Idea Vision

Open Quality

Explainable AI for Healthcare Quality & Improvement

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The Problem

Healthcare organizations know what failed in quality — but almost never why.

Quality measures are opaque.

Data is inconsistent.

Guidelines are complex.

Pop health tools generate gap lists, not clarity.

The result: tens of millions in penalties, poor patient outcomes, slow improvement, and endless manual review. The entire system lacks explainability.

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The Solution

Open Quality is the first AI that explains healthcare quality. It interprets clinical logic, identifies missing or incorrect data, and shows teams how to fix issues with transparent, evidence-based reasoning.

Think of it as: "OpenEvidence for quality improvement."

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What Our AI Does

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Understands clinical rules & guidelines

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Interprets CQL, FHIR, value sets

Explains pass/fail reasons

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Identifies missing data & mapping issues

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Detects upstream data quality signals

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Provides "what to do next" recommendations

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Generates root cause insights

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Integrates with SQL-on-FHIR workflows

Why Now

Digital Quality Measures (dQMs) are accelerating

SQL-on-FHIR is creating new standardization

Health systems need cost reduction

Payers face STARS pressure

Clinicians expect transparent AI

Data quality problems are growing

This is a category-defining moment — just as OpenEvidence was for clinical reasoning.

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Moat

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CQL & FHIR-native logic understanding (rare skill)

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Explainable AI — transparent, audit-friendly, trusted

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Data quality detection

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AI-driven root cause analysis

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Partnerships with data platforms (Firemetrics, Particle, Fasten, etc.)

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Founder expertise across NCQA, dQMs, SQL-on-FHIR, FHIR data quality

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Business Model

SaaS Subscription

Enterprise Pricing

$150k–500k/year

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Go-to-Market

SQL-on-FHIR keynote demo

Data platform distribution

FHIR community & LinkedIn thought leadership

Podcast exposure

Direct partnerships with quality & analytics teams

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Team

Founder: Eugene Vestel

Payer Interoperability Analytics & AI Lead at Outcomes. FHIR data expert, NCQA collaborator, host of "Out of the FHIR Podcast," and leader in modern interoperability + quality models.

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Ask

Exploring pre-seed conversations

$1.5M – $2M

to accelerate product and expand measure coverage.

Get in Touch