Telehealth Intelligence/VP of Clinical Quality

The audit you
can't run on 5%.

Clinical quality governance built on a 5% sample isn't governance — it's approximation. CogniSwitch analyzes every recorded visit against your clinical guidelines, giving you the defensible audit trail, protocol adherence evidence, and risk language monitoring that complete coverage makes possible.

$2M
Annual QA Savings [verified]
100%
Recorded Visit Coverage
99%
Expert-Aligned Accuracy
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What manual QA misses becomes your liability.

A 5% QA sample catches a fraction of protocol deviations, risk language issues, and documentation gaps. The other 95% of visits is invisible — until an incident, a payer audit, or a broker question surfaces what your review process should have found. At that point, the question is whether your documentation can defend your network.

Primary Capability

Visit-Level Quality Assurance

Defensible 100% audits and the $2M in QA labor they replace.

Every recorded visit scored against your clinical guidelines — guideline adherence, documentation completeness, risk language, escalation appropriateness. The QA labor cost drops; the audit defensibility goes up.

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Secondary Capability

Clinical Stewardship Monitoring

Protocol adherence monitored systematically, not sampled.

  • Antibiotic, steroid, and controlled-substance prescribing checked at every visit.
  • Catch slippage early — before it compounds into an audit finding.
  • Extensible to additional stewardship protocols your organization monitors.
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Secondary Capability

Provider Performance & Protection

Network consistency with individual provider protection.

  • Score every provider against your standards — not a sample.
  • Identify coaching needs early and protect high performers with documented evidence.
  • Objective data for provider reviews, termination decisions, and liability responses.
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CASE STUDY • FIRST STOP HEALTH

First Stop Health

Transitioned from manual, statistically insignificant sampling to a governance model that analyzes every provider interaction — across a national network.

NETWORK SIZE1,000+ Providers [FSH-1]
ANNUAL ENCOUNTERS250K+ Visits [FSH-2]
AUDIT COVERAGE<5% → 100% [FSH-3]
ANNUALIZED SAVINGS$2.0M [FSH-4]
CLINICAL ALIGNMENT99% [FSH-5]

“We aren't projecting these numbers. This is in production today, powering our clinical governance at scale.”

REFERENCE DATA [FSH-1:5] • Q1 2026 AUDIT
[FSH-1] 1,000+ providers in the First Stop Health clinical network.
[FSH-2] 250,000+ recorded visits analyzed annually.
[FSH-3] Audit coverage expanded from <5% manual sampling to 100% automated review.
[FSH-4] Annualized reduction in QA operational costs and risk mitigation.
[FSH-5] Performance alignment measured against blind double-read by clinical directors.
Deterministic Scoring
Scored against your own clinical guidelines, visit by visit.
99% Expert Alignment
Validated against expert clinical reviewers across 250,000+ visits.
Source-Linked Audit Trail
Every score traces to a specific line in the transcript — defensible in any audit.

Not an EMR query. Not a generic LLM. Every output is traceable.

Related perspectives
Next Steps

Not a demo.
A working session.

Bring your QA rubric and current audit coverage. We'll show you what 100% coverage reveals in 45 minutes.

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CogniSwitch / VP of Clinical Quality
© 2026