A retrospective review looks at care after it has been delivered. That is its limit, and I want to be honest about it. Finding a disparity in historical data does not help the patient who already waited too long in the emergency department.
Why we start there anyway
Without a baseline, no one knows what to watch for. A retrospective assessment shows how a model has performed across patient groups, which tells a hospital where its governance process needs to look harder, and what any future safeguard should measure.
Where this may go
Live monitoring and bedside tools are part of our 2027 roadmap. They are not available, and we do not offer alerts at the point of care today. Any such tool would need its own evidence and approvals before it reached a clinician.
What we do today
The Data Diversity and Fairness Auditor (DDFA) is a team-operated retrospective workflow that analyzes de-identified structured data and existing model outputs supplied under appropriate institutional approvals. It does not currently connect to live EHRs, ingest images or unstructured records, certify legal compliance, or provide point-of-care alerts.
Editor's note: this article was first published in August 2026. Our positioning was updated in October 2026 to reflect what Synod IntelliCare does today. We would rather tell you plainly what we can do now than promise what we have not yet built.