Clinical work quietly became an administrative sport. We're quietly building it back.
Tools that work without integration. Consulting that works without slides. Both built for how clinics actually run.
Paste your notes
Your clinic shorthand, exactly as you wrote it.
- No integration. No retyping.
- Identifiers extracted locally.
The long forms, drafted in the time it takes to review them.
Three steps, all local. Clinician-voice output. Built to slot into your existing workflow — no integration required.
From 30 minutes drafting by hand to around five with Performa. Every report, every week.
Identifiers stay in your browser. AI runs on infrastructure we control, in Canada — never consumer AI.
ICBC, WSBC, APS (Sun Life · Manulife · Canada Life), Pacific Blue Cross. The long insurer forms that eat Sundays — one live, a handful queued.
Two ways we work.
Pick one. Or both.
Three kinds of practice.
Each one's pain is different. Each one's path with us is different too.
From the first referral to the last follow-up.
Five stages across clinical operations. Three ways into each — consulting, automation, or an app we built.
Refer
Triage
Schedule
Document
Follow-up
Refer
Cleaner intake. Faster triage.
A specialist referral arrives. An insurer claim opens. A patient books online. Each route lands in a different inbox, in a different format — and usually not in a useful one.
Triage
Right clinician. Right length.
Longer visit or short follow-up. New patient or established. Family physician, NP, or allied-health referral. The 10-minute decision at the front desk usually shapes the whole episode.
Schedule
Protect the block. Fill the gaps.
Treatment blocks, chronic-disease follow-ups, ICBC/WSBC session limits. Cancellations happen. Nobody wants to spend an hour rebooking by phone.
Document
The long forms, drafted.
The insurer progress report. The specialist consult letter. The APS form. The CDM documentation. The forms that eat Sundays — drafted in your clinical voice, not a chatbot's.
Follow-up
Close the loop cleanly.
Discharge summary. Care-plan updates. Return-to-work recommendations. Outcome measures for the insurer or the panel dashboard. The loop that has to close — even when the last visit already happened.
Essays on healthcare ops, AI, and craft.
Why local AI is the only AI that belongs in a clinic
Patient data leaves the clinic the moment a clinician pastes it into a chatbot. Here's why we built our tools to never let that happen — what that costs in speed, what it pays back in trust.
Read the essay“A feature is something you market. A posture is something you build everything else around.”
Ready to talk?
Thirty minutes. No deck. We listen first, then either suggest a path forward or tell you it's not a fit.