For clinicians
Not another inbox. Not another reporting tool. A prescribing surface that knows your patient's severity, your compliance constraints, and the rehab dose your team is comfortable defending.
BrainMeBack is designed for use under clinician supervision with patients whose cognitive capacity may be impaired. The platform never recommends a treatment directly to the patient — every prescription, severity assessment, and protocol change is the supervising clinician's responsibility.
Select multiple protocols or individual modules, then review the assembled plan in one gated screen. Cumulative weekly session load, severity exclusions, and duplicate-exercise merges are all surfaced — nothing is prescribed until you confirm.
Accuracy, reaction time, engagement, clinician-flagged session events. Tune difficulty mid-program, pause prescriptions in one click, and see who in your caseload is falling behind on compliance.
Beyond at-home prescriptions, you can run a module with the patient in your office on a clinic device — for a baseline session at intake, supervised practice, or guided onboarding for patients without a device at home. A demonstration mode lets you show the patient how the app works without recording anything to their record. Recorded in-clinic sessions feed the same dashboard analytics as at-home use.
Every module is gated to the patient’s Rancho Los Amigos level. Difficulty caps prevent prescriptions that would frustrate, agitate, or generate false failure signals.
Designed to integrate via SMART on FHIR with major EHRs including Epic, Cerner, VA VistA, and Allscripts. Authentication uses OAuth 2.0 with PKCE; tokens are encrypted at rest; every import is audit-logged with clinician ID and timestamp. Production EHR connections are configured per-deployment and require the hospital’s own EHR app-marketplace or vendor-side approval process. See the dedicated /veterans page for the VA-system contracting story.
Postgres Row-Level Security enforces per-clinician patient isolation. Sign in as Dr. A, see Dr. A’s caseload — never anyone else’s. Org-scoped policies cover team practice.
Every PHI access, prescription change, severity reassessment, and protocol application is appended to a tamper-evident audit logging (device-side hash chain; append-only, trigger-protected cloud log). Designed to support survey workflows (TJC, CARF, internal audit). Off-platform integrity attestation is on the post-seed roadmap.
Spoken-word (text-to-speech) narration, adjustable text size, a high-contrast mode, and a caregiver mode for hands-on support — so patients with aphasia, neglect, fatigue, or photosensitivity can actually engage. Dark mode defaults on for light-sensitive patients.
Per-domain accuracy and reaction-time trends, adherence, and PHQ-2 mood screening are captured and displayed for your interpretation — the platform organizes the data; the clinician reads it. Import + export via FHIR, where deployed.
A structured activities-of-daily-living safety program — per-step guidance, a pre-session body check-in, environment checklists, and caregiver mode. Severity-sub-gated like the rest of the platform; it supports, never replaces, the clinician’s discharge planning.
Measurement
Each prescribed session becomes structured, timestamped, clinician-reviewable data — trended over time and exportable to your EHR. The platform organizes and surfaces it; the supervising clinician interprets it.
Per-session accuracy and reaction time by cognitive domain, difficulty tier, and completion — the within-task signal, every session.
Per-domain performance curves and a trend classification across weeks — change over time, not just a single session.
A quantified in-session fatigue signal (measured accuracy drop within a trial window), plus the patient’s response — relevant to TBI and post-concussion tolerance.
The arousal → focus → rest cycle is instrumented: alerting-protocol completion and default-mode recovery breaks (prescribed vs. actual) are recorded, not just designed.
Validated PHQ-2 and GAD-2 screeners, plus pre/post-session mood — tracked alongside cognition for the clinician to interpret.
Session frequency, time-on-task, streaks, and prescription compliance — whether the patient is actually doing the work.
Sleep duration, efficiency, and stages plus daily activity (wearable-integrated) — context for interpreting cognitive performance.
Safe Steps activities-of-daily-living outcomes, including fall events — real-world functional and safety signals.
Deliberately behavioral and cognitive — BrainMeBack makes no imaging or biomarker claims. This longitudinal, FHIR-exportable stream is designed to be paired with the outcome measures and biomarkers a clinical team selects for a study or pilot.
Open the dashboard. Clinician-flagged session events and compliance alerts from the last 24h are at the top of the page. Triage which patients need a clinical-review touch today.
Set severity (auto-mapped to Rancho), pick a protocol preset that fits the diagnosis, review the assembled plan, confirm. Patient gets an activation code; their app picks up the prescription on first launch.
A patient plateaus. Open their detail page, see the per-exercise accuracy + d-prime trend, bump difficulty or swap an exercise. The change is audit-logged with your clinician ID.
Generate a clinical summary, mark prescriptions completed, hand off to the next provider via SMART on FHIR.
We'll spin up a sandbox with patient profiles that mirror your caseload.
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