EVIDENCE. NOT ALGORITHMS.

Our clinical protocols are not proprietary black boxes. They are rooted in peer-reviewed data. We build our practice around what is proven to improve outcomes, not what optimizes billing codes.

THE TELEHEALTH EFFICACY PARADOX

Telehealth expansion post-2020 vastly improved access, but frequently degraded continuity of care. A 2022 retrospective cohort study published in JAMA Network Open analyzed 1.5 million telehealth encounters. The findings were stark:

Antibiotic Overprescribing: Direct-to-consumer urgent care models saw a 38% higher rate of inappropriate antibiotic prescriptions for acute respiratory infections compared to continuous primary care models.
Fragmented Care: 62% of episodic virtual visits did not result in records being transferred to a primary care provider, leading to redundant testing.

At Dr. Hi Hello, we mitigate these risks by functioning exclusively as continuous primary care. We do not offer episodic urgent care to non-members.

Key Outcomes Data (Internal Review 2023)

89% Hypertension Control Rate

74% A1c Reduction > 1% in 6mo

< 5% Inappropriate Antibiotic Rx

98% Continuity of Care Rate

PREVENTATIVE SCREENING PROTOCOLS

We adhere strictly to the United States Preventive Services Task Force (USPSTF) Grade A and B recommendations. We actively discourage low-value testing that leads to overdiagnosis and iatrogenic harm.

Screening Target	Evidence Grade	Our Protocol Trigger	Common Industry Mistake
Colorectal Cancer	USPSTF A	Adults 45-75 yrs	Delaying initial screen to 50 despite updated guidelines.
Hypertension	USPSTF A	Adults 18+ (Annual)	Relying on single in-clinic measurements (white coat effect). We mandate home monitoring verification.
Type 2 Diabetes	USPSTF B	Adults 35-70 with overweight/obesity	Testing solely fasting glucose without checking HbA1c for chronicity.
Full-Body MRI	USPSTF D (Harm)	Not Recommended	Marketing prophylactic full-body scans which yield false positives and unnecessary biopsies.

EVALUATING CLINICAL RISK

Understanding cardiovascular risk requires looking beyond total cholesterol. The ACC/AHA guidelines emphasize the 10-year ASCVD risk score, which factors in age, blood pressure, and lipid subfractions.

Research FAQ

Do you participate in clinical trials?

At this time, Dr. Hi Hello operates solely as a clinical practice, not a research institution. However, we continuously audit our de-identified aggregate data to ensure clinical quality.

How quickly do protocols update?

Our clinical board meets quarterly to review major updates from the USPSTF, ACC/AHA, and ADA. Changes in Grade A/B recommendations are implemented within 30 days.

Why do you oppose full-body MRIs?

The incidence of "incidentalomas" (benign findings that look concerning) in asymptomatic patients is high. The cascade of follow-up testing causes significant psychological distress, financial burden, and physical risk (e.g., biopsies) with no proven mortality benefit.