. Let's confirm your medications and symptoms, then I'll help schedule your follow-up if needed.
Transitional Care Management — Without Burning Out Your Nurses
Before Florence
- Nurse manually calls every discharged patient within 48 hours
- 60% of calls go to voicemail — nurse calls back repeatedly
- Documentation takes 15+ minutes per patient
- High-acuity patients wait while nurse chases routine follow-ups
With Florence
- Florence completes Day 1 outreach for every discharge automatically
- Nurse gets a prioritized list: who needs a human call now
- Structured notes in EHR before nurse picks up the chart
- Nurse time focused on clinical judgment, not phone tag
Early programs show meaningful reductions in 30-day readmissions and significant time returned to nurse care managers per TCM episode.
How Florence Communicates
Florence's Five-Pillar Therapeutic Persona
Florence delivers chronic care management that feels human—combining comprehensive data access with empathetic conversation to transform care management.
Psychological Safety
Creates a judgment-free space where patients feel secure sharing concerns
- Non-judgmental language patterns
- Validates patient experiences
- "Tell me more about that" prompting
Warmth
Conveys genuine care through tone, pacing, and personalized details
- Remembers previous conversations
- Adjusts pacing to patient needs
- Uses patient's preferred name
Competence
Demonstrates clinical knowledge while staying within scope
- Accurate medical terminology
- Clear scope boundaries
- "Let me connect you with..." when appropriate
Inquisitiveness
Asks thoughtful questions to understand the patient's experience
- Open-ended questioning
- Explores the full patient context
- "How has this affected you?" focus
Unfailingly Patient
Gives time for reflection and never rushes important topics
- No time pressure cues
- Pauses for patient processing
- Repeats info without frustration
Your AI Nurse Extender, Embedded in the EHR
Florence brings clinical intelligence directly into your workflow. No portals, no toggling, no delays.
Active Problems
Upcoming Appointments
Recent Lab Results
EHR Copilot
Florence Summary & Agenda
Jane was discharged from Memorial Hospital 3 days ago following CHF exacerbation. Recent labs indicate CKD progression (eGFR 29). TCM follow-up required within 7 days per CMS guidelines.
Action Items:
- Complete TCM Day 1 outreach call
- Discuss recent CHF discharge and medication changes
- Schedule PCP follow-up within 7 days
- Address suspected CKD Stage 4 (eGFR 29)
Discharged from Memorial Hospital - 3 days ago
Reason: CHF Exacerbation • LOS: 4 days
Gap Journey
40% ClosedCKD Stage 4 Detected
eGFR 29 indicates progression • ICD-10: N18.4
TCM Follow-up Due
Post-discharge visit within 7 days required
AWV Eligible
Annual Wellness Visit due March 2026
Clinical Note
Auto-GeneratedDocumentation will appear here after completing a workflow.
CKD Stage 4 Filed to EHR
ICD-10 N18.4 added to problem list
ADT Alert Received
Discharge from Memorial Hospital
Lab Results Analyzed
eGFR 29 flagged as critical
We don't replace nurses. We protect them.
Florence never replaces a nurse's clinical judgment. Every escalation, every care decision, every patient concern that needs a human — it goes to your team.
We reduce burnout, not staff. Florence handles the outreach volume so your nurses can work at the top of their license — not buried in phone tag and paperwork.
We honor the people who chose this profession. Every feature we build starts with one question: does this give a nurse more time to do what only a nurse can do?
Florence's Escalation Protocol: Safety Guardrails Built In
Every scenario has a defined response—nothing falls through the cracks
Click any row to see detailed safety protocols and audit trails.
| Trigger | Response | Outcome |
|---|---|---|
Medical Emergency High-risk keywords: bleeding, chest pain, falls, unresponsive |
Alert RN immediately + warm transfer to clinical team |
Immediate escalation |
Suicidal Ideation PHQ-9 Q9 positive, self-harm language |
PHQ-9 screening protocol + RN escalation + safety plan |
Non-interruptible handoff |
Elder Abuse / Neglect Signs of abuse, financial exploitation, neglect indicators |
Mandatory reporting protocol + social work referral |
Clinician + SW review |
Behavioral Crisis Aggression, wandering/safety risk, severe agitation |
Escalation flag + full transcript to care navigator |
Care manager review |
Confusion Detected Patient unable to answer, disoriented, impaired |
Request caregiver join call immediately |
Three-way call |
Routine Call No flags, standard check-in |
Document findings + schedule follow-up |
Auto-note to EHR |
Florence Works Where Your Team Already Works
No new portals. No toggling between systems. Florence reads from and writes back to the EHR your nurses already live in.
EHR Systems
Population Health Platforms
Clinical Data Sources
Questions Your Team Is Already Asking
Straight answers, no scavenger hunt.
What Florence is NOT: Florence is not a phone tree, not a generic chatbot, and not a debt collector. It's a clinical-grade voice assistant built for value-based care.
The AI-Automated Care Management Blueprint
26 pages of human factors research — 322 workflows mapped, three failure modes identified, and the specification that became Florence. The complete case for why care management automation requires a human factors approach.
We'll send the PDF and nothing else. No spam.
Ready to Give Your Care Team Back Their Time?
See how Florence automates 47 care management workflows — so nurses stay at the top of their license.
30-minute workflow review · No commitment · HIPAA-compliant