> ## Documentation Index
> Fetch the complete documentation index at: https://docs.skypoint.ai/llms.txt
> Use this file to discover all available pages before exploring further.
#
## Overview
skyCare for Value-Based Care is an EHR-agnostic, point-of-care AI agent that delivers real-time, patient-specific clinical insights directly inside healthcare workflows. It surfaces Patient 360 data—including demographics, vitals, medications, encounters—and later versions add advanced gap assessment and risk stratification models to help prioritize interventions and close clinical gaps.
skyCare for Value-Based Care runs as a lightweight Chrome extension that auto-detects patient context (ID, name, DOB) from any EHR screen and displays consolidated insights with zero clicks. It transforms fragmented value-based care workflows into a unified, intelligent, point-of-care experience.
## Why It's Needed in the Market
Value-based care teams—care coordinators, population health managers, case managers, physicians—struggle with fragmented data and manual workflows:
* Clinical diagnoses, vitals, encounter notes, and claims data sit in multiple systems
* Care gap identification requires manual review of guidelines (HEDIS, USPSTF, CMS Stars)
* Risk stratification is inconsistent or absent across care teams
* Providers must switch repeatedly between EHR, BI tools, payer portals, and spreadsheets
* No real-time prompts exist at the point of care, causing delayed interventions
**skyCare for Value-Based Care solves this** by bringing all insights directly to the clinician within the EHR, eliminating lookup time and enabling immediate action. It enhances quality measures, supports proactive care, and strengthens performance under value-based care contracts.
## What It Does
Detects patient context (ID, name, DOB) automatically from any EHR view.
Fetches consolidated Patient 360 via Skypoint APIs including demographics, vitals, medications, and encounters.
Surfaces open care gaps aligned to HEDIS/USPSTF/CMS Stars guidelines.
Shows risk scores for prioritizing interventions and targeting high-risk patients.
Presents timeline-based clinical activity for rapid orientation during encounters.
Supports proactive decision-making by alerting providers during the clinical encounter.
**Result:** Reduces the need for manual review across multiple systems and enables immediate clinical action.
## Key Capabilities
Demographics, vitals, medications, encounters, claims-derived context—all retrieved from Skypoint's unified Patient 360.
Highlights overdue or incomplete screenings, labs, immunizations, chronic disease management tasks based on guideline models.
Displays risk scores derived from claims, diagnoses, and encounter history.
Auto-detects patient details using DOM parsing—no EHR integration required.
Data appears instantly when chart loads, reducing search and navigation time.
OAuth2/JWT-secured calls fetch insights from Cosmos DB.
High-risk alerts, coding gaps, chronic condition indicators appear inside the extension.
Organized views: Agenda, Alerts, Analytics for streamlined navigation.
## Key Metrics It Moves
Higher completion of preventive screenings, chronic disease measures, and coding gaps.
Rapid surfacing of high-risk members at point of care.
Zero-click insights reduce workflow time; Patient 360 loads within \~2 seconds.
Supports HEDIS and CMS Stars performance improvement.
Better targeting of high-risk individuals increases intervention effectiveness.
## Use Cases
Displays all open care gaps the moment the chart loads.
Highlights high-risk patients who require immediate focus.
Supports diabetes, HTN, COPD programs with relevant vitals and medication cues.
Ensures screenings, immunizations, labs, and quality measures are not missed.
Providers get full context without leaving the EHR.
Enables stratification and intervention planning across patient populations.