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What a clinic can use today.

Four workflows are in production: filling freed appointments, monitoring glucose between visits, a patient app for sharing readings, and a weekly review of results. Every clinic starts in shadow mode, with staff making every contact.

Cancelled-slot fill

Freed slots matched to your waiting list, with reasons.

A freed appointment arrives from your scheduling system or is recorded by staff. Aksh checks every patient on the waiting list for that appointment type against the slot and your clinic’s rules, ranks those who fit, and lists the rest with the reason they were not offered.

  • Ranking by reason for waiting, in the order your clinic sets: overdue care, patient request, clinician request
  • Checks earliest and latest dates, notice period, preferred site, opt-outs and existing offers
  • A limit on offers per patient in 30 days, and channels you can switch off
  • Staff can skip a patient with a reason, defer, or pass the slot to a person
  • Staff send the offer through your own channel; Aksh never contacts patients
  • A slot counts as filled only when your schedule shows the booking
Fill cancelled slots
Diabetes review · Thu 09:40 · 20 min
Main site · offer closes Wed 18:00
Shadow mode
1R. Okafor
Eligible
Overdue careHbA1c dueWaiting since 12 Aug
Draft offerSkip with reason
2M. Haddad
Eligible
Patient askedWaiting since 3 Sep
–J. Lindqvist
Not offered
No contact preference recorded · needs 24 h notice
Illustrative example
Diabetes monitoring

A worklist of who needs attention, not another dashboard.

Continuous glucose data from uploads or a device feed, and readings patients share from the app, come together per patient. The worklist puts low glucose first, then high glucose, then missing data.

  • Time in range, time below and above range, mean glucose, GMI and coefficient of variation
  • Ambulatory glucose profile by hour of the day
  • Flags against the general consensus targets; the clinician decides which targets apply
  • Data sufficiency shown: 14 days and 70% sensor wear before metrics are treated as reliable
  • Patient uploads are reviewed by a clinician before they count
CGM monitoring
Patients by urgency · last 14 daysTrusted readings only
A. MensahTIR 48% · TBR 8%
Time below 54 mg/dL is 1% or more
S. NovakTIR 61% · TBR 2%
Time in range is under 70%
L. RossiTIR 78% · TBR 1%
Within general targets
Illustrative example
Patient app

Patients share readings when they choose.

Your clinic gives a patient an invite code. They link their account with the code and their date of birth, then record readings or upload CGM exports. Readings before linking stay private until the patient chooses to share them.

  • Glucose, blood pressure and weight, in the units the patient uses
  • Readings reach the care team marked as patient-reported until checked
  • Download a copy of their own record at any time
  • Two-step sign-in with an authenticator app
Patient app
Add a reading
GlucoseBlood pressureWeight
Glucose 122 mg/dLShared with your clinic
Before breakfast · today 07:42
CGM upload · 14 daysAwaiting clinician review
Counts in your clinic’s view once a clinician checks it
Illustrative example
Measured results

Results with one definition and a locked baseline.

Fill rate has one definition: slots where the patient accepted before the offer expired and the booking was verified before the slot started, divided by slots received. Your baseline is locked before go-live and cannot be edited afterwards.

  • Rates always shown with their counts and a 95% range
  • No comparison until both periods have at least 20 slots
  • Weekly review per clinic: funnel, staff decisions, speed, hand-offs and data gaps
  • Sign-off freezes the week’s figures; corrections are added, never overwritten
Weekly review · week of 5 Oct
52%Fill rate · 13 of 25 slots
31%Locked baseline
3.4 hMedian slot to booking
Fill rate by week
What to discuss1 booking was not found on read-back. Check the hand-off was resolved.Staff chose someone other than the top-ranked patient twice.
Illustrative example
Who uses it

Each role sees only what it needs.

Clinicians

Physicians, nurses and pharmacists work the slot queue, review readings and CGM uploads, and see the monitoring worklist.

Practice managers

Work the slot queue and run the organisation: staff, invites, connections, settings, go-live and the weekly review.

Patients

Link to their clinic, record and share readings, upload CGM data and download their record.

Connections

Works beside the systems you already run.

Aksh does not replace your records or scheduling system. It reads from them and writes nothing back.

Schedule connector

Your scheduling system reports freed slots and bookings as FHIR R4 Slot and Appointment resources, or plain JSON, with a per-organisation key.

Connector guide →

Glucose data

CGM exports from Dexcom Clarity, LibreView or a generic CSV, and device readings as FHIR R4 Observations.

Monitoring guide →

Patient list

Import patients from a CSV export of your records system, with a template and row-by-row validation.

Import guide →

See it with your own waiting list.

We will walk through your cancellation process and what go-live would involve for your clinic.