Question 1

What is the adherence intelligence layer?

Accepted Answer

The adherence intelligence layer is a behavioral intelligence infrastructure that monitors patient disengagement signals, infers the specific barrier behind each signal, and coordinates barrier-specific responses at defined moments in the patient journey, before disengagement becomes permanent exit. Unlike reminder tools that send scheduled notifications, the adherence intelligence layer treats each disengagement signal as a trigger for a specific, barrier-targeted response designed to help patients resume care.

Question 2

What is Adherence Intelligence?

Accepted Answer

Adherence Intelligence is the discipline of systematically identifying, understanding, and acting on patient disengagement signals throughout the patient lifecycle. It treats patient attrition as measurable and addressable, applying behavioral inference and a barrier-specific response to help patients continue care before they permanently exit. Adherence Intelligence is the category; the adherence intelligence layer is the infrastructure Synarmic builds around it.

Question 3

How is the adherence intelligence layer different from a patient reminder tool?

Accepted Answer

A reminder tool sends scheduled notifications, the same message to all patients on a calendar, assuming disengagement is caused by forgetfulness. The adherence intelligence layer detects why individual patients are losing momentum, infers the specific barrier driving their disengagement (cost friction, treatment plateau, side effects, etc.), and recommends or coordinates a barrier-specific response at the right moment. The distinction is captured in the phrase: Reminders follow schedules. Synarmic follows signals.

Question 4

How is the adherence intelligence layer different from a CRM?

Accepted Answer

A CRM records what happened, appointments scheduled, messages sent, revenue earned. It is a backward-looking record system. The adherence intelligence layer looks forward: it monitors behavioral signals between appointments, identifies patients who are losing momentum before they exit, and triggers structured interventions before that exit becomes permanent. CRMs capture history; adherence intelligence layers drive recovery.

Question 5

What are adherence moments?

Accepted Answer

Adherence moments are the specific, identifiable points in a patient's care journey where disengagement is most likely to begin, including a missed follow-up appointment, an uncompleted treatment milestone, a delayed rebooking, cost or financing hesitation, unanswered outreach, or extended inactivity. Patients do not disengage randomly; they exit at identifiable, recurring moments that can be systematically detected and addressed with the right response.

Question 6

What’s the difference between reminders and Synarmic?

Accepted Answer

This phrase captures the core distinction between conventional patient communication tools and the adherence intelligence layer. A reminder notifies a patient on a schedule, assuming they simply forgot. A protocol recognizes that disengagement has a specific cause, cost friction, side effects, treatment plateau, or loss of motivation, and deploys a structured, barrier-targeted response designed to address that cause and recover the patient. Protocols are not mass messages; they are tailored intervention sequences triggered by specific behavioral signals at specific adherence moments.

Question 7

What types of clinics benefit most from the adherence intelligence layer?

Accepted Answer

Adherence intelligence layers are most valuable for recurring metabolic health programs where patient continuation directly drives revenue, including membership-based care models, ongoing treatment programs, refill-driven prescriptions, hormone optimization, and concierge healthcare. In these models, each patient who exits represents both immediate and long-term revenue loss, making systematic intervention at adherence moments a high-leverage operational capability.

Question 8

Does the adherence intelligence layer require access to patient PHI?

Accepted Answer

Adherence intelligence layers can be designed to function without patient PHI (Protected Health Information). Detecting that a specific patient is losing momentum requires Synarmic to associate program events with the correct patient, which is protected health information. Synarmic executes a Business Associate Agreement with every clinic before any data is transferred, and handles only the minimum data necessary in standard operation. PHI-handling capabilities are planned for future phases as clinical integrations deepen.

Question 9

What is patient momentum and why does it matter?

Accepted Answer

Patient momentum refers to the behavioral trajectory of a patient in their care journey, whether they are actively continuing treatment, engaging with their provider, and progressing toward their health goals. Momentum erodes before patients formally discontinue care; it surfaces first in subtle behavioral signals like delayed appointments, missed refills, and unanswered messages. Detecting and recovering patient momentum, before it becomes a formal exit, is the central operational objective of the adherence intelligence layer.

Question 10

How is the impact of the adherence intelligence layer measured?

Accepted Answer

The adherence intelligence layer measures impact through patient continuation rates, the percentage of patients who remain active in care over a defined period, benchmarked against an agreed comparison group: a holdout, matched cohort, or phased rollout. This controlled attribution methodology isolates the effect of adherence interventions from other variables, giving clinics a clear view of recovered patient revenue directly attributable to the system rather than to general market trends or seasonal patterns.

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