One patient.
One story.
Everyone in the loop.
Meet KIVA — the thread between you, your GP and your specialists. Always with your consent.
Part 1/3 — The GP loop
John's story flows to his GP (teal) — and approved letters, scripts and his care plan flow back to his KIVA inbox (violet).
GP
KIVA Note · notes in your style
Specialist
KIVA Note · 10 years, summarised
Backed by & built with
Microsoft for Startups Founders HubAzure credits & AI tooling
Google for Startups Cloud ProgramCloud credits & technical guidance
AWS ActivateStartup cloud credits program
NVIDIA InceptionAI startup accelerator program
AssemblyAI Startup ProgramSpeech-AI startup credits
Deepgram Startup ProgramVoice-AI startup creditsKIVA Companion — for you
KIVA Note — for clinicians
Open the Clinician Web AppHowever care flows, KIVA holds the thread
In Australia, care starts at the GP — sometimes it stays there, sometimes it continues with a specialist, and for mental health the referral is the whole journey. Three scenarios, one companion.
THE CLASSIC AUSTRALIAN JOURNEY: GP FIRST, THEN THE REFERRAL
Maria, 62 · referred to a cardiologist · illustrative
Maria's GP refers her to a cardiologist. The summary she consents to share travels with her — the specialist doesn't start from a blank page.
After the visit, the cardiologist's approved instructions and materials go straight to Maria's KIVA inbox — nothing lost between appointments.
What Maria chooses to share sits in one place her GP can also see, so GP and specialist look at the same picture at follow-up.
THE PATH WHERE THE THREAD MATTERS MOST
Sarah, 24 · anxiety, Mental Health Treatment Plan · illustrative
Sarah's GP does a mental health assessment, prepares a Mental Health Treatment Plan with her, and refers her to a psychologist.
She tells her story once: the summary she consents to share arrives with her at the first session. Between sessions, exercises land in her inbox and KIVA is there 24/7.
At the plan review, her GP sees what she chose to share — check-ins done, materials opened, how the weeks actually went — and the next step is decided together.
It starts at the GP.
Then the thread breaks.
In Australia, the GP is the front door of care — and the referral to a specialist is where journeys are won or lost. Nowhere is that sharper than mental health: assessment, a Mental Health Treatment Plan, referral, review. The pathway is well designed — but between the people in it, the thread keeps breaking.
#1
Mental health is the most common reason Australians see their GP
RACGP Health of the Nation 2025
38%
of GP consultations include a mental health component
GPMHSC / RACGP, 2021
1 in 3
mental health treatment plans are never followed by a single treatment session
Better Access evaluation, 2022
34%
of GPs agree the pathway gives them good two-way communication with mental health professionals
Better Access evaluation surveys
Where the thread snaps, patients and information go missing.
Where the thread breaks
- 1 in 3 plans never turn into a first session — the referral quietly goes nowhere
- Reports back to the GP are often late, poor quality or missing entirely
- The patient retells their story at every handoff — GP, psychologist, psychiatrist
- Median waits stretch to weeks or months, and nobody holds the thread in between
Why holding the thread works
- When the GP review happens, patients complete a median of 9–10 sessions — versus 3 without it (Better Access evaluation, 2022)
- Collaborative care between GPs and mental health professionals outperforms usual care for depression and anxiety (Cochrane review, 79 trials)
- Seeing the same GP over time is linked to fewer hospital admissions and emergency visits
The pathway is funded and the people are willing. What's missing is the thread between them. That thread is KIVA.
Sources: RACGP Health of the Nation · Better Access initiative evaluation (2022) · ABS National Study of Mental Health and Wellbeing · Cochrane collaborative-care review
KIVA closes the loop between visits
KIVA turns the care plan agreed during the consultation into patient follow-through between visits — and brings back a short, useful summary before the next consultation.
STEP 01 — CONSULTATION
The GP and patient agree what happens next — readings to take, a mental health assessment and treatment plan, a referral to a specialist, goals to work toward, when to review. The plan is made in the room, by people.
AI proposes. The GP decides. The Companion follows through. KIVA brings back what matters.
A note your doctor actually reads
Most AI note-takers produce a long summary document that nobody wants to read. KIVA writes a concise, clinician-style note — learned from the doctor's own notes — and assembles the context before every session.
70%
of Australian GPs are dissatisfied with their administrative burden — the top reason GPs plan to leave practice
RACGP Health of the Nation 2024
5.1 hrs
of non-billable work per GP per week — reviewing results and documents tops the list
MABEL data · AJGP 2021
50%
of the text in clinical notes is duplicated from previous notes
JAMA Network Open 2022 (US)
33%
of clinicians' record time goes to chart review — the single biggest share of every encounter
Annals of Internal Medicine 2020 (US)
A TYPICAL AI-SCRIBE NOTE
Pages of transcript-flavoured summary. Comprehensive — and unread.
…and it keeps scrolling
THE KIVA NOTE
Summary
Hypertension review. Home readings trending high; medication unchanged, adherence good. Agreed on 7-day BP diary and activity goal; review 4 weeks.
Decisions
- · Continue current medication plan
- · Lifestyle: walking goal, salt reduction discussed
Actions
- Home BP readings — 7 days
- BP education material to inbox
- Review appointment — 4 weeks
Drafted in the clinician's own style, learned from their previous notes. Always a draft until the GP reviews it. Expanded note available on demand.
CONVERSATION SAFETY NET
Did we miss what the patient said?
A second check compares clinically relevant statements with the draft note — including possible accent or transcription mismatches.
WHAT THE PATIENT SAID
“Sometimes I feel dizzy when I stand up.”
“I skipped my tablets twice this week.”
Draft note includes: BP follow-up; medication continued.
These statements are not reflected in the draft.
PLEASE DOUBLE-CHECK
Patient appears to mention:
- Dizziness on standing
- Two missed medication doses
Not captured in the draft note.
A coverage alert is not proof of omission — the GP confirms what was actually said.
Design safeguard: show timestamp / source excerpt, uncertainty when speech recognition is low confidence, and log clinician disposition.
REAL-TIME DECISION SUPPORT
An additional reason to investigate
Illustrative only — clinical validation and TGA assessment required before deployment. Conversational clues, not a diagnosis.
DURING THE CONSULTATION
“I've had morning headaches and dizziness.”
“My father had a stroke at 55.”
“I haven't checked my BP in months.”
Conversational clues — not a diagnosis.
KIVA CLINICAL PROMPT
Possible blood-pressure / cardiovascular risk concern
The discussion included headaches, dizziness, family stroke history and no recent BP readings.
Consider: checking BP, relevant history and whether further assessment is warranted.
AI surfaces a concern. It does not assert disease, diagnose or prescribe.
Written in your voice
KIVA learns from the clinician's own previous notes and writes the way that doctor writes — same structure, same phrasing habits. Reviewing a note that already sounds like you is fast; rewriting someone else's prose is not.
Short by design
A 3–5 line consultation summary, key decisions, and a clear action list — only what the clinician chooses to retain. The expanded note exists, but only when you want it. The goal is faster review and obvious next actions, not more prose.
Context, auto-assembled
Before each session, KIVA brings together the prior notes, the plan, and the consented updates into one short briefing. The doctor walks in already across the situation — no digging through documents to reconstruct what happened.
Doctors shouldn't study documents to understand the situation. KIVA brings the situation to them.
The evidence backs the approach: at Kaiser Permanente, ambient AI notes saved almost 16,000 documentation hours in year one and 84% of physicians reported better patient interactions — and an Australian AJGP study found AI-drafted notes matched GP-written notes on accuracy and succinctness.
Sources: RACGP Health of the Nation 2024 · AJGP / MABEL workload study · JAMA Network Open note-duplication study · Kaiser Permanente ambient-AI evaluation · AJGP 2026 AI-scribe comparison
Simple for patients, useful for doctors
Patients can talk to KIVA, skip repetitive manual entry through connected data, and choose exactly what is shared with the practice. Nothing is shared behind your back.
1. Speak
Update KIVA using voice or text — no forms, no portals.
“Hey KIVA, note my blood pressure: 120 / 80”
KIVA STRUCTURES IT
Blood pressure: 120/80 mmHg
Today, 7:35 am
2. Connect
Instead of typing everything, KIVA can import selected data from supported wearables and health integrations — with patient consent.
Optional data
Useful follow-up data can flow in without asking the patient to type every measure manually.
3. Choose
The patient controls what is shared with the practice. KIVA always asks first and shows exactly which details go to the doctor.
Sharing choices can be changed by the patient at any time.
MEDICATION FOLLOW-THROUGH
From GP prescription to patient-controlled reminders
The GP prescribes. KIVA communicates verified, approved instructions. The patient chooses whether to set reminders.
01
GP prescribes
Amlodipine 5 mg
Once daily
Illustrative only
02
KIVA Clinical
Receives verified, GP-approved instructions via a supported pathway.
03
KIVA Companion
“Would you like me to remind you to take this?”
04
Patient chooses
- Enable reminders
- Choose time
- Confirm or decline
PATIENT EXPERIENCE
- No manual re-entry where integration supports it
- Optional reminder at the patient's chosen time
- Record taken / missed / skipped doses
- Report concerns and stop reminders
WHAT MAY RETURN TO THE GP
- Patient-reported medication-taking
- Missed doses and stated reasons
- Reported side effects or concerns
- Concise next-visit summary, with consent
GP controls the prescription. Patient controls reminders. KIVA supports follow-through.
DIGITAL QUESTIONNAIRES
One tap: questionnaire goes straight to the phone
GP selects a validated or practice-approved questionnaire — no printout, scanning or manual re-entry.
01
GP selects
7-day home BP diary
+ symptom check-in
02
KIVA sends
Secure form delivered to the patient's phone.
03
Patient completes
Readings, symptoms and comments — no printout or scanning.
04
GP receives
Structured answers, ready to review.
PATIENT'S PHONE
Your GP has requested:
- Home BP diary (7 days)
- Headache / dizziness check-in
- Medication-related questions
Complete and securely submit
PRACTICE VIEW
GP chooses the form. Patient consents and submits. The practice receives structured answers.
A real inbox, not a pile of paper
GPs and specialists can send approved materials, questionnaires, instructions and check-ins straight to the patient's KIVA inbox — no printed handouts, no lost letters. Sent and opened status can be recorded, so the practice sees delivery rather than relying on memory.
Deep mental health support, built in
KIVA holds the thread on every path of care — and for mental health, the companion goes deeper: proactive, personalized support that helps reduce relapse risks and improve outcomes.
Empathetic Conversations
A judgment-free AI companion available 24/7 for supportive conversations when you need it most — day, night, or 3 a.m.
Wearable Integration
Connects with devices like Fitbit to monitor physical indicators of mental wellbeing.
Sentiment Analysis
Advanced AI that understands emotional patterns and provides personalized support.
Crisis Detection
Identifies potential crisis situations and provides appropriate interventions and resources, the moment they matter.
Care Plan Reminders
Gentle nudges to help you stay on track with your personalized mental health care plan.
Consented Clinical Summaries
At consultation time, and only with your consent, KIVA prepares clear summaries for your clinician — you see exactly what is shared, every time.
Turn administrative time into clinical capacity
The commercial promise is simple: convert administrative time into billable clinical capacity.
More appointment capacity
Less note cleanup and follow-up admin can release time for additional billable consultations — or let the GP finish on time.
Less unpaid work
Reduce after-hours documentation, manual chasing and chart reconstruction that sits outside the consultation fee.
Better follow-up conversion
Completed questionnaires, referrals that turn into actual sessions, and booked mental health treatment plan reviews mean less leakage from the care plan — and more patients returning when review is due.
Faster repeat consultations
A concise pre-visit briefing means less time searching old notes, messages and forms before getting to the clinical decision.
WHAT ONE EXTRA CONSULTATION PER DAY CAN MEAN
$99,000/year
gross additional capacity for a five-GP practice, one extra $90 consultation per GP per clinical day.
$198,000/year
across five GPs at two extra consultations per GP per day, using the same assumptions.
Illustrative capacity only — not a revenue guarantee. Replace $90 and 220 days with your practice's own collected-fee and working-day assumptions.
We prove the economics in a pilot — before asking a practice to scale
The product earns trust if the pilot shows two things: less work for the GP, and no compromise in safety. Measured on time, capacity, safety and experience — including clinician corrections, patient opt-outs and satisfaction.
Know exactly what you are signing up to — without the IT lecture
Compliance by design, inside the product workflow — plus a practice-ready compliance pack so your practice is never left to figure it out alone.
Built into the workflow
- Informed consent capture with an audit trail
- AI output remains a draft until GP review
- GP approval for clinically meaningful patient-facing actions
- Privacy controls, role-based access and activity logs
- Model / vendor traceability and ongoing evaluation
What the practice receives
- Patient consent wording + booking / waiting-room notice
- Practice AI-use policy template
- Privacy and data-flow summary
- Retention + deletion schedule
- Clinician sign-off procedure
- Security statement + incident escalation path
- TGA intended-purpose / classification statement before launch
In the Australian Azure cloud
- Dedicated Syntron/KIVA production tenancy
- Australian-region hosting for core clinical workloads
- Encryption in transit and at rest
- No public database access
- Separate production, security and log accounts
- Central audit logging + threat monitoring
On the patient's phone
- Passkey-first sign-in + short-lived sessions
- No complete clinical record stored locally
- Only a minimum encrypted cache for the session
- Secrets held in OS secure storage
- Generic lock-screen notifications
- No advertising SDKs or identifiable health data in consumer analytics
Selected Azure services are within Microsoft's IRAP-assessed scope where applicable; configuration and governance remain our responsibility. KIVA supports the practice's compliance workflow — it does not remove the GP's professional responsibility.
Deliberately on the workflow side — by design
Release 1 stays on the documentation, communication and factual-tracking side of the TGA's digital-scribes guidance. A formal intended-purpose review is completed before launch, and again before any higher-risk clinical intelligence is added.
RELEASE 1 IS INTENDED TO
- Transcribe / summarise for clinician review
- Communicate clinician-approved instructions
- Deliver clinician-selected questionnaires
- Track task completion and factual patient-reported data
- Create factual summaries for GP review
IT DOES NOT AUTONOMOUSLY
- Diagnose or screen for disease
- Predict deterioration or relapse
- Interpret data for a therapeutic conclusion
- Recommend treatment or medication changes
- Present itself as continuous clinical monitoring
STRATEGIC PARTNERSHIPS
The minds behind KIVA
Our team combines expertise in mental health, artificial intelligence, and software development to create a revolutionary mental health companion.
Clinical Advisors
Expert guidance from leading mental health professionals
Start your journey with KIVA today
The companion app and the clinician web app are up and running. Download KIVA, or jump straight into KIVA Note.