Terms of Service

The platform is licensed to a facility or operator (“the facility”) under a written agreement. Staff use it through accounts the facility authorises. Where a signed agreement between the facility and Orenda Intelligence, LLC conflicts with these terms, that agreement controls. Where a Business Associate Agreement addresses protected health information, it controls on that subject absolutely.

Everything the platform produces — fit scores, risk factors, payment and case-mix analyses, compliance findings, care plans, notes — is decision support. It is not a diagnosis, not a treatment recommendation, not a determination of medical necessity, and not a substitute for the judgment of a licensed professional who has assessed the resident.

The platform is not a medical device and has not been cleared or approved as one by any regulator. Clinical, admission, staffing, billing and regulatory decisions remain the facility’s, made by its own qualified people, who remain responsible for them.

This is the commitment the product is built around, so it is stated exactly.

No clinical documentation the platform drafts enters a resident’s medical record unless a named, licensed clinician has read it, edited or accepted it, and signed it. The model drafts the text. The clinician authors it and is accountable for it. What lands in the chart is attributed to the person who signed it, never to us and never to a service account.

There is no automatic posting, no facility preference that disables the signature, no trusted-tool exemption, and no background process that can produce one. This is enforced by how the system is built and not by configuration, and we will not add a setting that changes it.

We retain both the original draft and the final signed text, because an edit is only meaningful against what it changed, and that record is the evidence the review happened.

Keeping its account list current, and revoking access when someone leaves. Accounts are individual: credentials are not to be shared, and an entry in an audit log is only worth anything if it names one person.

The accuracy of what it configures — intake criteria, thresholds and facility settings shape the output, and output scored against stale criteria is stale.

Having the authority to give us the information it gives us, including any consent or authorisation its own obligations require.

Do not attempt to reach another facility’s data, probe or circumvent access controls, or use the platform to build a competing service. Do not use it to generate documentation for care that was not delivered, or to support a claim the record does not support. Do not upload material you have no right to disclose to us.

We may suspend an account we reasonably believe is being used this way, and we will tell the facility when we do.

Where a facility connects an electronic medical record, it authorises us to access it on the facility’s behalf and within the scope the facility and the vendor grant. We read what the facility permits, and we write nothing back except a clinician-signed document under clause 3.

Those vendors’ own terms govern their systems, and their availability is not ours to promise. If a feed is unavailable, the platform continues to work from documents the facility uploads.

We aim for continuous availability and will give advance notice of planned maintenance where we can. Except where a signed agreement sets a service level, we do not commit to one here, and the platform is not to be relied on as the sole route to information a resident’s care depends on at that moment. The medical record of record is the facility’s.

The facility’s data — its residents’ information, its configuration, and the documentation its clinicians sign — remains the facility’s. The platform, its models’ prompts, its rule sets and its software remain ours. We do not use a facility’s data to train models, and we do not use it to develop features for anyone else except as de-identified aggregate operational statistics that cannot be traced to a facility or a resident.

Either party may end the agreement as that agreement provides. On termination the facility may export its data, and we then return or destroy the protected health information we hold at the facility’s direction, subject to clause 8 of the Privacy Policy where law requires retention.

Except as a signed agreement expressly states, the platform is provided as-is, and we disclaim implied warranties of merchantability, fitness for a particular purpose and non-infringement. Nothing in these terms limits liability that cannot lawfully be limited, and nothing in them limits either party’s obligations under a Business Associate Agreement.

Where a signed agreement sets a liability cap, that cap applies. In its absence, our aggregate liability arising from the service is limited to the fees paid for it in the twelve months before the claim.

We will post a revised effective date here when these terms change and notify facilities of material changes. These terms are governed by the laws of the State of California, without regard to its conflict-of-laws rules.

admin@axisorenda.com · Orenda Intelligence, LLC, Campbell, California, United States.