Seven steps. One nursing visit's worth of documentation, every day.

Step 1 — Plaud captures the day

The patient wears a Plaud.ai recorder on their shirt or lanyard during waking hours. It runs continuously and captures every conversation — with you, with family, with their PCP, with the pharmacist. At end of day, audio uploads to Plaud's SOC 2 + HIPAA certified cloud.

Provided by: the patient or the agency. Plaud sells the hardware directly; the subscription is currently $79–119/year.

careib.io's onboarding flow assesses each patient and recommends the right architecture. Both pipe into the same backend.

Step 2 — Plaud AI segments the conversations

careib.io provides a custom Plaud template that parses the day into structured clinical-friendly segments:

Step 3 — Zapier delivers the segment to a Workspace + BAA Gmail

Plaud's Zapier integration pushes each completed segment to the patient's Google Workspace Business Plus account (with BAA executed in the Admin console). Subject line follows a predictable pattern ([careib] segment <id>) so our ingestion service can find it.

For agency deployments: the Workspace account is provisioned by the agency under their tenant or by careib.io as a managed service. Either way, the BAA chain is intact before the first transcript flows.

Step 4 — Ingestion to the patient's open-brain

careib.io's ingestion service polls the patient's Gmail for new [careib] messages and writes the segments into a Supabase Team plan project with HIPAA add-on enabled, provisioned exclusively for that patient. Schema includes contemporary memory, long-term memory, reference memory (medications, providers, conditions), and the daily compliance log.

RLS, SSL enforcement, MFA, PITR, and IP network restrictions are configured at provisioning time and continuously verified by Supabase's Security Advisor.

Step 5 — Future events flow to the patient's calendar

Anything the patient or a provider mentions as a future event — appointments, lab draws, follow-ups, family visits — is extracted from the segment and added to the patient's calendar via OAuth. Recurring obligations (medications, BP checks, walks) are added as repeating entries.

Each morning, careib.io reads the calendar back and walks the patient through the day in plain language. This becomes the basis for medication prompts and DOT capture windows.

Step 6 — Directly Observed Therapy at the medication station

This is the step that makes careib.io clinically defensible.

1. The patient's medication schedule defines dosing windows.
2. At the start of each window, the iPhone companion prompts the patient.
3. An Insta360 camera mounted at the medication station begins controlled capture (only during the window — never 24/7).
4. The patient approaches the smart pill dispenser. The dispenser detects the compartment opening and pill removal.
5. The Insta360 captures the ingestion (or non-ingestion).
6. The window closes; capture stops; the video is archived to HIPAA-eligible storage.
7. Optional automated review flags anomalies (no ingestion, partial ingestion, person other than patient in frame).

This is the methodology TB programs and methadone clinics use. It is a recognized standard of care, not a marketing claim. Dispensers alone detect removal; the camera closes the gap to ingestion.

Consent and privacy: careib.io's onboarding includes informed-consent workflows that meet two-party-consent state requirements. The mount and capture window are designed so only the patient (and any consenting caregiver) can be in frame.

Step 7 — The 7 PM clinical report

Each evening, careib.io assembles a single email for the on-call clinician at the agency. The report contains:

• Anomalies first: missed doses, out-of-range vitals, appointment no-shows, video review flags.
• Compliance log: every dose, with DOT video link where applicable.
• Vital signs: trended over 7 / 30 / 90 days with thresholds.
• Notable conversations: from the patient's open-brain, summarized.
• Calendar updates: auto-added events, appointment changes.

One email per patient, per day. No new portal to learn. Reply-to-add-note saves the clinician's response to the patient's record automatically. The agency's existing nursing visits become more focused because the routine documentation has already been done.

See a sample clinical report →

Hardware shopping list (per patient)

Total hardware floor: roughly $400–500 for a basic deployment, $1,000–1,500 for a full DOT-capable station. Often one-time, often patient-owned, sometimes covered by Medicare DME benefits depending on diagnosis.