Platform

Inside the Ibis Operating System

The Ibis Operating System is the intelligence at the heart of our Healthcare Continuity Infrastructure. It continuously understands members, detects meaningful change, determines who should do what, when, why and how, and helps keep care continuous.

The architecture begins with the member. A Digital Twin for Health mirrors each member’s evolving health state, HealthGraph connects those Digital Twins with their Care Circles, and the Operating System turns persistent understanding into coordinated action.

New to the idea? Read our introduction to continuous care →

Illustration of proactive care continuity at home

Core Components

Three components, one Operating System

Each component has a distinct role. Together they maintain persistent understanding of the member and coordinate action across the Care Circle.

1. Digital Twin for Health™ (DT4H™)

A Digital Twin for Health is a continuously updated digital representation of a member’s evolving health state. It mirrors the member across home and every care setting.

Maintains persistent understanding of the member
Organizes history, current state, behavior, risks, adherence, and care context
Interprets new information in context
Detects meaningful change over time

The DT4H is the basic unit of intelligence in Ibis. Continuous care depends on continuously understanding the member.

2. HealthGraph™

HealthGraph is the connected population of Digital Twins for Health and the people and organizations in each member’s Care Circle.

Connects Digital Twins for Health across the population
Connects Care Circles, providers, organizations, conditions, medications, and observations
Captures relationships across members, settings, and outcomes
Improves reasoning as the network grows

Each new member adds new observations and a new Digital Twin while benefiting from the accumulated knowledge already present in HealthGraph.

3. Ibis Operating System

The Ibis Operating System transforms persistent understanding into coordinated action.

Maintains persistent understanding
Detects meaningful change
Determines who should do what, when, why and how
Follows actions through to completion

The Operating System keeps the Care Circle engaged as needs change and different people and organizations step in and step out.

Functional Architecture

How the Operating System works

Signals from the home, clinical systems, payer systems, and the broader care ecosystem continuously update the member’s Digital Twin for Health and the connected HealthGraph.

The Operating System runs a continuous loop:

Maintain Persistent Understanding: continuously update the member’s DT4H as new information arrives.
Detect Meaningful Change: recognize changes that may require attention before they become avoidable deterioration or utilization.
Determine Who Should Do What: determine who should do what, when, why and how to keep care moving.
Close the Loop: follow each action to completion, confirm the outcome, and update understanding.

This closed loop is what makes continuous care operational. The member remains the organizing unit, while different members of the Care Circle step in and step out as needs change.

Signals Layer

Built to understand real members continuously

Ibis is not limited to one source of data or one moment in care. It is designed to absorb signals from the real healthcare ecosystem and continuously update each member’s Digital Twin as health changes.

Clinical Systems

EHRs: notes, diagnoses, medications, and care plans

Payer & Risk Systems

Eligibility
Claims
Risk adjustment
Prior authorization

Member & Home Inputs

Vitals and devices
Care plan adherence
Symptoms and behaviors
Home health notes

Community & Social Inputs

Referrals
Social care
Community services

These inputs continuously refresh each member’s Digital Twin for Health and the connected HealthGraph, giving the Operating System the context it needs to recognize change and coordinate action.

Why it matters

Why this architecture changes the scale and economics of care

Every member has a continuously updated Digital Twin for Health rather than a series of disconnected snapshots.
Every Care Circle can be engaged from the same evolving understanding of the member.
Every meaningful change can be translated into the right action by the right person at the right time.
Every completed action contributes to future understanding.
Every new deployment strengthens HealthGraph and the continuity network.

Healthcare already has the providers. Ibis supplies the missing infrastructure that enables them to keep care continuous across home, organizations, and time.

Common questions

A clearer way to understand the architecture

What is a Digital Twin for Health (DT4H)?

A Digital Twin for Health is a continuously updated digital representation of a member’s evolving health state. It combines clinical history, current conditions, medications, behaviors, home observations, and care context into a persistent understanding of the member.

Why is a Digital Twin for Health important?

Continuous care depends on continuously understanding the member. The DT4H provides that persistent understanding, allowing Ibis to recognize meaningful change, determine who should do what, when, why and how, and help the Care Circle take timely action before small problems become crises.

What is HealthGraph?

HealthGraph is the connected population of Digital Twins for Health and their Care Circles. It enables Ibis to learn across the network while maintaining persistent understanding of each individual member.

What is the Ibis Operating System?

The Ibis Operating System is the intelligence at the heart of Healthcare Continuity Infrastructure. It maintains persistent understanding, detects meaningful change, determines who should do what, when, why and how, and helps the Care Circle close the loop.

Related insights

Ready to see how Healthcare Continuity Infrastructure works?

See how Digital Twin for Health, HealthGraph, and the Ibis Operating System work together to maintain persistent understanding and enable continuous care.

See the Clinical Model Talk to Our Team