NeedSignal

Documentation

How NeedSignal works — for submitters, reviewers, managers, and expert groups.

Overview

NeedSignal is a platform for collecting, reviewing, validating, and prioritizing unmet clinical needs in orthopedic surgery. It connects surgeons and healthcare professionals with the AO Technical Commission's review and innovation process.

Every need goes through a structured workflow: submission → expert review → validation scoring → prioritization. The result is a ranked database of clinical needs that guides innovation decisions.

For Submitters

Anyone can submit a clinical need — no login required. You can describe a need you encounter in your practice and the system will structure it for review.

How to submit

Go to needsignal.health/submit
Choose AI-assisted (speak or type freely) or Manual form (field by field)
If using AI: describe the need in your own words, review the extracted fields, adjust if needed
Complete the "About you" section (optional but helps weight your submission)
Click Submit — you'll receive a confirmation email with a reference ID

After submission

Your need enters the review queue. A TC manager will assign it to one or more expert reviewers. If additional information is needed, you'll receive an email with a link to update your submission.

For Reviewers

Reviewers are expert surgeons invited by the TC manager to evaluate specific clinical needs. You'll receive an email invitation with a sign-in link — no password required.

Review process

Click the sign-in link in your invitation email
You'll land on your reviewer portal showing all needs assigned to you
Click a need to see the full submission — description, classification, submitter context
Choose: Accept · Reject · Request more information
Add comments to support your decision (required for rejection or info requests)
Submit your decision — the TC manager is notified automatically

Access

Your sign-in link works on any device. You'll stay logged in for 7 days. For a new device, simply request a new sign-in link at needsignal.health/login.

For TC Managers

Managers oversee the full workflow — from receiving submissions to assigning reviewers and moving needs through the process.

Dashboard

All submitted needs appear in the dashboard at /dashboard/needs
Filter by status: received · in review · info requested · scoring · complete · rejected
Click any need to open the detail panel

Workflow actions

Assign a manager — designate who oversees each need
Assign reviewer(s) — enter email address, system sends invitation automatically
Update status — move the need through the workflow with an optional note
Evaluate — once accepted by reviewers, open the scoring form to rate the need

Status flow

received → in review → scoring → complete. Needs can also be rejected or put on hold with info requested at any stage.

For Expert Groups

Expert groups provide the scoring that determines a need's priority. When a need is accepted by reviewers, the TC manager assigns it to an expert group for evaluation.

Scoring dimensions

Incidence — how frequently does this problem occur in practice?
Severity of burden — how significant is the impact on patient outcomes?
Existing solutions — how well does current standard of care address this need?
Generality — how broadly applicable is this need across specialties or anatomies?

Priority score

The four dimensions are weighted and combined into a priority score from 0 to 100. Scores above 70 indicate high priority needs; 40–70 medium priority; below 40 lower priority. The formula is: Incidence (30%) + Severity (30%) + Existing Solutions (20%) + Generality (20%).

Security & Data

All data is stored in Switzerland (Zurich) on Supabase infrastructure. Row-level security ensures each organization's data is fully isolated. Authentication uses passwordless magic links — no passwords are stored.

The platform is independent of the Microsoft ecosystem — no Azure, no SharePoint, no Teams dependencies. Access is controlled at the database level, not just the application level.

NeedSignal · needsignal.health · Questions? Contact needsignal.health@gmail.com