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Clinical clarity for the cases that matter most.
A structured, seven-pillar clinical review of the complete medical record — so your theory of the case rests on evidence, not assumption.
Prepared for established plaintiff and defense firms handling medical malpractice, long-term care, and healthcare matters.
Going to trial without a clinical read of the full record.
Medical records are the evidentiary heart of every healthcare case — and the most common place for an otherwise strong case to quietly fail. The Clinical Intelligence Review exists to close that gap before the work of the case begins.
Weaknesses surface late
A charting gap, an inconsistency in the timeline, a documentation habit that undermines the narrative — discovered in deposition or at trial, when they cost the most.
Merit is judged on instinct
Without a structured clinical read, viability decisions rest on how a case feels rather than what the record supports. Strong cases are walked away from; weak ones are pursued.
The record is read selectively
Medical records are voluminous and easy to sample. What is never retrieved is never argued — and opposing counsel will find what you missed.
One report. The complete clinical picture.
The Clinical Intelligence Review is Lexcura Summit’s flagship combined report. Its core components span all seven pillars of clinical intelligence and are delivered as a single, integrated document — built to inform case strategy from intake through trial.
- A complete read of the full medical record — every volume, every entry, not a sample
- A clinical timeline that shows what happened, when, and what the record does and does not support
- Identification of deviations from accepted standards of care, with their location in the record
- An honest accounting of the case’s clinical strengths and its vulnerabilities
- Findings written in plain language a judge and jury can follow
- A clear recommendation on how the clinical evidence supports — or does not support — moving forward
The seven pillars of Clinical Intelligence
Clinical Intelligence is the method Lexcura Summit created to examine a medical record from every angle that matters. Each pillar asks its own question of the record; together, they leave nothing to assumption.
Record Integrity
Every page of the record is inventoried, so completeness is verified rather than assumed — gaps, amendments and inconsistencies are documented.
Baseline Profiling
The patient's condition, history and trajectory before the incident at issue, established from the record itself.
Imaging Analysis
Imaging studies are read alongside the clinical narrative, confirming what was seen, when, and whether the findings were acted on.
Timeline Reconstruction
A precise chronological account of care, built from the records, showing what happened, in what order, and where the delays were.
Standard of Care Review
The care documented is measured against the standard applicable at the time and in the setting, on the facts of the record.
Regulatory & Compliance Overlay
The regulations and documentation requirements that governed the facility are mapped against what the record actually shows.
Causation Mapping
Findings are connected to outcomes, so the link between what went wrong and the harm suffered is explicit — or honestly absent.
See how the pillars apply to your case
Request a Consultation →A deliberate process, from first call to strategy session
- 01
Consultation
A conversation about your case, your questions, and what you need the record to answer.
- 02
Record upload
You provide the complete medical record through secure transfer. Confidentiality governs everything from this point forward.
- 03
Itemized quote
You receive a written, itemized quote before any work begins — no surprises, no open-ended billing.
- 04
Analysis
The full record is examined across all seven pillars, and findings are compiled into the combined report.
- 05
Strategy session
We walk through the findings together — what the record supports, where it is vulnerable, and what it means for your next move.
How fees are set
Every engagement is scoped to the case: a base fee plus clinical complexity, record volume, and any specialist or executive review. Your quote is itemized and delivered in writing before work begins — so you know exactly what you are commissioning.
Related packages
Many engagements begin with the Clinical Intelligence Review and continue as the case develops.
Deposition Support
Clinical preparation for deposing or defending medical witnesses — the record knowledge, the likely testimony, and the lines of questioning the evidence supports.
Expert Witness Support
Clinical grounding for your testifying experts: the relevant standards, the record evidence, and the analysis that keeps their opinions defensible.
Rebuttal Support
A rigorous clinical response when opposing experts or counsel present their reading of the record — point by point, anchored in the documentation itself.
Led by experience, grounded in the literature
The firm was founded by Michelle Carroll, Founder and Chief Clinical Strategist, Lexcura Summit. Her work sits at the intersection of clinical practice and the law — in print, in professional publication, and in conversation.
Author
Author of 18 published books, available on Amazon — search “Lexcura Clinical Intelligence”.
Published scholarship
Papers published by the American Health Law Association.
Lexcura Clinical Insights
The Lexcura Summit podcast — more than 75 episodes on clinical intelligence and medical-legal strategy, available on Apple Podcasts, Spotify, and all major platforms.
Frequently asked
Medical malpractice, long-term care, and healthcare matters — for established plaintiff and defense firms handling high-value cases. The Review is most valuable where the record is substantial and the stakes warrant a complete clinical read.
Request a consultation
Tell us about your matter. We will respond to schedule a conversation about what a complete clinical read would reveal.
Prefer to pick a time directly?
You may reserve a time on Michelle Carroll’s calendar directly, or submit the request form above and we will reach out.
Schedule on Michelle Carroll’s Calendar →