Tracking.
Nothing falls through the cracks.
Tracks every open clinical loop — labs out and back, prior auth status, referral consult notes, post-visit follow-ups, care-plan milestones — and chases the ones that stall before they age into a problem.
In most clinics, the work that leaks isn't the visit — it's everything that's supposed to come back after the visit. A lab ordered and never reviewed. A referral sent and never confirmed. A prior auth submitted and forgotten. A six-week follow-up that nobody scheduled. Spriggan keeps a live ledger of every open clinical loop and watches each one until it's closed.
Every loop has a target window. Labs back in 5 days, prior auths answered in 7, referral consult notes returned in 14, follow-ups scheduled within the window the provider set. When a loop ages past its window, Spriggan chases it — fax to the specialist, call to the lab, status check with the payer, message to the patient — without staff needing to notice it slipped.
High-acuity loops escalate sooner. An abnormal lab result that hasn't been reviewed in 24 hours pages the on-call provider. A denied prior auth for an urgent medication routes to the clinician immediately. A no-show on a post-op visit gets a same-day call, not a next-week reminder.
Reporting closes the management loop. Every Friday a provider sees their open-loop count, average closure time per loop type, and the top three loops aging out — so the work that used to live in someone's head finally lives on a dashboard.