Session fidelity scoring for clinical supervision

What it does

Transcribes a session the client agreed to record, scores it against published fidelity measures (for example MITI 4.2 for motivational interviewing or CTS-R for CBT), and shows the results on a supervisor dashboard so supervision time goes where it's needed.

Where the privacy line sits

Session recordings and transcripts are PHI, so the vendor needs a BAA, and programs covered by 42 CFR Part 2 need counsel to review consent and disclosure. Some states, such as Illinois, require written notice and consent before a session is recorded or transcribed with AI. Tell staff in writing how scores will and won't be used in performance reviews before the first session is scored.

• PHI: BAA required. Touches protected health information. Needs a Business Associate Agreement if HIPAA applies.
• 42 CFR Part 2. May touch substance use disorder records covered by Part 2. Get counsel's review of consent and redisclosure.
• State AI law. Some states restrict AI in therapy (for example, Illinois). Check every state you serve.

What stays human

Supervision itself, the feedback conversation, any clinical judgment about the client, and any employment decision about a clinician.

Example tools

• Lyssn Quality Improvement
• Kuddo Health (early stage, per NVIDIA's Oct 10, 2026 founder spotlight)

Listed because the vendor publicly describes this capability (source checked 2026-10-18). Not tested by us and not an endorsement. Ask every question in our vendor evaluation guide before you buy.

Not legal advice. Have a healthcare attorney review your setup before any patient or resident information goes into a tool.