01
Each patient against their own baseline
Cresca reads change over time, such as a growth curve bending away from its track or screenings that keep slipping, rather than a single reading against a population cutoff.
Cresca · Primary care decision support
Decision support that knows when to stay quiet.
Cresca is clinical decision support for primary care. It watches each patient's own trajectory, speaks only when the evidence supports it, and offers ranked options with their tradeoffs instead of one more instruction.
Register pilot interestIn development
- Status
- In development
- Setting
- Primary care
- Pilots
- Planning, Ontario
- Patient data to LLMs
- Off by default
The problem
Alert fatigue is a design failure.
Most clinical alerts fire on a single value crossing a fixed line. They fire often, they are usually not actionable, and clinicians learn to dismiss them. The one alert that matters arrives looking exactly like the hundred that did not.
Cresca starts from the opposite assumption: an interruption has to be earned. Silence is the default, and every message has to carry enough evidence to be worth a clinician's attention.
How it works
Signal in. Silence, or ranked options, out.
01
Watch the trajectory
Follow each patient's measurements and care events over time, against their own expected track.
02
Stay silent
With too few points or a weak signal, produce nothing. Most of the time, nothing is the right output.
03
Surface once
When a curve bends away and stays away, raise it once, with the evidence that triggered it.
04
Rank the options
Lay out reasonable next steps and their tradeoffs. The clinician chooses.
Capabilities
Designed around the clinician's attention.
02
Silent when evidence is thin
When there is not enough signal to support a recommendation, Cresca does not produce one. Abstaining is a designed outcome, not an error state.
03
Ranked options, with tradeoffs
When Cresca does speak, it lays out a short list of reasonable next steps and what each one costs or gains, and leaves the decision with the clinician.
04
Evidence for individual therapy decisions
An evidence layer helps weigh therapy choices for a specific patient, showing the evidence behind each option rather than a single score.
Privacy
No patient data goes to a language model by default.
Cresca is designed privacy first. Personal health information is not sent to a large language model unless a deployment is explicitly configured to allow it. The signal work happens on structured data under the clinic's control.
Status
In development. Pilot planning in Ontario.
Cresca is not available for clinical use. We are planning pilots with primary care practices in Ontario and want to hear from clinicians and clinic leaders who live with alert fatigue every day.
Pilots
Register pilot interest
Run or work in a primary care practice in Ontario? Tell us about it. We will reach out as pilot planning firms up.
Cresca is in development and is not available for clinical use. It is designed to support clinical judgment, never to replace it.