North State Prevention — building and validating bilingual hypertension monitoring for rural Northern California.
We are not enrolling patients today. The current work is finishing the platform and putting its clinical algorithms through external validation, so that a supervised pilot — and eventually countywide access for insured and uninsured neighbors alike — rests on software that has been proven safe. When it is live, the app is designed to be low-overhead for clinics: automated triage, patient education, and titration nudges mean staff spend time only on the patients the protocol flags.
The roadmap
Phases 0 and 1 are the current scope. Everything after them is what successful validation unlocks.
- Phase 0Current grant scope
Engineering verification
The working prototype you can click through on this site: patient logging, triage, clinician alerts, titration engine, and documentation output — all running on synthetic data.
- Phase 1Current grant scope
Build, with the clinical algorithm externally validated
Finish the platform and put the escalation and titration rules through external protocol review with UC Davis sign-off on the protocol, then a separate, independent organizational review of synthetic case sets, and verification. Once this is complete, there will also be a review of the coding. This is what the current grant request funds.
- Phase 2
Small feasibility pilot (~15 patients per clinic)
A supervised ~15-patient cohort at each participating clinic — starting with Enloe Medical Center — to test enrollment, device sync, and the clinician workflow in real conditions. Sized large enough to surface real operational friction and validate staff-time savings.
- Phase 3
Outcome validation study (100–300 patients)
Measure blood-pressure control, time-to-titration, and retention at a scale that can support a publishable result.
- Phase 4
Countywide rollout in Glenn County
Open the program to the whole county — insured, Medicare, and uninsured neighbors — once the platform has been validated.
- Phase 5
Expansion to neighboring counties
Extend to hospitals and clinics beyond Glenn County where the same rural access gap exists.
Walk through the prototype
Choose a perspective to see the Phase 0 build as it stands today. Synthetic data, no account needed.
Clinician alerts queue
Urgent and red-flag readings surface in a triaged queue with a copiable SOAP draft.
Bilingual EN / ES
Every patient-facing message available in both languages via one tap.
Low overhead for clinics
Automated triage, education, and titration reminders handle routine work so clinicians and MAs only step in when a decision is needed.
This prototype uses synthetic data and runs entirely in your browser. It is not an EMR, contains no PHI, and is not medical advice. Grant-funded transition to HIPAA-compliant infrastructure (managed Postgres under a signed BAA) is planned before any live patient use. See docs/HIPAA-READINESS.md for what changes for a production rebuild.