NightingaleMD
AI care workflows, built around your operation

Care that never runs out of time.

Florence calls patients, brings staff into the conversation when the workflow requires it, and records the outcome. NightingaleMD builds each workflow around your protocols, systems, and human handoffs — while clinical judgment stays with your team.

Request a workflow review
BAA available · Security materials on request · 23 supported languages · Interpreter mode
Patient context
Jane Doe · recent dischargeAlbany Medical Center
Connect clinic
Configured office lineDoctor Cunningham
Handoff brief
Name · appointment · reasonPrepared before clinic joins
Live conference
Patient + clinic + FlorencePatient stays on the line
Recorded TCM product demonstration
Clinic handoff
Follow-up booked on the same call.
Florence → clinic
Hi, this is Florence, an AI assistant calling with a patient. I have Jane Doe on the line, recently discharged from Albany Medical Center, and we’re calling to book her follow-up appointment with Doctor Cunningham.
Clinic
Hi, Jane. When can you come in?
Patient
Thursday at eleven o’clock.
Florence
The office has you down for Thursday at eleven in the morning.
De-identified TCM demonstration · condensed for length · wording preserved
Built with you

Start with a template. Build the workflow around your operation.

NightingaleMD provides reusable templates for care pathways, multi-step workflows, and longitudinal programs. Our healthcare engineers adapt them to your protocols, systems, tools, and handoff rules. The result is your version — versioned, testable, and auditable.

Block 01 · Connections

Connect the systems this workflow needs

We build connections for commercial, custom, and homegrown systems through the same integration framework. Configured connector operations can write approved outcomes; connector-specific rules determine how delivery is verified.

Block 02 · Tools

What Florence may do

Book, text, conference your clinic in, look up the roster, file the note — each capability granted per task, per workflow step. What isn’t granted structurally cannot happen.

Block 03 · Escalation pathways

Your rules for the hard moments

Who gets flagged, when Florence transfers, which situations reach a nurse now versus tomorrow’s worklist — encoded to your protocols, from after-hours coverage to named emergency routes.

The floor · Non-negotiable

Safety controls set before launch

Protected workflows use configured identity checks, consent and quiet-hour controls, and explicit human handoffs. Florence is not authorized to diagnose, prescribe, or direct treatment.

See the workflow engine, release checks, and available audit evidence on the platform page.

Explore the platform →
Built at three layers

Three layers, built for the outcome you define.

We start with reusable templates at each layer, then build your version around the questions, actions, systems, and human handoffs your team defines.

Altitude 01 · within one conversation

Pathways

Within a conversation, a pathway defines what Florence asks, what she flags, and where each answer routes.

concludes → a disposition the workflow acts on
Altitude 02 · across one episode

Workflows

Across an episode, a workflow coordinates invitations, calls, bookings, reminders, documentation, and human follow-up.

concludes → a documented, verified outcome
Altitude 03 · across a relationship

Programs

Across an ongoing relationship, a program sets the cadence, carries approved context between sessions, and reports the outcomes your team chooses to track.

compounds → a longitudinal record your team draws on

Each layer hands a defined result to the next: a pathway hands a disposition to the workflow; a workflow hands an outcome to the program. That separation keeps each custom version inspectable.

See the workflow in context

Follow the conversation and the structured record together.

The demonstration pairs Florence’s conversation with the workflow state and tool activity behind it, so your team can inspect the handoff, the configured actions, and the resulting record together.

No form, no gate. When you’re ready to see it on your workflow, request a workflow review with the team that builds the platform.

Review your workflow
Synthetic patient data · rate-limited · Florence does not provide medical advice
Florence · live demosimulated
Show me the cardiovascular protocol
Of course — initializing it for Jane Doe. You’ll see each step appear in the worklist as we go. Any chest pain or discomfort since discharge?
No chest pain — just some tiredness in the evenings.
No missed doses this weekI felt dizzy this morning
Worklist
Symptom checkRecorded
Patient response
“No chest pain — just some tiredness…”
RECORDED 4:21 PM
Medication reviewActive
Any missed blood-pressure medications this week?
One call, start to finish

One conversation closes one loop.

Florence identifies herself as an AI on behalf of your care team. Configured protected workflows run server-side patient matching, then work the task toward a recorded outcome.

01

Reach

Calls and texts inside quiet hours. A familiar number helps recognition; identity never relies on caller ID.

02

Verify

Configured protected workflows use server-side patient matching against roster or EHR fields. Unresolved matches route to staff.

03

Converse

A real conversation in the patient’s language — running the pathway your protocols define.

04

Book

Florence conferences your clinic in and books the visit with the patient still on the line.

05

Document

The workflow records the outcome. Configured chart-delivery steps write structured documentation and verify that it landed.

When a configured clinical flag is triggered, the pathway transfers the conversation or routes it to your team according to your rules. Staff receive the conversation, the reason for the flag, and the configured handoff destination.

Then at cohort scale

Run one approved workflow across a patient cohort.

Load a patient list and launch the workflow you approved. Each patient follows its outreach, booking, documentation, and handoff rules, with consent, opt-outs, and quiet hours enforced in code.

Your team sees completed steps, open tasks, and conversations that need a person. An escalation here is the system working, not failing.

Annual wellness visit campaignIllustrative workflow
Roster
Source of truth
Verified
Before personal details
Tracked
Configured outcomes
Routed
Human exceptions
09:14M. Chen — visit booked, reminder scheduledClosed
09:11R. Alvarez — asked about a new symptom; parked for nurse with transcriptNeeds human
09:07D. Osei — preferred text; rescheduling conversation continuing by SMSIn progress
Why we’re building this

Medicine has always rationed its minutes. Florence makes time abundant.

Care teams lose time to dialing, re-dialing, documenting, and chasing follow-up. Florence takes on that repeatable work, leaving licensed staff focused on questions that need clinical judgment.

With more time for conversation, she can ask about the practical details around a diagnosis: whether there are stairs between the bed and the bathroom, whether a prescription was picked up, and who is available to help. The relevant context returns to the care team.

What abundant time learnsIllustrative
R. Alvarezlongitudinal context · example view
HomeThird-floor walk-up — twelve steps, no elevator
SupportDaughter Ana nearby — helps Tuesdays and Thursdays
RoutineWalks Milo twice a day — motivated to stay mobile
PharmacyPickup barriers noted in two conversations
SignalMentioned skipping meals to stretch groceries — flagged for care-team review
Context gathered in conversation, with consent — surfaced to the care team, never acted on by Florence alone.

“Scarcity of time built the healthcare we have. Abundance of time is how we build the one we want.”

Built to be proven

Show your compliance team the evidence behind each control.

Florence talks. Only the engine acts.

Care state advances only through typed, logged steps. Anything ambiguous is parked for a person — never quietly marked done.

unrouted outcome → needs_human

Safety scenarios run on the production voice pipeline

Published scenarios drive full conversations with synthetic participants through the deployed production voice pipeline. An errored run never counts as a pass.

synthetic callers · deployed pipeline · error ≠ pass

Connector-specific confirmation

Configured connector operations can write approved outcomes to the system of record. Connector-specific confirmation rules determine how delivery is verified.

write → confirm → verified

Tenant isolation tested at the database layer

Database row-level security and adversarial tests enforce tenant separation. Calls retain the prompt and workflow versions plus logged events available for review; evidence coverage is shown during diligence.

deny-by-default · forced row-level security

“Florence is configured to ask, record, and route. Clinical judgment stays with licensed staff.”

The configured operating boundary
Language access

23 supported languages. One accountable workflow.

Florence supports 23 voice languages. We validate each deployed workflow in the languages it uses; interpreter mode is available on configured three-way calls.

EnglishSpanishFrenchGermanItalianPortugueseDutchRussianUkrainianPolishDanishNorwegianFinnishTurkishArabicHindiBengaliMarathiIndonesianVietnameseJapaneseKoreanChineseInterpreter mode on 3-way calls
Who we build with

Built for the teams doing the work.

Value-based care providers

ACOs, FQHCs, and primary care groups: close the loops your quality and revenue already depend on.

See how →

Health systems

Post-discharge follow-up, referrals, and scheduling that stop leaking between departments.

Health plans

Member outreach with the audit trail, consent handling, and escalation discipline your oversight requires.

Digital health companies

Intake and engagement at scale, integrated with your own systems — even a custom EHR.

Bring us one workflow

See how Florence would run it.

Bring the protocol, patient journey, and systems your team uses today. We’ll map the pathway, workflow, tools, and human handoffs together.