Stream - The Medical AI Scribe for Longitudinal Care & Value-Based Transformation

By aligning documentation with how clinicians think—by clinical problems, not by encounters—Stream makes it easier to capture patient complexity.

Medical documentation isn’t just about keeping records—it’s about understanding and managing patient complexity over time. As we transition more into value-based care, in which reimbursement is linked to the documented quality of care provided, capturing patient complexity becomes crucial. We believe documentation should tell a clear, comprehensive story of your patient’s journey—and that’s why we’ve built Stream, the first medical AI scribe for longitudinal care.

Value-Based Care & The Challenge of Capturing Complexity

Value-based care is a model that rewards better health outcomes, emphasizing preventive care, chronic disease management, and personalized treatment plans. But this focus on quality requires an accurate picture of each patient’s health—what we call “patient complexity.” Conditions don’t exist in silos; they evolve, interact, and change constantly. To deliver high-quality care, clinicians need to know the complete story, including how a patient’s problems intersect and progress over time.

Unfortunately, traditional documentation systems work against this goal. When information is buried in notes, it becomes challenging to see the bigger picture. Complexity gets lost or fragmented, reducing the ability to capture critical nuances of the patient’s condition, treatments, and progress. Stream aims to change that by organizing information by problem, giving every issue a clear and dedicated space in the record that evolves over time.

Stream’s Problem-Oriented Documentation: A Game Changer for Value-Based Care

By aligning documentation with how clinicians think—by clinical problems, not by encounters—Stream makes it easier to capture patient complexity. Let’s consider how this benefits value-based care:

• Accurate Risk Stratification: In value-based models, understanding a patient’s risk level is crucial for appropriate care and reimbursement. Because Stream tracks every clinical problem and its progression, it allows for more accurate and comprehensive documentation of patient risks and comorbidities. This granularity ensures that all relevant details are captured, improving coding accuracy and enabling better risk adjustment.

• Quality of Care & Outcomes Tracking: Stream’s problem-oriented approach enables a clearer and more actionable view of chronic conditions. Instead of flipping through notes to track how a condition has been managed, clinicians see all related details—medications, symptoms, interventions, and outcomes—consolidated under a single problem entry. This empowers proactive management, closes measure and unmeasured care gaps, and supports the continuous improvement of clinical outcomes.

• Efficient Chart Review & Decision Making: Reviewing a patient’s health status shouldn’t feel like finding a needle in a haystack. Stream’s organization ensures that key data is always at your fingertips. This efficiency supports timely decision-making, reducing time spent searching for information and increasing time spent on what matters most—patient care.

Medical AI That Understands Longitudinal Care

Unlike typical medical AI scribes that focus on making note-taking faster, Stream’s design fundamentally rethinks how documentation is stored and retrieved. Because information is linked to specific problems, it’s never buried or lost. You don’t need complex algorithms to “surface” what’s important; it’s already right where it should be. Even historical documentation can be pulled into Stream, simplifying the process of catching up on your patients’ progress or taking over the care of a new patient. The power of AI is in enhancing clarity, enabling clinicians to track progress over time effortlessly, and fostering a more natural way of documenting care that matches the reality of clinical workflows.

Empowering Clinicians, Enhancing Care

With Stream, we’re not just automating documentation—we’re transforming it. By putting problem-based, longitudinal care at the forefront of documentation, we’re helping clinicians capture patient complexity accurately and efficiently, ultimately driving better outcomes in value-based care.

Stream is more than a medical AI scribe. It’s a partner for clinicians, reimagining how information is managed and ensuring that every patient’s story is clear, accessible, and ready for the next step in their care journey. Welcome to a new era of documentation. Welcome to Stream.

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How Medical AI Scribes Can Support Value-Based Care in Medium-Sized Clinics

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Part 2: Siloed Documentation in a Collaborative World