Appointment reminders
Multi-channel reminders with confirm and reschedule in the reply.
Communication · Outreach
Patient Communication Automation
One agent that orchestrates reminders, follow-up, and aftercare across SMS, voice, and email — sending the right message on the right channel, tracking responses into the record, and honoring opt-out.
Opt-out HonoredHIPAA-ReadyAudit LoggedFHIR R4
Trusted by global innovators
Outreach that falls through the cracks
Reminders fire from one system, instructions from another, and recall lists live in a spreadsheet worked by hand — messages hit the wrong channel, patients who replied 'STOP' still get texts, and no one sees whether a follow-up landed. This agent unifies outreach: it picks each patient's channel, personalizes from the visit and care plan, escalates SMS to voice to email on non-response, and writes every send, reply, and opt-out back as a FHIR Communication.
Architecture
An orchestration pipeline: an EHR event trigger, a consent and preference check, channel selection across SMS/voice/email, delivery, and a response write-back with opt-out enforcement.
Key Capabilities
Concrete outreach behaviors — cross-channel, consent-aware, and closed-loop.
Cross-channel orchestration
Sends over SMS, automated voice, or email by patient preference, escalating channels when a message goes unacknowledged.
Context-personalized messages
Generates reminders, prep, and aftercare from the appointment and care plan.
Consent + opt-out enforcement
Checks consent before every send and processes STOP/UNSUBSCRIBE in real time, recording the opt-out to halt that channel.
Two-way responses
Understands replies — confirm, reschedule, 'not feeling better' — routing actionable ones to staff or the scheduling agent.
Recall + logged write-back
Runs recall and care-gap campaigns from problem and observation data, writing every message and reply to the EHR as a FHIR R4 Communication.
Who runs it
Where the communication agent runs
Post-visit follow-up
Aftercare instructions and check-ins timed to the discharge or visit.
Recall campaigns
Overdue screenings and annual visits from problem and observation data.
Chronic-care check-ins
Outreach for CCM cohorts with symptom replies routed to nurses.
Pre-procedure prep
Timed prep instructions with confirmation of acknowledgement.
Balance + billing notices
Statements and payment links on the patient's preferred channel.
What outreach automation changes
Impact framed as manual work removed — measured against your own outreach data in a pilot.
3 channels
SMS, voice, and email from one agent
Real-time
Opt-out honored the moment it arrives
Closed loop
Every reply written back to the record
Compliance-First Healthcare App Development Services Backed by Global Standards
15-Minute Scoping Call01
HIPAA
Health Insurance Portability and Accountability Act
Protect PHI with privacy-first architecture, encrypted storage and transmission, strict access controls, and traceable audit logs.
02
GDPR
General Data Protection Regulation
Implement lawful consent flows, data minimization, retention controls, and secure processing for sensitive health data.
03
FHIR
Fast Healthcare Interoperability Resources
Enable standardized health data exchange across apps, care teams, and systems through robust FHIR-ready APIs.
04
HL7
Health Level Seven International
Support enterprise-grade interoperability with HL7-based integrations for records, events, and clinical messaging workflows.
05
HITRUST
Health Information Trust Alliance
Align security programs to healthcare-specific control and risk management practices trusted by providers and ecosystem partners.
06
HITECH
Health Information Technology for Economic and Clinical Health Act
Design with breach notification readiness, digital record safeguards, and operational controls that support regulated care programs.
07
SaMD
FDA Software as a Medical Device
Plan software quality, traceability, and documentation pathways for products that may require SaMD review and submission.
08
MDR (EU)
Medical Device Regulation (European Union)
Prepare EU market-ready processes for risk classification, evidence tracking, and lifecycle governance under MDR expectations.
09
SAMHSA
Substance Abuse and Mental Health Services Administration
Apply confidentiality controls and consent-aware sharing models for behavioral and mental health data experiences.
Standards
What it is built against
HIPAASOC 2FHIRTCPAHL7
How It Works
From care event to closed loop
Four stages: capture the trigger, choose channel and content under consent guardrails, deliver, and write the outcome back.
1.
Capture the trigger
An EHR event — booked visit, discharge, overdue screening — fires the workflow with patient and care context.
Event trigger
2.
Check consent + compose
The agent verifies consent and channel preference, composes a personalized message, and suppresses anyone opted out.
Consent guardrails
3.
Deliver + escalate
It sends on the preferred channel, escalates SMS → voice → email on non-response, and routes actionable replies.
Action
4.
Write back the outcome
Sends, replies, and opt-outs are recorded as FHIR R4 Communication resources, keeping the record and consent status current.
EHR write-back
Related proof
Read Case StudyLera Health: compliant women's health platform
Related proof of compliant, AI-assisted delivery, not this exact outreach agent. On Lera Health we built consented, patient-facing communication and a privacy-first data layer on the same standards.
Compliance & Guardrails
15-Minute Scoping CallGuardrails on every message
Automated outreach is a compliance surface. These four controls keep it safe and accountable.
PHI handling
Messages run under a BAA on HIPAA-ready infrastructure; content is minimized so identifiers aren't exposed on unsecured channels.
Human-in-the-loop
Clinical replies and anything urgent route to staff; sensitive campaigns can require approval before the first send.
Explainability
Each message links to the triggering event, consent state, and template behind it, so any outreach can be justified.
Audit logging
Every send, delivery receipt, reply, and opt-out is time-stamped and stored as a defensible consent record.
Frequently Asked Questions
Yes. Delivery runs under a BAA on HIPAA-ready infrastructure, content is minimized to avoid exposing clinical detail on unsecured channels, and consent and opt-out are enforced in real time and logged for audit.
Close the loop on patient outreach
Tell us your EHR and the journeys to automate. We'll return an integration scope and a rollout plan starting with reminders.
contact@agnotic.com
Partnerships
contact@agnotic.com