FOR CARE MANAGEMENT

See where something is moving.

You accompany many dossiers at once. Between two conversations, almost no information exists today about how a person is actually doing — and that is exactly where it is decided whether the accompaniment holds. Dynergia shows the functional trajectory per dossier, so that your attention goes where it makes a difference.

It is a companion instrument, not an assessment and not a control tool.

The Dynergia Method is care-management decision support anchored in the treating physician's authority. It informs reintegration decisions with objective longitudinal functional data; it does not adjudicate work capacity and does not prescribe treatment.

What you receive

One condensed trajectory per released dossier — monthly, not week by week. Plus event-driven notices when a dossier that has been producing data stops doing so.

Condensed trajectory, monthlyOne figure with a trajectory arrow per dossier, compared exclusively against the insured person's own baseline. Readable in a case conference without explanation.

A notice when data stop arrivingWhen a producing dossier stops delivering data, you receive a notice with the date of the last entry. It names data-capture facts and dates — no value, no direction, no assessment.

At most one per dossier per fortnightSo that a notice stays a notice and does not become noise you click away.

Never week by week — and that is a decision, not a technical limit. No single week of a person's life should become something they have to explain to you.

The trajectory provides an additional, documented basis of information for workload decisions.

A rising value does not trigger a workload increase and does not recommend one.

What you never receive

No raw data — no entries, no watch data, no answers in their own words.
No consent status. Whether and what someone has released is not part of what you see.
No weekly view, not on request either. For care management it does not exist.
No statement on work capacity. That is a medical and legal task; the instrument does not make it and does not prepare it.
No alert on falling values. There is no alarm triggered by a bad week.

These boundaries protect the working relationship, not the system. An instrument that pinged you about a bad week would make you the surveillance — and the insured person knows you are not. They would then stay careful about what they tell you, and the trajectory would be worthless to both of you.

What it changes in the conversation

The trajectory is a way into a conversation, not a diagnosis. It gives you a reason to ask about something you would otherwise have learned weeks later — and it gives the insured person something to respond to, instead of a question into the void.

A reason rather than a guessYou can see that something has changed, and ask about it. How the person feels about it is still something only they can tell you.

Step-ups stay medically anchoredAn increase is approved by the physician. You do not carry the medical decision alone — and you should not.

How closely someone is accompanied is chance today

The quality of accompaniment depends on which insurer someone is with and who is managing the case. That is not a criticism of individual case managers — it follows from nobody seeing the same trajectory.

“How a sick leave is accompanied today depends heavily on which insurer someone is with and who is managing the case. Some wait months before any support begins at all.”
General practitioner, long-standing practice

A shared, honest picture of the trajectory puts a floor under that variance. It does not make good accompaniment unnecessary; it makes visible where it can take hold.

Voices from practice

“This could really help people follow their own process.”
Care manager with 20 years of experience

“I know of no instrument that measures something like this.”
Care manager with 20 years of experience

Implementation

Implementation includes structured onboarding for care management: how to read a trajectory, where its limits lie, and where the physician's approval sits. The instrument's limits are taught alongside its use.

Where we stand

The dedicated working environment for care management — code issuance, monthly overview, authenticated access to released reports — is designed and arrives with the pilot study. It is not built today.

Until then, reports reach care management by one route only: the insured person releases a standing copy. Without that release you receive nothing.

For questions: info@dynergia.ch